Asystole, PEA, Vtach, VFibDr Amber Zohaib JafferiEmergency DepartmentSIH,Isb
Asystole• Patient has no pulse and no elestrical activity on the cardiac
monitor
PEA• Pulseless electrical activity stands for electrical activity on
cardiac monitoring without a pulse
The Pulseless Arrest Algorithm picks up after the primary survey has already been conducted
• The emergency response system has been activated• CPR is being performed• A cardiac monitor has been attached
Critical Actions
• Perform all steps in the ABCD primary survey,• CPR • Operate monitor • Recognize PEA • Direct intubation and assess ventilation • Direct IV access
Rhythm Condition Action
If non-shockable rhythm is present
AND QRS complexes appear regular and narrow
Check for a pulse
If non-shockable rhythm is present
WITH no pulse Follow treatment for PEA or asystole
If a shockable rhythm is present
WITHOUT a pulse Continue CPR while defibrillator is charging
ACLS Tachycardia Algorithm for Managing Unstable Tachycardia
• Is the patient stable or unstable?• Is the QRS wide or narrow?• Is the ventricular rhythm regular or irregular?
Thank you