[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-369999-105":59,"doc-detail-369999-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","bradycardia-management-algorithm-2025","Bradycardia Management - Algorithm - 2025","","Bradycardia Management algorithm (2025) outlining initial assessment and stepwise treatment. Emphasis is placed on airway, breathing, and oxygenation targets (94–98%), ventilation as required, and immediate circulation evaluation with ECG and vital monitoring. It defines adult and paediatric thresholds, distinguishes unstable from stable patients, and provides interventions including atropine dosing, adrenaline infusion with titration, transcutaneous/ transvenous pacing, CPR initiation, and identification and treatment of reversible causes such as hypoxia, hypothermia, head injury, hyperkalaemia, acidosis, toxins, and therapeutic overdoses.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/bradycardia-management-algorithm-2025/369999/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/bradycardia-management-algorithm-2025/369999.png","ImageObject",300,407,{"name":92,"@type":93},"Olivia Brown","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-02","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":8},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What oxygen saturation target is recommended for bradycardia management?","Question",{"text":112,"@type":113},"Administer oxygen if required and target saturation of 94–98%.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How is an unstable bradycardia patient managed?",{"text":117,"@type":113},"Start CPR when unstable, focusing on immediate correction of the reversible cause. Provide the specified CPR compression-to-breath ratios based on the number of rescuers.",{"name":119,"@type":110,"acceptedAnswer":120},"What reversible causes should be looked for and treated in bradycardia?",{"text":121,"@type":113},"Look for hypoxia, hypothermia, head injury, hyperkalaemia, heart block, hydrogen ion (acidosis), toxins (e.g. organophosphates), and therapeutic agents such as beta blocker or calcium channel blocker overdose.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},369999,1790186200,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":8,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":129,"read_time":81},16904993612988,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Bradycardia Management  \nAlgorithm  \nAIRWAY  \nOpen, maintain and protect as necessary  \nBREATHING  \n2025  \nAdminister oxygen if required. Target saturation 94-98% .  \nVentilate if required  \n2025  \n\n| CIRCULATION |\n| --- |\n| Assess pulse, blood pressure and perfusion\u003Cbr>Attach ECG monitor, pulse oximeter and vital signs monitor if available 1 |\n\nADULT  \nDRIP  \nEstablish IV access, assess blood glucose 1  \n| ECG Rhythm |\n| --- |\n| Attach and print ECG to confirm rhythm (12-lead ECG if possible) Identify and treat reversible causes |\n\nSPECIALIST MEDICAL ADVICE SHOULD BESOUGHT WHENEVER POSSIBLE  \nPAEDIATRIC  \n| BRADYCARDIA |\n| --- |\n| Less than 50/min |\n\nIF UNSTABLE  \n\n| ATROPINE |\n| --- |\n| (Exclude Hypoxia/Hypothermia/Head Injury)\u003Cbr>1mg IV bolus\u003Cbr>Can repeat every 3-5 minutes, up to 3mg |\n\n| ADRENALINE |\n| --- |\n| 2-10 µg/min infusion\u003Cbr>(Start at 0.05µg/kg/min and titrate to\u003Cbr>effect) OR / AND\u003Cbr>TRANSCUTANEOUS PACING |\n\n| CONSIDER |\n| --- |\n| Transvenous pacing\u003Cbr>If Beta Blocker or Ca Channel Blocker overdose, use high dose insulin (1U/kg) with glucose and potassium control. Can consider Glucagon |\n\n| SIGNS OF INSTABILITY |\n| --- |\n| • Hypotension\u003Cbr>• Acutely altered mental state\u003Cbr>• Signs of shock\u003Cbr>• Ischaemic chest discomfort\u003Cbr>• Acute heart failure |\n\n| STABLE PATIENT |\n| --- |\n| Monitor and observe Refer for investigation |\n\nLOOK FOR AND TREAT REVERSIBLE CAUSES OF BRADYCARDIA  \nHypoxia  \nHypothermia Head Injury Hyperkalaemia  \nHeart Block Hydrogen Ion (Acidosis) Toxins (e.g. organophosphates) Therapeutic Agents (e.g. Beta Blocker or Ca Channel Blocker overdose)  \nBRADYCARDIA  \nHR \u003C 60/min despite effective oxygenation and ventilation  \nIF UNSTABLE  \nSTART CPR  \n1 Rescuer = 30 compressions : 2 breaths 2 Rescuers = 15 compressions : 2 breaths  \n|  |\n| --- |\n| Focus on correcting reversible cause. Consider inotropes, atropine (in increased vagal tone) and pacing to manage specific causes in specialised settings |\n\n[www.resus.co.za](www.resus.co.za)","cbCaiecXjswhwiF9","https://ap.wps.com/l/cbCaiecXjswhwiF9","pdf",415461,"English","# Algorithm\n## Initial assessment (airway, breathing, circulation)\n## Unstable vs stable management\n## Atropine, adrenaline, pacing\n## Reversible causes","[{\"question\":\"What oxygen saturation target is recommended for bradycardia management?\",\"answer\":\"Administer oxygen if required and target saturation of 94–98%.\"},{\"question\":\"How is an unstable bradycardia patient managed?\",\"answer\":\"Start CPR when unstable, focusing on immediate correction of the reversible cause. Provide the specified CPR compression-to-breath ratios based on the number of rescuers.\"},{\"question\":\"What reversible causes should be looked for and treated in bradycardia?\",\"answer\":\"Look for hypoxia, hypothermia, head injury, hyperkalaemia, heart block, hydrogen ion (acidosis), toxins (e.g. organophosphates), and therapeutic agents such as beta blocker or calcium channel blocker overdose.\"}]","Bradycardia Management - Algorithm - 2025 | PDF"]