Bradycardia; Roadside to Resus

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8 • 678 Ratings

🗓️ 17 October 2022

⏱️ 52 minutes

🔗️ Recording | iTunes | RSS

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Summary

We’ve covered tachycardias, both narrow and broad before, but we need to complete the set. So this time we’ll be looking at the slower end of the spectrum, with bradycardias.

Bradycardias can be a physiological state in athletes, but they can also be of significant concern.

They occur due to a multitude of reasons, some cardiac and some not and they can require no treatment at all right up to those peri-arrest patients where you’ll be cracking open your critical care drugs and starting to pace them externally before getting them to definitive care.

In this episode we take an in-depth look at the cause, electrophysiological pathways, assessment and treatments for bradycardias.

Enjoy!

Simon, Rob & James

Transcript

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0:00.0	Welcome to the recess room podcast.
0:03.5	Five, four, three, two, one, fire.
0:12.0	So hi, and welcome back to the recess room podcast.
0:15.8	I'm Simon Lang.
0:17.1	I'm Rob Fenwick.
0:18.2	And I'm James Yates.
0:19.4	And we're back with another roadside to
0:21.5	Risa, sadly not backed up by Femcast this time, so you have to bear with us. But we're covering
0:27.0	this time Bradacardia. We are indeed just the old gang back together here, chaps. I think we
0:32.0	got this one nailed though. I've been looking through what we're covering tonight, and I
0:35.2	am happy as Larry with this. It's great stuff.
0:38.4	Yeah, so this follows on pretty naturally, I guess, from narrow complex and broad complex
0:42.8	tachycardias, which we covered back in January or February. So really seamlessly we waited
0:47.8	about eight months to follow on from that. But no, we'll be covering the whole topic and
0:52.2	most importantly ending up with how we deal with those patients in front of us that have got a compromise Bradacardia.
0:59.2	Before we get into it, though, a big thanks once again to S.J. Trem, the Scandinavian Journal of Trauma, Resuscitation, emergency medicine who partner with us on our podcast and make this all free open access and available to you.
1:11.9	And I was actually going to start off with a bit of a rap.
1:15.0	I was in the car this morning going through some three stylers.
1:19.1	Go for it, mate.
1:21.2	I've been developing a bit of a recess room wrap with the girls in the car.
1:25.1	So, yeah, I wonder whether or not I should hold that back for the Christmas special.
1:29.0	This is like Simon Dog.
	...

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