{"id":168,"date":"2018-10-22T15:39:19","date_gmt":"2018-10-22T15:39:19","guid":{"rendered":"https:\/\/www.proacls.com\/wiki\/?p=168"},"modified":"2020-08-11T17:30:49","modified_gmt":"2020-08-11T17:30:49","slug":"bradycardia","status":"publish","type":"post","link":"https:\/\/www.proacls.com\/wiki\/acls-algorithms\/bradycardia\/","title":{"rendered":"Bradycardia Algorithm"},"content":{"rendered":"\t\t\t<div \n\t\t\tclass=\"yotu-playlist yotuwp yotu-limit-min yotu-limit-max   yotu-thumb-169  yotu-template-grid\" \n\t\t\tdata-page=\"1\"\n\t\t\tid=\"yotuwp-69f4a1f34ac40\"\n\t\t\tdata-yotu=\"69f4a1f365be8\"\n\t\t\tdata-total=\"1\"\n\t\t\tdata-settings=\"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\"\n\t\t\tdata-player=\"large\"\n\t\t\tdata-showdesc=\"on\" >\n\t\t\t\t<div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"yotu-wrapper-player\" style=\"width:600px\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"yotu-player\">\n\t\t\t\t\t\t\t<div class=\"yotu-video-placeholder\" id=\"yotu-player-69f4a1f365be8\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"yotu-playing-status\"><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"yotu-pagination yotu-hide yotu-pager_layout-default yotu-pagination-top\">\n<a href=\"#\" class=\"yotu-pagination-prev yotu-button-prs yotu-button-prs-1\" data-page=\"prev\">Prev<\/a>\n<span class=\"yotu-pagination-current\">1<\/span> <span>of<\/span> <span class=\"yotu-pagination-total\">1<\/span>\n<a href=\"#\" class=\"yotu-pagination-next yotu-button-prs yotu-button-prs-1\" data-page=\"next\">Next<\/a>\n<\/div>\n<div class=\"yotu-videos yotu-mode-grid yotu-preset yotu-preset-gplus yotu-column-6 yotu-player-mode-large\">\n\t<ul>\n\t\t\t\t\t<li class=\" yotu-first\">\n\t\t\t\t\t\t\t\t<a href=\"#0AdzDKoQr1g\" class=\"yotu-video\" data-videoid=\"0AdzDKoQr1g\" data-title=\"What is Bradycardia?\" title=\"What is Bradycardia?\">\n\t\t\t\t\t<div class=\"yotu-video-thumb-wrp\">\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" class=\"yotu-video-thumb\" src=\"https:\/\/i.ytimg.com\/vi\/0AdzDKoQr1g\/sddefault.jpg\" alt=\"What is Bradycardia?\">\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<h3 class=\"yotu-video-title\">What is Bradycardia?<\/h3>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"yotu-video-description\"><\/div>\n\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\n\t\t\t\t\t\t<li class=\" yotu-last\">\n\t\t\t\t\t\t\t\t<a href=\"#NzOM5qK-J_w\" class=\"yotu-video\" data-videoid=\"NzOM5qK-J_w\" data-title=\"Bradycardia Teaching (ACLS Algorithms)\" title=\"Bradycardia Teaching (ACLS Algorithms)\">\n\t\t\t\t\t<div class=\"yotu-video-thumb-wrp\">\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" class=\"yotu-video-thumb\" src=\"https:\/\/i.ytimg.com\/vi\/NzOM5qK-J_w\/sddefault.jpg\" alt=\"Bradycardia Teaching (ACLS Algorithms)\">\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<h3 class=\"yotu-video-title\">Bradycardia Teaching (ACLS Algorithms)<\/h3>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"yotu-video-description\"><\/div>\n\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\n\t\t\t\t<\/ul>\n<\/div><div class=\"yotu-pagination yotu-hide yotu-pager_layout-default yotu-pagination-bottom\">\n<a href=\"#\" class=\"yotu-pagination-prev yotu-button-prs yotu-button-prs-1\" data-page=\"prev\">Prev<\/a>\n<span class=\"yotu-pagination-current\">1<\/span> <span>of<\/span> <span class=\"yotu-pagination-total\">1<\/span>\n<a href=\"#\" class=\"yotu-pagination-next yotu-button-prs yotu-button-prs-1\" data-page=\"next\">Next<\/a>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n<p>&nbsp;<\/p>\n<h2>What is the Bradycardia Algorithm?<\/h2>\n<p>The adult bradycardia algorithm outlines the steps for the assessment and management of a patient presenting with symptomatic <a href=\"https:\/\/www.proacls.com\/training\/video\/what-is-bradycardia\">bradycardia<\/a> with a pulse. The implementation of the bradycardia algorithm begins with the identification of bradycardia.