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H's. –Hypovolemia. –Hypoxia. –Hydrogen ion. (acidosis). –HyperK. –HypoK. –Hypothermia. –Hypoglycemia. • T's. ACLS and PEA ...
Typology: Study notes
2021/2022
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The Dying Heart…
Amal Mattu, MD, FAAEM, FACEP Professor and Vice Chair Department of Emergency Medicine University of Maryland School of Medicine Baltimore, Maryland
Pulseless Electrical
Activity
Amal Mattu, MD, FAAEM, FACEP Professor and Vice Chair Department of Emergency Medicine University of Maryland School of Medicine Baltimore, Maryland
Case
- 55 yo M brought by EMS for cardiac
arrest
Case
- 55 yo M brought by EMS for cardiac
arrest
- Visiting Baltimore for convention
- Was with colleagues and told them that he wasn’t feeling well
Case
- 55 yo M brought by EMS for cardiac
arrest
- Friends called 911 immediately, + CPR
- EMS arrived (BLS) after 5-10 min
Case
- 55 yo M brought by EMS for cardiac
arrest
- Friends called 911 immediately, + CPR
- EMS arrived (BLS) after 5-10 min
Case
Courtesy Dr. Eric Lung
Case
- 55 yo M brought by EMS for cardiac
arrest
- Patient arrives with same rhythm…what do you do?
Questions
- What is PEA??
Questions
- What is PEA??
Questions
- What is PEA??
Questions
- What is PEA??
- Pulseless electrical activity
- Formerly referred to as EMD
- “Electromechanical dissociation”
PEA
- Pulseless electrical activity
- Increasing proportion of SCA rhythms over the past several decades
PEA
- Pulseless electrical activity
- Increasing proportion of SCA rhythms over the past several decades - 35-40% of in-hospital cardiac arrests - 22-30% of OOHCA - Reduction in % of VF possibly due to increased use of beta-blockers?