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(Pulseless electrical activity PEA )
227 results
  • Echocardiography in cardiac arrest: An emergency medicine review. [Review]
  • AJAm J Emerg Med 2017 Dec 16
  • Long B, Alerhand S, … Koyfman A
  • CONCLUSIONS: Cardiac arrest can be distinguished between shockable and non-shockable rhythms, with management varying based on the rhythm. POCUS provides a diagnostic and prognostic tool in the emergency department (ED), which may improve accuracy in clinical decision-making. Several protocols incorporate POCUS based on different cardiac views. TTE includes parasternal long axis, parasternal short axis, apical 4-chamber, and subxiphoid views, which may be used in cardiac arrest for diagnosis of underlying cause and potential prognostication. TEE is conducted by inserting the probe into the esophagus of intubated patients, with several studies evaluating its use in cardiac arrest. It is associated with few adverse effects, while allowing continued compressions (and evaluation of those compressions) and not interrupting resuscitation efforts.POCUS is a valuable diagnostic and prognostic tool in cardiac arrest, with recent literature supporting its diagnostic ability. TTE can guide resuscitation efforts dependent on the rhythm, though TTE should not interrupt other resuscitation measures. TEE can be useful during arrest, but further studies based in the ED are needed.
  • Revisiting traumatic cardiac arrest: should CPR be initiated? [Journal Article]
  • EJEur J Trauma Emerg Surg 2017 Nov 25
  • Konesky KL, Guo WA
  • CONCLUSIONS: Although survival after CPR among trauma patients continues to have dismal outcomes, advanced cardiac life support should be initiated regardless of the initial EKG rhythm. Ultimately, both a rapid response time and transport to the ED are of the utmost importance to survival.
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