<\/p>\n<p>The first steps after identifying the bradycardia include the components of the BLS assessment and the <a href=\"https:\/\/www.proacls.com\/training\/video\/overview-of-primary-assessment\">primary assessment<\/a>, such as supporting circulation and <a href=\"https:\/\/www.proacls.com\/training\/video\/basic-airways\">airway management<\/a>, giving <a href=\"https:\/\/www.proacls.com\/wiki\/acls-pharmacology\/oxygen\/\">oxygen<\/a> if indicated, monitoring the rhythm and vital signs of the patient, establishing IV access, and obtaining a 12-lead ECG if available.<\/p>\n<p>The key clinical question is whether the bradycardia is causing the patient&#8217;s symptoms or some other illness is causing the bradycardia.<\/p>\n<h2>What is Bradycardia?<\/h2>\n<p>Absolute bradycardia is defined as a pulse rate less than 60 beats per minute. During the initial patient assessment, ACLS providers must determine whether any life-threatening signs and symptoms are present that have been caused by that bradycardia.<\/p>\n<p>Bradycardia can present itself in several different cardiac rhythms, which include sinus bradycardia and varying degrees of <a href=\"https:\/\/www.proacls.com\/wiki\/ekg-rhythms\/atrioventricular-blocks\/\">AV heart blocks<\/a>.<\/p>\n<p>To identify whether a patient has bradycardia, ACLS providers should first check to see that bradycardia is present, as in a heart rate less than 50 beats per minute, and also ask themselves if the patient\u2019s bradycardia is inadequate for the patient&#8217;s condition \u2013 functional vs. relative bradycardia.<\/p>\n<h2>Bradycardia Signs and Symptoms<\/h2>\n<p>Step three of the bradycardia algorithm prompts healthcare providers to consider if the patient\u2019s signs or symptoms of poor perfusion are caused by the bradycardia. Key clinical questions that ACLS providers should ask themselves are:<\/p>\n<ul>\n<li>Does this patient have serious signs or symptoms?<\/li>\n<li>Are the signs and symptoms related to the patient\u2019s slow heart rate?<\/li>\n<\/ul>\n<p>ACLS providers should also look for adverse signs and symptoms of the bradycardia which include:<\/p>\n<ul>\n<li>Chest discomfort<\/li>\n<li>Shortness of breath<\/li>\n<li>Decreased level of consciousness<\/li>\n<li>Weakness<\/li>\n<li>Fatigue<\/li>\n<li>Light-headedness or dizziness<\/li>\n<li>Hypotension<\/li>\n<li>\u00a0Congestive heart failure<\/li>\n<li>Ventricular arrhythmias related to the bradycardia<\/li>\n<li>Acutely altered mental status<\/li>\n<li><a href=\"https:\/\/www.procpr.org\/training\/video\/shock\">Signs of shock<\/a><\/li>\n<\/ul>\n<p>Sometimes the symptom is not due to the bradycardia. For example, hypotension associated with bradycardia may be due to myocardial dysfunction rather than the bradycardia. Healthcare providers should keep this in mind when they reassess the patient&#8217;s response to treatment.<\/p>\n<p>Regardless of the patient\u2019s rhythm, if their heart rate is too slow and the patient has symptoms from that slow heart rate, the bradycardia should be treated to increase the heart rate and improve perfusion, following the steps of the bradycardia algorithm below.<\/p>\n<p>The primary decision point in the bradycardia algorithm is the determination of adequate perfusion. If the patient has adequate perfusion, ACLS providers should observe and monitor the patient.<\/p>\n<p>If the patient has poor perfusion, <a href=\"https:\/\/www.proacls.com\/wiki\/acls-pharmacology\/atropine-sulfate\/\">atropine<\/a> would be the first drug of choice. If atropine is ineffective, healthcare providers should prepare for transcutaneous pacing (TCP) or consider a <a href=\"https:\/\/www.proacls.com\/wiki\/acls-pharmacology\/dopamine\/\">dopamine<\/a> or <a href=\"https:\/\/www.proacls.com\/wiki\/acls-pharmacology\/epinephrine\/\">epinephrine<\/a> infusion.<\/p>\n<h2>Bradycardia Algorithm &amp; Treatment<\/h2>\n<p>For asymptomatic patients, ACLS providers should continue to provide care with close monitoring and choose which appropriate treatment and care should be given.<\/p>\n<p>The primary treatment for symptomatic bradycardia includes the following:<\/p>\n<ol>\n<li>Administration of supplemental oxygen if the patient\u2019s pulse oximetry is below 94 percent and establishes IV access.<\/li>\n<li>Monitor the patient\u2019s ECG rhythm.<\/li>\n<li>Obtain a 12 lead as soon as possible, but don\u2019t delay therapy to get it.