![]() ![]() Treat the possible causes as you work through H’s and T’s. Once advanced airway is in placed, give 1 breath every 5-6 seconds (10-12 breaths/min) with continuous chest compressions. Consider securing an advanced airway, and capnography. With PEA, your heart does have a detectable electrical current, but your heart isn’t strong enough to pump blood to the body. That electrical current is detectable with a diagnostic test called an electrocardiogram (ECG or EKG). If the rhythm becomes shockable, defibrillate. That causes your heart to squeeze and pump blood. Establish an IV line and administer Epinephrine every 3-5 minutes. Patients with PEA usually have poor outcomes. A patients presenting rhythm is pulseless electrical activity (PEA). PEA along with asystole make up half of the Cardiac Arrest Algorithm with VF and VT consisting of the other half. Monitor the ECG and check for a pulse every two minutes. PEA, pulseless electrical activity is defined as any organized rhythm without a palpable pulse and is the most common rhythm present after defibrillation. if there is no change in the ECG appearance: continue CPR recheck the rhythm after 2 min and proceed accordingly if the ECG changes and organised electrical. Pulseless Electrical Activity (PEA) Treatment However, in PEA, there is no pulse with an orderly cardiac electrical activity similar to normal sinus, which is not a typical cardiac arrest ECG rhythm like asystole (flatline), ventricular fibrillation or ventricular tachycardia. Various causes of pulseless electrical activity include significant hypoxia, profound acidosis, severe hypovolemia, tension pneumothorax, electrolyte imbalance. The absence of a pulse confirms a clinical diagnosis of cardiac arrest. She was intubated for airway protection, at which time she developed pulseless electrical activity (PEA), with 30 beats/min. Therefore in PEA, it is important to treat the symptoms of the patient and not merely the rhythm displayed on the monitor. The ECG interpretation can appear the same as a normal sinus rhythm. Pulseless Electrical Activity (PEA) DiagnosisĪn electrocardiogram (ECG/EKG) device is capable of distinguishing PEA from other causes of cardiac arrest. You can also check for heart sounds by using a stethoscope for a period of no more than 10 seconds. Make sure to check for a pulse at the carotid artery. The skin may appear pallor due to no oxygen in the blood. PEA leads to a loss of cardiac output and discontinues blood supply to the brain. Can you shock PEA No The electrical conduction and. Treatable Causes of Pulseless Electrical Activity (PEA)Ī patient with PEA will be unconscious with no breathing and no pulse. Pulseless Electrical Activity - When there is an organized heart rhythm on the monitor but no pulse. An ACLS practitioner should review the Hs and Ts to help identify and treat the cause of the PEA. Possible underlying causes should be identified and treated while CPR is in progress. The electrical activity is dissociated from the mechanical heart function.Ĭardiopulmonary resuscitation (CPR) is the prime treatment for PEA. In PEA, the heart’s electrical activity is present, but the heart muscle is not responding to the electrical impulses. The electrocardiogram (ECG) interpretation displays heart rhythm activity with similarities to a normal sinus rhythm, but the patient has no palpable pulse. Pulseless electrical activity (PEA), is classified as a form of cardiac arrest.
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