Pulseless algorithms

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