Bradycardia is defined as a heart rate of less than 60 BPM. In the ED, we may not always have the time to stop to consider the etiology of bradycardia after we have stabilized our patient (and after we likely already consulted cardiology!) Having a thoughtful approach to the differential diagnosis for bradycardia can be extremely helpful in treating the underlying cause. The next time a bradycardic patient presents to your ED, think to yourself, “The Brady Bunch is on a DIET.”

65 yo F w/ hx HTN, GERD, presents to the ED w/ non-exertional intermittent chest pain x4 days, dyspnea on exertion x2 days and nausea x1 day. Trying Prilosec and Tums. ECG below. 

Clinical question: Does the use of contrast media in CT scans cause acute kidney injury (AKI)?

Literature review on blood pressure monitoring via arterial lines ...