If you encounter bradycardia, don’t think “atropine deficiency,” think “oxygen deficiency.” - Sean M. Fox MD


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Did Removal of Atropine From ACLS Impact Survival?

ACLS guidelines were changed in 2010, and atropine was removed. In this propensity score analysis from 2006-2015, which spanned this change, survival was not impacted in patients with a non-shockable rhythm. In fact, it increased slightly, though not statistically significantly, after removing atropine from the treatment armamentarium. There was also no difference in survival with good functional outcome after atropine was dropped. Shockable rhythm survival had a small decrease post-2010 guideline, which needs further study.

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Last Updated : Sunday, July 24, 2022