• Assess Airway, Breathing, Circulation
• Secure the airway
• Administer oxygen
• Start IV
• Attach monitor, pulse oximeter, automatic B/P
• Assess vital signs
• Perform physical exam
• Order 12-lead ECG
• Order portable chest x-ray
• Review problem focused history
• Determine rhythm as Bradycardia, either absolute (60 BPM) or relative with serious signs and symptoms such as chest pain, shortness of breath, decreased level of consciousness, low B/P, shock, pulmonary congestion, CHF, acute MI
• Do not delay TCP while awaiting IV access or for atropine to take effect if patient is symptomatic. Consider sedation and analgesia prior to pacing
• Atropine 0.5-1mg, repeat every 3-5 min. to total of 0.03-0.04 mg/kg. Use with caution in type II AV block and new third-degree block with wide QRS complexes.
• Dopamine 5-20 ug/kg per min.
• Epinephrine 2-10 ug/min.

To: ACLS Intravenous Medicated Infusions