Non-satisfactory response to
Atropine 500mcg IV

OR
Risk of asystole

Consider interim measures:
  • Atropine 500 mcg IV repeat to maximum of 3 mg
  • OR
  • Transcutaneous pacing
  • OR
  • Isoprenaline 5 mcg min-1 IV
  • Adrenaline 2-10 mcg min-1 IV
  • Alternative drugs*

SEEK EXPERT HELP
Arrange transvenous pacing

*Alternatives include:
  • Aminophylline
  • Dopamine
  • Glucagon (if bradycardia is caused by beta-blocker or calcium channel blocker)
  • Glycopyrrolate (may be used instead of atropine)