Hemodynamicaly significant bradyarrhythmias (sinus bradycardia, sinoatrial block, atrioventricular block, cardiac arrest) are emergencies which need urgent solutions.We offer the review of farmacologic and nonfarmacologic procedures with focusing on their application in prehospital care. For temporary cardiac pacing, transcutaneous cardiac pacing we conclude as first line procedure because of its safety, non-invasivity and quick applicability. For the future, perspective method is esothoracic pacing.

        Key words: temporary cardiac pacing – bradyarrhytmias – transcutaneous cardiac pacing