![]() But if they have a non-shockable rhythm (PEA/Asystole), you prioritize intubation without restoring oxygen, since the heart will stay unshockable until you do. That may require surgery.Īccording to the algorithm, if you have a shockable rhythm, you shock before intubating the patient. These measures are more about buying time so that the cause can be addressed. With that said, since hypoxia accounts for over 50% of PEA, epinephrine and ACLS airway management such as intubation are the emergency procedures stated in the ACLS Cardiac Arrest Algorithm. Surgery to remove the pulmonary embolus.Needle decompression of a collapsed lung.In a hospital setting, this may involve several Advanced Cardiac Life Support Techniques and procedures such as: But you must treat the cause of the PEA arrest to reverse the state and obtain a shockable rhythm. If the PEA arrest is among the H and T, then it may be reversible. Trauma (physical) – A serious bodily injury, e.g., blunt force trauma or penetrating trauma.Thrombosis (myocardial infarction) – Usually a blood clot in the vessels of the heart.Thrombosis (pulmonary embolus) – A blockage, usually a blood clot that gets caught in the lungs.Toxins – These could include sedatives, opioids, pesticides, acid, anaphylactic shock-inducing allergens, sodium-potassium blockers, etc.Tamponade (Cardiac) – Pressure caused by fluid or blood building up in the area outside the heart muscle in the heart sac.Tension pneumothorax – ongoing entry and trapping of air in the pleural area around the lungs.Hypo/Hyperkalemia – Too little / too much potassium in the body.H+ (acidosis) or Metabolic Acidosis, an increase in hydrogenĬoncentration in the body leading to a low serum bicarbonate. ![]()
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