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A Simplified and Structured Teaching Tool for the Evaluation and Management of Pulseless Electrical Activity
Open accessAbstract
Cardiac arrest victims who present with pulseless electrical activity (PEA) usually have a grave prognosis. Several conditions, however, have cause-specific treatments which, if applied immediately, can lead to quick and sustained recovery. Current teaching focuses on recollection of numerous conditions that start with the letters H or T as potential causes of PEA. This teaching method is too complex, difficult to recall during resuscitation, and does not provide guidance to the most effective initial interventions. This review proposes a structured algorithm that is based on the differentiation of the PEA rhythm into narrow- or wide-complex subcategories, which simplifies the working differential and initial treatment approach. This, in conjunction with bedside ultrasound, can quickly point towards the most likely cause of PEA and thus guide resuscitation.
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Cited by
Heart Disease and Stroke Statistics—2012 Update: A Report From the American Heart Association
Writing Group Members, Roger, V. L., Go, A. S., Lloyd-Jones, D. M., Benjamin, E. J., Berry, J. D., Borden, W. B., Bravata, D. M., Dai, S., Ford, E. S., et al. (2012) · Circulation · doi:10.1161/cir.0b013e31823ac046 · Cited by 7,333
Heart Disease and Stroke Statistics—2011 Update: A Report From the American Heart Association
Roger, V. L., Go, A. S., Lloyd-Jones, D. M., Adams, R. J., Berry, J. D., Brown, T. M., Carnethon, M. R., Dai, S., de Simone, G., Ford, E. S., et al. (2011) · Circulation · doi:10.1161/cir.0b013e3182009701 · Cited by 6,149
Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association
Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Borden, W. B., Bravata, D. M., Dai, S., Ford, E. S., Fox, C. S., et al. (2013) · Circulation · doi:10.1161/cir.0b013e31828124ad · Cited by 5,292
The Spectrum of Epidemiology Underlying Sudden Cardiac Death
Hayashi, M., Shimizu, W., & Albert, C. M. (2015) · Circulation Research · doi:10.1161/circresaha.116.304521 · Cited by 719
In-hospital cardiac arrest: incidence, prognosis and possible measures to improve survival
Sandroni, C., Nolan, J., Cavallaro, F., & Antonelli, M. (2007) · Intensive Care Medicine · doi:10.1007/s00134-006-0326-z · Cited by 656
Metadata
- Authors
- Littmann, L., Bustin, D. J., & Haley, M. W.
- Venue
- Medical Principles and Practice
- Publisher
- S. Karger AG
- Published
- 2013-08-13
- Volume
- 23
- Issue
- 1
- Pages
- 1-6
- ISSN
- 1011-7571 (ISSN-L)
- 1423-0151
- OpenAlex
- W2051212900
- Cited by
- 738
- References
- 0
- FWCI
- 68.00
- Type
- journal article
- Language
- en
- Open access
- diamond
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- Littmann, L., Bustin, D. J., & Haley, M. W. (2014). A Simplified and Structured Teaching Tool for the Evaluation and Management of Pulseless Electrical Activity. Medical Principles and Practice. https://doi.org/10.1159/000354195
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