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OBJECTIVE The algorithms provided for advanced cardiac life support by the American Heart Association and the European Resuscitation Council Guidelines for Resuscitation for the diagnosis and treatment of pulseless electrical activity (PEA) correctly stress the importance of searching for potentially treatable causes, and suggest contributing factors that should be considered. This study sought...

BACKGROUND The prognosis of pulseless electrical activity is dismal. However, it is still challengable to decide when to terminate or continue resuscitation efforts. The aim of this study was to determine whether the use of bedside ultrasound (US) could predict the restoration of spontaneous circulation (ROSC) in patients with pulseless electrical activity (PEA) through the identification of ca...

CONTEXT Cardiac arrests in adults are often due to ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT), which are associated with better outcomes than asystole or pulseless electrical activity (PEA). Cardiac arrests in children are typically asystole or PEA. OBJECTIVE To test the hypothesis that children have relatively fewer in-hospital cardiac arrests associated with VF ...

____________________________________________________________________________________________________________________ . MD, Researcher, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran. [email protected] . (Corresponding author) MD, Professor of Neurosurgery, Research Vice Chancellor of Sina Trauma and Surgery Research Center, Department of Neuro...

Pulseless electrical activity (PEA) is a clinical condition characterized by unresponsiveness and lack of palpable pulse in the presence of organized cardiac electrical activity and is caused by a profound cardiovascular insult (e.g., severe prolonged hypoxia or acidosis, extreme hypovolemia, or flow-restricting pulmonary embolus). Amyotrophic lateral sclerosis (ALS) is a disease that is charac...

Of patients with in-hospital cardiac arrest, those with pulseless electrical activity (PEA) have the worst outcome. Especially in these patients effective chest compressions according to the guidelines may be the key strategy to improve survival. Recently, a novel automatic mechanical chest compression device (LUCAS-CPR) has been shown to ensure effective continuous compressions without interru...

Cardiac arrest in the adolescent population secondary to congenital heart disease (CHD) is rare. Focused cardiac ultrasound (FoCUS) in the emergency department (ED) can yield important clinical information, aid in resuscitative efforts during cardiac arrest and is commonly integrated into the evaluation of patients with pulseless electrical activity (PEA). We report a case of pediatric cardiac ...

DEMOGRAPHICS Case Title: Cardiac Arrest in an Obstetric Patient: A Simulated Emergency Patient Name: Jane Winters Case Description and Diagnosis: A healthy 32-year-old pregnant woman develops pulseless electrical activity (PEA) arrest at 33-weeks gestation. Simulation Scenario Developers: Amanda Burden, MD; Greg Staman, RN; and Erin Pukenas, MD Target Audience: Anesthesia and obstetrics (OB) an...