If a patient with bradycardia has a systolic blood pressure of 95 mmHg, what is the recommended course of action?

• A. Do nothing
• B. Apply trauma protocols
• C. Request police involvement
• D. Follow cardiac emergencies protocols

Answer: (D)

The situation tests recognizing when a slow heart rate with signs of reduced perfusion requires activating cardiac emergency protocols. Bradycardia can lead to inadequate blood flow, so a systolic blood pressure around 95 mmHg indicates the patient may be borderline unstable and needs the structured steps in cardiac emergency management. Following these protocols ensures a systematic assessment and timely interventions—checking airway, breathing, and circulation; continuous ECG monitoring; securing access for meds or pacing as indicated; and escalation to higher-level care if needed. This approach protects perfusion and stabilizes the patient.

Doing nothing ignores the potential for deterioration. Trauma protocols are not relevant unless there is an injury, and police involvement does not address the medical needs in a bradycardic emergency. Hence, following cardiac emergencies protocols is the appropriate course.