![]() ![]() Rhythm 4 is Pulseless Electrical Activity (PEA) and is NOT a shockable rhythm and can’t be defibrillated. The PEA algorithm puts great emphasis on searching for specific. People in VF/VT can be resuscitated by timely arrival of a defibrillator, and people in PEA can be resuscitated if a reversible cause of PEA is identified and treated appropriately. Both VF/VT and PEA are rhythms of survival. Rhythm 3 is ventricular tachycardia without a pulse and requires defibrillation (it is a shockable rhythm). Notes to Figure 4: Pulseless Electrical Activity. Rhythm 2 is asystole and is NOT a shockable rhythm and can’t be defibrillated. Rhythm 1 is ventricular fibrillation and requires defibrillation (it is a shockable rhythm). ![]() Which rhythm above is NOT treated with defibrillation? Select all that apply: Select all the possible causes of this rhythm using this mnemonic:Ħ. The team is checking the potential causes of this situation by assessing the H’s and T’s. The last rhythm checked showed PEA (Pulseless Electrical Activity). Your patient is coding and high-quality CPR is being performed. Epinephrine can be used during a code to treat PEA (Pulseless Electrical Activity).ĥ. Which medication below can be used during a code to treat PEA (Pulseless Electrical Activity)? It does NOT appear as a flat line, this would be called asystole.Ĥ. The answer is FALSE: PEA is an organized rhythm where the patient has no pulse and is unresponsive. ![]() True or False: PEA (Pulseless Electrical Activity) can have many presentations on the ECG and can sometimes appear as a complete flat line. The code team should continue high-quality CPR, administered Epinephrine per ACLS protocol along with supporting the airway.ģ. PEA (Pulseless Electrical Activity) is a non-shockable rhythm meaning it is NOT treated with defibrillation. Keywords: In-hospital cardiac arrest, Non-shockable, Initial rhythm, Pulseless electrical activity, Asystole, Predictors, Comorbidities, Cardiac arrest. Pulseless electrical activity has previously been referred to as electromechanical dissociation (EMD). What is an INCORRECT action by the code team for treatment of this rhythm? 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. A rhythm checked is performed and the same rhythm is noted with no pulse. The nurse calls a code blue and starts CPR. The nurse assesses the patient and finds that the patient is unresponsive and has no pulse. The nurse observes the rhythm above on the cardiac monitor. However, the patient will have NO pulse and be unresponsive.Ģ. The presentation can vary (appear as normal sinus, bradycardia, tachycardia etc.). This rhythm looks like an organized rhythm (you may or may NOT see p waves and QRS complexes). The rhythm above is known as PEA (Pulseless Electrical Activity). Which of the following is NOT found in the rhythm Pulseless Electrical Activity (PEA)? An ECG is performed.Pulseless Electrical Activity (PEA) EKG/ECG Rhythm Quizġ. shortness of breath, chest pain, shock, confusion, syncope) he could be managed pharmaceutically in the first instance.Ī 40 year old lady comes to the emergency department from her husband’s funeral with a sensation of ‘fluttering’ in her chest. If there were no symptoms of decompensation (e.g. ![]() 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). If acutely symptomatic urgent DC cardioversion is indicated. Pulseless Electrical Activity (PEA) occurs in about 30 of cardiac arrest cases. If the patient was conscious the ALS algorithm would not be necessary and management depends on symptoms. This is a shockable rhythm and should be treated using the ALS algorithm with DC cardioversion and adrenaline. Call 911 and begin CPR immediately if you encounter someone who appears to be experiencing PEA. These rhythms indicate that the heart muscle itself. Pulseless electrical activity (PEA )is a life threatening heart arrhythmia. He should be treated as per ALS guidelines with chest compressions beginning immediately. Pulseless electrical activity and asystole or flatlining (3 and 4), in contrast, are non-shockable, so they don’t respond to defibrillation. This is ventricular tachycardia (VT) and in this case the patient is in cardiac arrest as they have no central pulse. ![]()
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