Archive

Tag: PEA

Rebellion in EM 2019: All PEA is Not the Same via Tarlan Hedayati, MD

A 57-year-old man is watching his son’s baseball game when he suddenly collapses. Witnesses did not appreciate a pulse, so they started CPR. Unfortunately, an AED was not available. EMS was called and when they arrived within minutes the patient …

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Resuscitation

REBEL Core Cast 28.0 – Conference Pearls

Take Home Points  No palpable pulse does not equal no perfusion. We aren’t great at feeling pulses Patients with moderate to severe signs and symptoms of lithium toxicity should be considered for hemodialysis Always consider serious causes of back pain …

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ResuscitationToxicology

How Do You FEEL About Echo in Cardiac Arrest?

Background: Focused use of ultrasound in resuscitation of patients with shock and cardiac arrest has become increasingly embraced in both the emergency department (ED) as well as in the prehospital setting. Application of ultrasound, particularly of echocardiography, has the potential to …

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Resuscitation

REBEL Cast Ep 54: What the Heck is Pseudo-PEA?

Background: Pulseless electrical activity (PEA) is an organized electrical activity without a palpable pulse.  1/3 of cardiac arrest cases will be pulseless electrical activity and the overall prognosis of these patients is worse than patients who have shockable rhythms (ventricular fibrillation …

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Resuscitation

Beyond ACLS: A New Pulseless Electrical Activity Algorithm

Patients with pulseless electrical activity (PEA) account for almost 1/3 of cardiac arrest and even more troublesome is that the survival rate is significantly worse than patients with shockable rhythms. Both the European and American ACLS guidelines stress the importance …

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Resuscitation

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