Adult Bradycardia Management (ACLS) — free guideline decision tool
This tool summarizes ACLS management of adult symptomatic bradycardia: atropine first-line, then transcutaneous pacing or dopamine/epinephrine infusion, per AHA 2020.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Common questions
What does Adult Bradycardia Management (ACLS) do?
Use to triage bradycardia by severity — observe if well-perfused, escalate to atropine and pacing if symptomatic, and pace first for high-grade (infranodal) block — while always seeking reversible causes.
How is the result calculated?
Branches: stable (observe, treat reversible causes) → symptomatic (atropine 1 mg q3–5min, max 3 mg → TCP or dopamine 5–20 μg/kg/min or epinephrine 2–10 μg/min) → high-grade block (pacing first, bridging infusions).
Is this a substitute for clinical judgement?
No. All results are decision-support only, for licensed clinicians. They must be individualized to the whole patient and the latest guideline version.
Run Adult Bradycardia Management (ACLS) now
This tool summarizes ACLS management of adult symptomatic bradycardia: atropine first-line, then transcutaneous pacing or dopamine/epinephrine infusion, per AHA 2020.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.