Jun 3, 2022 · Pulseless electrical activity (PEA) is a condition where you don't have a pulse. Your heart stops, and you're in cardiac arrest. Without medical attention, your heart can't recover by itself.

Pulseless electrical activity (PEA) accounts for up to 25% of sudden cardiac arrest; 1 therefore the ability to recognize and care for this condition is an essential skill of emergency medicine physicians.

PEA can be defined as the presence of an organized rhythm on the EKG in the absence of a palpable pulse due to a dying myocardium.4–9 In other words, any patient without a palpable pulse, yet showing electrical activity on the EKG—aside from ventricular fibrillation or tachycardia—should be considered to be in PEA.

The State of Illinois has eleven designated EMS Regions in which emergency medical services are coordinated; the City of Chicago is designated as Region 11.

Nov 3, 2020 · Pulseless electrical activity (PEA) occurs when organised or semi-organised electrical activity of the heart persists but the product of systemic vascular resistance and the increase in systemic arterial flow generated by the ejection of the left ventricular stroke volume is not sufficient to produce a clinically detectable pulse

Oct 22, 2019 · In this EM Cases Episode 131 PEA Arrest, PseudoPEA and PREM with Rob Simard of POCUS Cases fame and the co-author of The POCUS Pulse Check paper and Scott Weingart, we go beyond ACLS and guide you through …

May 18, 2015 · This new classification system of PEA has 3 potential benefits compared to the traditional ACLS 5 H’s and 5 T’s. Rather than randomly listing 10 – 13 causes of PEA by memorizing the H’s and T’s, this new algorithm categorizes the possible causes of PEA based on the easy finding of QRS complexes being narrow or wide.

For pediatric patients, see: pulseless arrest (peds). Rhythm shockable? Differential based on QRS being narrow or wide and aided by ultrasound. Mechanical RV Problem – Ultrasound should show hyperdynamic LV and potential cause. Metabolic LV Problem …

Pulseless Electrical Activity is a condition associated with poor outcomes. It is identified by the presence of cardiac electrical activity with no corresponding mechanical pulse or signs of perfusion. It is important to CONFIRM true PEA early in the management of the case.

Start CPR and assure adequacy of compressions and ventilations. An emphasis on high quality CPR with minimal interruptions in chest compressions. Consider advanced airway. Confirm ventilation with capnography.