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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com




Saturday, October 26, 2019

PEA Arrest, Pseudo PEA and PREM

Helman, A. Simard, R. Weingart, S. PEA Arrest, PseudoPEA and PREM. 
Emergency Medicine Cases. October, 2019. https://emergencymedicinecases.com/pea-arrest-pseudopea-prem. Accessed [26/10/2019]
"In this EM Cases Episode 131 PEA Arrest, PseudoPEA and PREM with Rob Simard of POCUS Cases fame and the co-author of The POCUS Pulse Check paper and Scott Weingart, we go beyond ACLS and guide you through the complex world of Pulseless Electrical Activity (PEA). We discuss the notion that the palpation technique is poor at determining whether or not a patient has a pulse, that the POCUS pulse is more accurate and as rapid, compared to the palpation technique, at determining whether or not a patient has a pulse, the difference between true PEA arrest, PseudoPEA and PREM, why epinephrine may be harmful in PEA, Weingart’s chain of survival approach from PEA arrest to Return of Spontaneous Circulation (ROSC), four tools to help differentiate true PEA arrest from PseudoPEA or ROSC, how to prevent long pauses in chest compressions using POCUS, EM Cases PEA arrest and PseudoPEA suggested dynamic algorithm, vasopressor choices in PseudoPEA, whether the “QRS wide vs narrow width” approach to PEA arrest underlying cause is useful or not and much more…"