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EMCrit 257 – Pulseless Electrical Activity (PEA) is Stupid


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Pulseless Electrical Activity ( PEA ) is confusing! The diagnosis and treatment of PEA is bogged down by terminology and misunderstandings. Spurred by a recent interview I did with Anton Helman of EM Cases, I lay down some of my thoughts on PEA here.



The last time I discussed these issues was 5 years ago with Zack and Joe on EDECMO 13.



PEA Progression to ROSC







POCUS Pulse



* Carotid POCUS Pulse* Badra et al. on POCUS Pulse







Narrow / Wide doesn't Work



Rory breaks it down on the CCnerd in a post about QRS size in PEA.



What to Do if You Have Compressions/POCUS Pulse but No BP



Prosen on Vasopressin for PEA



Updates



More on PEA on the EM Cases Blog - I speak with Anton Helman on the topic



The Right Heart being Big doesn't mean PE during Arrest (from Ultrasound Podcast)



Now on to the Podcast...








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EMCrit FOAM FeedBy Scott D. Weingart, MD FCCM

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