<\/li>\n<li>Administration of atropine at .5mg via rapid IV push to increase the patient\u2019s heart rate.<\/li>\n<li>If atropine is proving to be ineffective, consider transcutaneous pacing.<br \/>\nIf there are serious signs and symptoms that the patient is unresponsive, the first line of treatment should be transcutaneous pacing rather than atropine.<\/li>\n<li>Consider the administration of other medications such as:<br \/>\na. An epinephrine infusion at between 2 to 10mcg per minute<br \/>\nb. A dopamine infusion at between 5 and 10mcg per kg per minute<\/li>\n<\/ol>\n<p>When ACLS providers are dealing with a conscious patient who needs transcutaneous pacing, they should consider sedation first to help alleviate the patient\u2019s discomfort.<\/p>\n<p>Some patients may present with relative bradycardia when their heart rate is over 60 beats per minute, but they present with low blood pressure or decreased level of consciousness. In these cases, the same interventions would be required as a patient with absolute bradycardia.<\/p>\n<h2>Adult Bradycardia With a Pulse Algorithm<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-388\" src=\"https:\/\/www.proacls.com\/wiki\/wp-content\/uploads\/2018\/10\/bradycardia-algorithm.jpg\" alt=\"Adult Bradycardia with a Pulse Algorithm\" width=\"1344\" height=\"1602\" \/><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; What is the Bradycardia Algorithm? The adult bradycardia algorithm outlines the steps for the assessment and management of a patient presenting with symptomatic bradycardia with a pulse. The implementation of the bradycardia algorithm begins with the identification of bradycardia. The first steps after identifying the bradycardia include the components of the BLS assessment and [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[8],"tags":[],"class_list":["post-168","post","type-post","status-publish","format-standard","hentry","category-acls-algorithms"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Bradycardia Algorithm - ACLS Wiki<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.proacls.com\/wiki\/acls-algorithms\/bradycardia\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bradycardia Algorithm - ACLS Wiki\" \/>\n<meta property=\"og:description\" content=\"&nbsp; What is the Bradycardia Algorithm? The adult bradycardia algorithm outlines the steps for the assessment and management of a patient presenting with symptomatic bradycardia with a pulse. The implementation of the bradycardia algorithm begins with the identification of bradycardia. The first steps after identifying the bradycardia include the components of the BLS assessment and [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.proacls.com\/wiki\/acls-algorithms\/bradycardia\/\" \/>\n<meta property=\"og:site_name\" content=\"ACLS Wiki\" \/>\n<meta property=\"article:published_time\" content=\"2018-10-22T15:39:19+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-08-11T17:30:49+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.proacls.com\/wiki\/wp-content\/uploads\/2018\/10\/bradycardia-algorithm.jpg\" \/>\n<meta name=\"author\" content=\"Paul Martin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Paul Martin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/acls-algorithms\\\/bradycardia\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/acls-algorithms\\\/bradycardia\\\/\"},\"author\":{\"name\":\"Paul Martin\",\"@id\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/#\\\/schema\\\/person\\\/5c6708c3b825aea8608a121d43d885c4\"},\"headline\":\"Bradycardia Algorithm\",\"datePublished\":\"2018-10-22T15:39:19+00:00\",\"dateModified\":\"2020-08-11T17:30:49+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/acls-algorithms\\\/bradycardia\\\/\"},\"wordCount\":708,\"publisher\":{\"@id\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/acls-algorithms\\\/bradycardia\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/wp-content\\\/uploads\\\/2018\\\/10\\\/bradycardia-algorithm.jpg\",\"articleSection\":[\"ACLS Algorithms\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/acls-algorithms\\\/bradycardia\\\/\",\"url\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/acls-algorithms\\\/bradycardia\\\/\",\"name\":\"Bradycardia