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Recognizing and Responding to Bradycardia and Cincinnati BLS Classes



Bradycardia is defined as a heart rate that is slower than what is considered normal for a child’s age. Bradycardia in children and infants should be evaluated, but not all needs to be medically managed. Intervention is required when it is symptomatic and compromises cardiovascular function. This commonly means that the heart is beating too slowly to maintain blood pressure, thereby causing shock, poor tissue perfusion, and/or a change in mental status.

Prior to moving ahead, let us discuss a bit about the life-saving CPR techniques that comprises chest compressions and rescue breaths. Proper application of the procedures can revive the life of a victim struck with a sudden cardiac arrest (SCA). Cardiac arrest is mostly caused by an abnormal heart rhythm, Ventricular Fibrillation. A victim would require immediate treatment for survival. Always select an accredited training center for obtaining training such as the AHA certified CPR Cincinnati where courses for both healthcare and non-healthcare providers are conducted. Read to know more about a “BLS class Cincinnati”. 




Basic Life Support Training classes- This CPR Class Satisfies CPR Requirements for ALL Students in Healthcare and Medical Related School Programs, and all Jobs in Healthcare. This course is also known as BLS for Healthcare Providers, and is intended for nursing, medical, dental, physical and occupational therapy, radiology, pharmacy, EMT’s, etc. students and employees in healthcare fields.
The program fee is $70.

Course Includes:
1.      1 and 2 rescuer CPR for Infants, Children and Adults.
2.      Comprehensive Basic Life Support Training.
3.      Proper Chest Compressions, Rescue Breaths, Bag Valve Mask Use.
4.      AED Training
5.      Choking Intervention
6.      and much more….
Some of the symptoms caused by symptomatic bradycardia include:
1.      Low blood pressure
2.      Pulmonary edema/congestion
3.      Abnormal Rhythm
4.      Chest Discomfort
5.      Shortness of Breath
6.      Lightheadedness
7.      Confusion
8.      Syncope
Bradycardia turns symptomatic when it is of new onset for the person (acute slowing of the heart rate).

Sininus Bradycardia- Normal rhythm with slow rate.
First Degree AV Block- PR interval is longer than 0.20 seconds.
Type I Second Degree AV Block (Mobitz I)- PR interval increases in length until QRS complex is dropped.
Type II Second Degree AV Block (Mobitz II)- PR interval is the same length with intermittently dropped QRS complex.
Third Degree AV Block (Complete)- PR interval and QRS complex are not coordinated with each other.

Symptomatic Bradycardia:
1.      Check heart rate- Confirm abnormally low heart rate or a significant rate drop from previous normal.
2.      PALS Survey- Airway; Breathing (Check O2 stats; administer O2 as needed); Circulation (Check blood pressure and rate; 12-lead ECG; IV/IO access).
3.      Check for signs or symptoms of shock or acute change in the mental status, whether the symptoms are being caused by Bradycardia.
4.      Immediately perform CPR. Epinephrine 0.01 mg/kg IO/IV–Can be given every 3-5 minutes. Atropine 0.02 mg/kg IO/IV–Can be repeated once.
5.      If drugs are unsuccessful, consider transthoracic/transvenous pacing (preferably with sedation) especially if bradycardia is the result of a complete heart block or an abnormal sinus node function or consult an expert in this regard. 

Points to Remember:
1.      The primary goal of the treatment is to make sure the heart is adequately pumping blood to the body.
2.      The treatment is not necessarily aimed at increasing the heart rate and it should be continued until symptoms/signs resolve.
3.      Move to Cardiac Arrest protocol if the person stops having a pulse.
4.      Atropine in doses less than 0.1 mg may worsen the condition.
5.      Make sure to consider the reversible causes of bradycardia in pediatrics and treat if possible.
For more information or to join a program at CPR Cincinnati, call on 513-828-3488.

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