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Pulseless algorithms

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Pulseless algorithms

  1. 1. Asystole, PEA, Vtach, VFib Dr Amber Zohaib Jafferi Emergency Department SIH,Isb
  2. 2. Asystole • Patient has no pulse and no elestrical activity on the cardiac monitor
  3. 3. PEA • Pulseless electrical activity stands for electrical activity on cardiac monitoring without a pulse
  4. 4. 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
  5. 5. Critical Actions • Perform all steps in the ABCD primary survey, • CPR • Operate monitor • Recognize PEA • Direct intubation and assess ventilation • Direct IV access
  6. 6. 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
  7. 7. 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?
  8. 8. Thank you

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