Algorithm - ACLS Wiki\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/acls-algorithms\\\/bradycardia\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/acls-algorithms\\\/bradycardia\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/wp-content\\\/uploads\\\/2018\\\/10\\\/bradycardia-algorithm.jpg\",\"datePublished\":\"2018-10-22T15:39:19+00:00\",\"dateModified\":\"2020-08-11T17:30:49+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/acls-algorithms\\\/bradycardia\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/acls-algorithms\\\/bradycardia\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/acls-algorithms\\\/bradycardia\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/wp-content\\\/uploads\\\/2018\\\/10\\\/bradycardia-algorithm.jpg\",\"contentUrl\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/wp-content\\\/uploads\\\/2018\\\/10\\\/bradycardia-algorithm.jpg\",\"width\":1344,\"height\":1602,\"caption\":\"Adult Bradycardia with a Pulse Algorithm\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/acls-algorithms\\\/bradycardia\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Bradycardia Algorithm\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/#website\",\"url\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/\",\"name\":\"ACLS Wiki\",\"description\":\"Your Online ACLS Certification source\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/#organization\",\"name\":\"ProTrainings\",\"url\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/wp-content\\\/uploads\\\/2018\\\/01\\\/512-us-logo.png\",\"contentUrl\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/wp-content\\\/uploads\\\/2018\\\/01\\\/512-us-logo.png\",\"width\":512,\"height\":512,\"caption\":\"ProTrainings\"},\"image\":{\"@id\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/#\\\/schema\\\/logo\\\/image\\\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.proacls.com\\\/wiki\\\/#\\\/schema\\\/person\\\/5c6708c3b825aea8608a121d43d885c4\",\"name\":\"Paul Martin\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/5c0e2541ebd14db0795745628f7b7c996846da0c2652f4c93d9926d48ab8a2c6?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/5c0e2541ebd14db0795745628f7b7c996846da0c2652f4c93d9926d48ab8a2c6?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/5c0e2541ebd14db0795745628f7b7c996846da0c2652f4c93d9926d48ab8a2c6?s=96&d=mm&r=g\",\"caption\":\"Paul Martin\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Bradycardia Algorithm - ACLS Wiki","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.proacls.com\/wiki\/acls-algorithms\/bradycardia\/","og_locale":"en_US","og_type":"article","og_title":"Bradycardia Algorithm - ACLS Wiki","og_description":"&nbsp; What is the Bradycardia Algorithm? The adult bradycardia algorithm outlines the steps for the assessment and management of a patient presenting with symptomatic bradycardia with a pulse. The implementation of the bradycardia algorithm begins with the identification of bradycardia. The first steps after identifying the bradycardia include the components of the BLS assessment and [&hellip;]","og_url":"https:\/\/www.proacls.com\/wiki\/acls-algorithms\/bradycardia\/","og_site_name":"ACLS Wiki","article_published_time":"2018-10-22T15:39:19+00:00","article_modified_time":"2020-08-11T17:30:49+00:00","og_image":[{"url":"https:\/\/www.proacls.com\/wiki\/wp-content\/uploads\/2018\/10\/bradycardia-algorithm.jpg","type":"","width":"","height":""}],"author":"Paul Martin","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Paul Martin","Est. reading time":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.proacls.com\/wiki\/acls-algorithms\/bradycardia\/#article","isPartOf":{"@id":"https:\/\/www.proacls.com\/wiki\/acls-algorithms\/bradycardia\/"},"author":{"name":"Paul Martin","@id":"https:\/\/www.proacls.com\/wiki\/#\/schema\/person\/5c6708c3b825aea8608a121d43d885c4"},"headline":"Bradycardia Algorithm","datePublished":"2018-10-22T15:39:19+00:00","dateModified":"2020-08-11T17:30:49+00:00","mainEntityOfPage":{"@id":"https:\/\/www.proacls.com\/wiki\/acls-algorithms\/bradycardia\/"},"wordCount":708,"publisher":{"@id":"https:\/\/www.proacls.com\/wiki\/#organization"},"image":{"@id":"https:\/\/www.proacls.com\/wiki\/acls-algorithms\/bradycardia\/#primaryimage"},"thumbnailUrl":"https:\/\/www.proacls.com\/wiki\/wp-content\/uploads\/2018\/10\/bradycardia-algorithm.jpg","articleSection":["ACLS