![]() ![]() See the H’s and T’s page for more information on the causes and treatment of PEA. One easy way to remember the most common causes of PEA, as well as other cardiac emergencies, is the H’s and T’s of ACLS. The identification and correction of the causes of PEA should be a high priority as a cardiac emergency progresses. Additionally, it will not reveal the effectiveness of the pumping, which requires further testing, such as an ultrasound test called an echocardiogram or nuclear medicine imaging. Members Download the Hi-Resolution PDF Here. View the cardiac arrest algorithm diagram. More recently, the term pseudo-PEA, is used for those patients where we can’t find an. Given that it’s not a shockable rhythm, it has a very poor prognosis, especially when associated with acute myocardial Infarction (MI) (1). The pulse check should be performed simultaneously with the rhythm check when treating PEA since by definition PEA is an organized rhythm and could have a pulse that generates blood perfusion. Pulseless Electrical Activity (PEA) occurs in about 30 of cardiac arrest cases. Limit the rhythm/pulse check to less than 10 seconds to minimize interruptions in CPR. Pulseless electrical activity has previously been referred to as electromechanical dissociation (EMD). High-quality CPR should be administered while giving epinephrine, and after the initial dose, epinephrine is given every 3-5 minutes.įor PEA a rhythm and pulse check should be performed after 5 cycles of CPR. Pulseless electrical activity (PEA) is a clinical condition characterized by unresponsiveness and the lack of a palpable pulse in the presence of organized cardiac electrical activity. When treating PEA, epinephrine can be given as soon as possible but its administration should not delay the initiation or continuation of CPR. Vasoconstriction is important during CPR because it will help increase blood flow to the brain and heart. The vasopressor that is used for the treatment within the right branch of the Cardiac Arrest Algorithm is epinephrine.Įpinephrine is primarily used for its vasoconstrictive effects. Medications used in PEA VasopressorsĪ vasopressor is a medication that produces vasoconstriction and a rise in blood pressure. Identification and correction of the cause of PEA. Pulseless electrical activity and asystole or flatlining (3 and 4), in contrast, are non-shockable. Pulseless electrical activity (PEA) refers to cardiac arrest in which the. Positive outcome of an attempted resuscitation depends primarily on two actions: 1. Picture a heart quivering like a bowl of meaty jelly.
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