Forget ACLS Guidelines when dealing with PEA. Part1.
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This document discusses the differences between asystole, pulseless electrical activity (PEA), true PEA/electromechanical dissociation (EMD), and pseudo-PEA in cardiac arrest patients. While an algorithm may indicate the same treatment for asystole and PEA, they are clinically and therapeutically different conditions. The document recommends using central pulse palpation, EKG trace, end-tidal carbon dioxide, and point-of-care ultrasound to differentiate between these non-shockable rhythms and determine the appropriate treatment.
Forget ACLS Guidelines when dealing with PEA. Part1.
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- 4. WHEN COMES TO NON SHOCKABLE RHYTHMS ALS ALGO INDICATES THE SAME TREATMENT FOR ASYSTOLE AND PEA
- 5. THIS IS WRONG! There is not such a clinical and therapeutic mistake!
- 6. CARDIAC STAND STILL AND PULSELESS ELECTRIC (P.E.A.) ACTIVITY ARE TOTALLY DIFFERENT ISSUES
- 7. BUT EVEN P.E.A. CAN BE DIFFERENT True PEA or Electro-Mechanical Dissociation (EMD) Pseudo-PEA
- 8. Cardiac standstill/Asystole True PEA or Electro- Mechanical Dissociation (EMD) Pseudo-PEA ALL TOGETHER IN THIS BOX BUT ALL DIFFERENT CONDITIONS
- 9. Cardiac standstill/Asystole True PEA or Electro- Mechanical Dissociation (EMD) Pseudo-PEA WHICH INSTRUMENTS I HAVE TO DIFFERENTIATE BETWEEN THOSE CONDITIONS? 1. Central pulse palpation 2. EKG trace 3. EtCO2 4. Point of care US
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- 13. (POCUS) • • •
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- 16. But what about the treatment Should I have to change my practice