What are the ACLS protocol for pulseless electrical activity?
ACLS Cardiac Arrest PEA and Asystole Algorithm
- Perform the initial assessment.
- If the patient is in asystole or PEA, this is NOT a shockable rhythm.
- Continue high-quality CPR for 2 minutes (while others are attempting to establish IV or IO access)
- Give epinephrine 1 mg as soon as possible and every 3-5 minutes.
How do you treat PEA in ACLS?
When treating PEA, epinephrine can be given as soon as possible but its administration should not delay the initiation or continuation of CPR. High-quality CPR should be administered while giving epinephrine, and after the initial dose, epinephrine is given every 3-5 minutes.
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 are the 5 Hs and Ts?
H’s and T’s of ACLS
- Hypovolemia. Hypovolemia or the loss of fluid volume in the circulatory system can be a major contributing cause of cardiac arrest.
- Hypoxia.
- Hydrogen ion (acidosis)
- Hyper-/hypokalemia.
- Hypoglycemia.
- Hypothermia.
- Toxins.
- Tamponade.
Is pulseless electrical activity shockable?
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.
Is pulseless VT shockable?
VF and pulseless VT are both shockable rhythms. The AED cannot tell if the individual has a pulse or not.
What is the most appropriate treatment for pea?
Pericardiocentesis and emergent cardiac surgery may be lifesaving procedures in appropriate patients with pulseless electrical activity (PEA). In refractory cases, if the patient has suffered chest trauma, a thoracotomy may be performed, provided adequate expertise is available.
Which medication is the first one administered to a patient with pulseless electrical activity PEA )?
Epinephrine should be administered in 1-mg doses intravenously/intraosseously (IV/IO) every 3-5 minutes during pulseless electrical activity (PEA) arrest.
What are the H in ACLS?
Rapidly identify and treat causes of non-shockable arrest (PEA, asystole). Important causes include the 5 H’s and 5 T’s: Hypoxia, Hypovolemia, Hydrogen ions (acidosis), Hyper/Hypo-kalemia, Hypothermia; Tension pneumothorax, Tamponade-cardiac, Toxins, Thrombosis-coronary (MI), Thrombosis-pulmonary (PE).
Is asystole and PEA the same?
Pulseless electrical activity (PEA) and asystole are related cardiac rhythms in that they are both life-threatening and unshockable cardiac rhythms. Asystole is a flat-line ECG (Figure 27).
What is the treatment for pulseless electrical activity?
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.
What causes pea in ACLS pulseless electrical activity?
Make sure pads make good contact with the individual, all cables are connected, the gain is set appropriately, and the power is on. Hypovolemia and hypoxia are easily reversed and are the two most common causes of PEA.
What’s the difference between asystole and pulseless electrical activity?
Pulseless electrical activity (PEA) and asystole are related cardiac rhythms in that they are both life-threatening and unshockable cardiac rhythms. Asystole is a flat-line ECG (Figure 27). There may be a subtle movement away from baseline (drifting flat-line), but there is no perceptible cardiac electrical activity.
How does an EKG diagnose pulseless electrical activity?
Diagnosis of Pulseless Electrical Activity (PEA) An ECG/EKG is capable of distinguishing pulseless electrical activity from other causes of cardiac arrest. The absence of a patient’s pulse confirms a clinical diagnosis of cardiac arrest.