Advanced Life Support in bradycardia

The presented algorithm provides additional procedure in the current recommendations of the European Resuscitation Council. This is a possible scenario of real emergency ambulance of any medical facility.

ALS in bradycardia
risk of asystole
transcutaneous/ transvenous pacing
Published at: 20.12.2011


Martin Doleček, MD, PhD
Head of Emergency Department, Department of Anaesthesiology and Intensive Care Medicine, University Hospital Brno, Medical Faculty of Masaryk University, Brno, Czech Republic

Presented algorithm accurately depicts the reality of situation in a patient with symptomatic bradycardia. It describes the wide variability of successful possibilities of solving the situation. Large amount of information gets the student again in justification of incorrect answers. Although this algorithm is presented in hospital facilities, therefore is considered to be an ALS, thanks to some mentioned steps student can manage similar situation of symptomatic bradycardia also under conditions of BLS.


Rozšířená neodkladná kardiopulmonální resuscitace: směrnice 2000. Praha : OMS-ZOLL : Národní lékařská knihovna, 2004

SODECK, G.h., H. DOMANOVITS, G. MERON, F. RAUSCHA, H. LOSERT, M. THALMANN, M. VLCEK a A.n. LAGGNER. Clinical paper: Compromising bradycardia. Resuscitation [online]. 2007, 73(1), 96-102 [cit. 2019-04-01]. DOI: 10.1016/j.resuscitation.2006.08.006. ISSN 03009572

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