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EM Clerkship

Bradycardia (Deep Dive R34)

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5 β€’ 795 Ratings

πŸ—“οΈ 15 June 2022

⏱️ 15 minutes

🧾️ Download transcript

Summary

Asymptomatic Bradycardia – usually don’t treat Symptomatic Stable Bradycardia – atropine, further workup Symptomatic Unstable Bradycardia – SIMULTANEOUS treatment with medications and electricity Meds: Trial of atropine, then either epinephrine, dopeamine, or isoproterenol Electricity: Transcutaneous Pace –> TVP DDX of Bradycardia – BRADIE Blocks (av blocks) Reduced vital signs (hypoxemia, hypothermia, hypoglycemia) Acs (acute coronary […]

Transcript

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0:00.0

Hello, students. My name is Mike Estefan, and I thank you for joining me today on the EM Clerkship

0:08.0

podcast. On this month's deep dive episode, we are going to be talking about bradycardia. Before we

0:15.4

begin, just a quick word from our sponsors at Pearson Rabbit's Insurance. You will have spent at least seven years

0:23.8

training and working your ass off to become an attending physician, but tragedy can happen to

0:30.2

anyone at any time. Disability insurance is a necessity to ensure that your time and your debt weren't for nothing.

0:39.3

Stephanie Pearson at Pearson Rabbits is a physician who suffered a tragedy herself, ending

0:45.3

her medical career prematurely. She fought hard and for years with insurance companies

0:51.3

to pay out the disability benefits that she deserved.

0:55.4

Now, she works to make sure that you don't have to do the same.

0:59.3

Don't wait until it's too late.

1:01.5

Check out Pearson Rabbits at www.personravits.com

1:06.2

and schedule a meeting with one of their team members today.

1:10.0

Now, back to the episode. I just want to

1:13.7

apologize in advance. As you guys can probably tell, I sound a little different, a little stuffy,

1:20.0

and I actually have COVID. This is actually my second bout with COVID. My first bout was back intern year. It was in March or April. It was pretty early on in the first COVID wave. But I will say that I am much more symptomatic now than I was that first time. So long story short, speaking is a bit of a challenge and I'm trying my best but you guys can

1:46.3

probably tell on the other end. So without further ado, let's get into things. First, we're

1:52.0

going to discuss the general approach to bradycardia and its management. After that, we will

1:57.6

briefly discuss the different etiologies of bradycardia and some that warrant special

2:02.1

attention.

2:03.7

Bradicardia we define in adults as a heart rate less than 60.

2:07.9

When you are seeing a patient in the ED who is bradicardic, the first question you need to

2:13.2

figure out is, is this patient presenting with symptomatic bradycardia or asymptomatic bradycardia?

...

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