PALS | Recognition of Pedi Arrhythmias

STAT Stitch Deep Dive Podcast Beyond The Bedside by Regular Guy

S20 E06
36:51
Episode notes

1️⃣ Bradyarrhythmias (Slow Rhythms)

Definition: HR <60 bpm with poor perfusion = treat immediately.

🌡️ Causes

Hypoxia (MOST COMMON), heart block, vagal stimulation, hypothermia, drugs.

🫀 Sinus Bradycardia

  • Recognition: P waves present, regular rhythm, slow rate.
  • Peds Tip: Normal in athletes/sleeping; NOT normal with poor perfusion.

🟪 AV Blocks

1° AV Block:

  • PR prolonged (>0.20s adult-equivalent), but every P → QRS.
  • Usually benign; watch for progression.

2° Type I (Wenckebach):

  • PR progressively lengthens → dropped QRS.
  • “Longer, longer, longer, drop ... 
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