Emergency MedicineCardiology
Peri-Arrest Bradyarrhythmia (Adult)
RCUK adult bradycardia algorithm — drug therapy, transcutaneous pacing, transvenous pacing.
Source: RCUK 2021 Adult Bradycardia Algorithm
Step 1 of ~7
info
Initial Assessment
ABCDE, IV access, 12-lead ECG, monitor. Identify reversible causes: drugs (beta-blockers, CCB, digoxin, opioids), MI (especially inferior), electrolytes, hypothermia, raised ICP, hypothyroidism. Adverse features same as tachy algorithm.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Amiodarone (IV — ICU/Peri-Arrest) · Antiarrhythmic (Class III)
- Phenylephrine · Alpha-1 Adrenergic Agonist (Pure Vasoconstrictor)
- Atropine (Anaesthesia/Bradycardia) · Anticholinergic / Parasympatholytic
- Carbimazole · Antithyroid Drug
- Estradiol (HRT — Hormone Replacement Therapy) · Oestrogen Replacement Therapy
- Diclofenac · Non-Steroidal Anti-Inflammatory Drug (NSAID)
Pathways
- Difficult Airway Algorithm (DAS) · DAS 2015; Royal College of Anaesthetists
- Major Haemorrhage Protocol · NICE NG24; UK MHP guidelines
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
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