Algorithms"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/www.proacls.com\/wiki\/acls-algorithms\/bradycardia\/","url":"https:\/\/www.proacls.com\/wiki\/acls-algorithms\/bradycardia\/","name":"Bradycardia Algorithm - ACLS Wiki","isPartOf":{"@id":"https:\/\/www.proacls.com\/wiki\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.proacls.com\/wiki\/acls-algorithms\/bradycardia\/#primaryimage"},"image":{"@id":"https:\/\/www.proacls.com\/wiki\/acls-algorithms\/bradycardia\/#primaryimage"},"thumbnailUrl":"https:\/\/www.proacls.com\/wiki\/wp-content\/uploads\/2018\/10\/bradycardia-algorithm.jpg","datePublished":"2018-10-22T15:39:19+00:00","dateModified":"2020-08-11T17:30:49+00:00","breadcrumb":{"@id":"https:\/\/www.proacls.com\/wiki\/acls-algorithms\/bradycardia\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.proacls.com\/wiki\/acls-algorithms\/bradycardia\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.proacls.com\/wiki\/acls-algorithms\/bradycardia\/#primaryimage","url":"https:\/\/www.proacls.com\/wiki\/wp-content\/uploads\/2018\/10\/bradycardia-algorithm.jpg","contentUrl":"https:\/\/www.proacls.com\/wiki\/wp-content\/uploads\/2018\/10\/bradycardia-algorithm.jpg","width":1344,"height":1602,"caption":"Adult Bradycardia with a Pulse Algorithm"},{"@type":"BreadcrumbList","@id":"https:\/\/www.proacls.com\/wiki\/acls-algorithms\/bradycardia\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.proacls.com\/wiki\/"},{"@type":"ListItem","position":2,"name":"Bradycardia Algorithm"}]},{"@type":"WebSite","@id":"https:\/\/www.proacls.com\/wiki\/#website","url":"https:\/\/www.proacls.com\/wiki\/","name":"ACLS Wiki","description":"Your Online ACLS Certification source","publisher":{"@id":"https:\/\/www.proacls.com\/wiki\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.proacls.com\/wiki\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.proacls.com\/wiki\/#organization","name":"ProTrainings","url":"https:\/\/www.proacls.com\/wiki\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.proacls.com\/wiki\/#\/schema\/logo\/image\/","url":"https:\/\/www.proacls.com\/wiki\/wp-content\/uploads\/2018\/01\/512-us-logo.png","contentUrl":"https:\/\/www.proacls.com\/wiki\/wp-content\/uploads\/2018\/01\/512-us-logo.png","width":512,"height":512,"caption":"ProTrainings"},"image":{"@id":"https:\/\/www.proacls.com\/wiki\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/www.proacls.com\/wiki\/#\/schema\/person\/5c6708c3b825aea8608a121d43d885c4","name":"Paul Martin","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/5c0e2541ebd14db0795745628f7b7c996846da0c2652f4c93d9926d48ab8a2c6?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/5c0e2541ebd14db0795745628f7b7c996846da0c2652f4c93d9926d48ab8a2c6?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/5c0e2541ebd14db0795745628f7b7c996846da0c2652f4c93d9926d48ab8a2c6?s=96&d=mm&r=g","caption":"Paul Martin"}}]}},"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p9EEdP-2I","amp_enabled":true,"_links":{"self":[{"href":"https:\/\/www.proacls.com\/wiki\/wp-json\/wp\/v2\/posts\/168","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.proacls.com\/wiki\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.proacls.com\/wiki\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.proacls.com\/wiki\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.proacls.com\/wiki\/wp-json\/wp\/v2\/comments?post=168"}],"version-history":[{"count":14,"href":"https:\/\/www.proacls.com\/wiki\/wp-json\/wp\/v2\/posts\/168\/revisions"}],"predecessor-version":[{"id":499,"href":"https:\/\/www.proacls.com\/wiki\/wp-json\/wp\/v2\/posts\/168\/revisions\/499"}],"wp:attachment":[{"href":"https:\/\/www.proacls.com\/wiki\/wp-json\/wp\/v2\/media?parent=168"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.proacls.com\/wiki\/wp-json\/wp\/v2\/categories?post=168"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.proacls.com\/wiki\/wp-json\/wp\/v2\/tags?post=168"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}