In this episode of the PFC Podcast, Dennis and Doug delve into the complexities of bradyarrhythmias, discussing their recognition, causes, and treatment options. They explore the importance of vital signs, differential diagnosis, and the various pharmacological and electrical interventions available for managing bradycardia. The conversation also touches on the implications of overdoses and the long-term management of patients with bradyarrhythmias, emphasizing the need for a comprehensive approach in emergency medicine.

Takeaways

Recognizing bradycardia involves checking vital signs and symptoms.

Not all bradycardias are the same; context matters.

Altered mental status can indicate shock in bradycardia cases.

Lyme disease is a significant cause of bradycardia in younger populations.

Narcotic overdose can lead to bradycardia and requires immediate attention.

Atropine is a quick and handy treatment for bradycardia.

Transcutaneous pacing is a common emergency intervention.

Dopamine is preferred for its targeting of heart rate in bradycardia.

Glucagon is an expensive but necessary treatment for beta-blocker overdose.

Treating hypoxia is crucial before addressing bradycardia.

Chapters

00:00 Introduction to Bradyarrhythmias

03:01 Recognizing Bradycardia and Its Symptoms

06:14 Causes of Bradycardia

09:02 Differential Diagnosis in Bradycardia

11:57 Stabilization and Treatment Approaches

14:46 Pharmacological Interventions for Bradycardia

17:59 Electrical Interventions: Pacing Techniques

20:55 Managing Overdoses and Bradycardia

23:48 Long-term Management and Follow-up

26:54 Conclusion and Key Takeaways

Link to full podcast:

⁠⁠https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-228-DImE-e32aek2⁠⁠

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