Prolonged Field Care Podcast Prolonged Field Care Podcast 229: Brady Arrhythmias
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:
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