How is pulseless electrical activity treated?

Treatment for pulseless electrical activity involves high-quality CPR, airway management, IV or IO therapy, and the appropriate medication therapy. The primary medication is 1mg epinephrine 1:10,000 every 3-5 minutes via rapid IV or IO push.

Can you defibrillate pulseless electrical activity?

Rhythms that are not amenable to shock include pulseless electrical activity (PEA) and asystole. In these cases, identifying primary causation, performing good CPR, and administering epinephrine are the only tools you have to resuscitate the patient.

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What is the initial treatment for PEA?

Cardiopulmonary resuscitation (CPR) is the first treatment for PEA, while potential underlying causes are identified and treated. The medication epinephrine (aka adrenaline) may be administered. Survival is about 20%.

What can you do for a pulseless patient?

Medical treatment of pulseless VT usually is carried out along with defibrillation and includes intravenous vasopressors and antiarrhythmic drugs. 1 mg of epinephrine IV should be given every 3 to 5 minutes. Epinephrine can be replaced by vasopressin given 40 units IV once.

What drug is used to treat PEA?

Epinephrine should be administered in 1-mg doses intravenously/intraosseously (IV/IO) every 3-5 minutes during pulseless electrical activity (PEA) arrest.

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Do you shock VT with a pulse?

Under current resuscitation guidelines symptomatic ventricular tachycardia (VT) with a palpable pulse is treated with synchronised cardioversion to avoid inducing ventricular fibrillation (VF), whilst pulseless VT is treated as VF with rapid administration of full defibrillation energy unsynchronised shocks.

What happens during PEA?

Pulseless electrical activity (PEA) occurs when a major cardiovascular, respiratory, or metabolic derangement results in the inability of cardiac muscle to generate sufficient force in response to electrical depolarization.

How is asystole and PEA treated?

ACLS Cardiac Arrest PEA and Asystole Algorithm

  1. Perform the initial assessment. …
  2. If the patient is in asystole or PEA, this is NOT a shockable rhythm.
  3. Continue high-quality CPR for 2 minutes (while others are attempting to establish IV or IO access)
  4. Give epinephrine 1 mg as soon as possible and every 3-5 minutes.

What causes pulseless electrical activity?

Various causes of pulseless electrical activity include significant hypoxia, profound acidosis, severe hypovolemia, tension pneumothorax, electrolyte imbalance, drug overdose, sepsis, large myocardial infarction, massive pulmonary embolism, cardiac tamponade, hypoglycemia, hypothermia, and trauma.

How is Rosc treated?

In summary, we recommend that comatose (ie, lack of meaningful response to verbal commands) adult patients with ROSC after out-of-hospital VF cardiac arrest should be cooled to 32°C to 34°C (89.6°F to 93.2°F) for 12 to 24 hours (Class I, LOE B).

What is the difference between VF and VT?

VF and pulseless VT are both shockable rhythms. The AED cannot tell if the individual has a pulse or not.

(Irregular Wide Complex Tachycardia)

Regularity There is no regularity.
QRS Complex The ventricle complex varies.
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What is the difference between asystole and pea?

Know the Difference Between PEA and Asystole

Asystole is the flatline reading where all electrical activity within the heart ceases. PEA, on the other hand, may include randomized, fibrillation-like activity, but it does not rise to the level of actual fibrillation.

When do you give adenosine?

Adenosine is the primary drug used in the treatment of stable narrow-complex SVT (Supraventricular Tachycardia). Now, adenosine can also be used for regular monomorphic wide-complex tachycardia. When given as a rapid IV bolus, adenosine slows cardiac conduction particularly affecting conduction through the AV node.