Simplifying the diagnosis and management of pulseless electrical activity in adults: a qualitative review.

Who survives from out-of-hospital pulseless electrical activity?

Patient is given a shock in order to reset the rhythm of the heart; however in PAE the electrical stimuli conduction in heart is not a problem. 2008 Feb. 36(2):391-6. . This indicates PEA to occur 8–11/100 000/year in Europe [ 1 , 4 - 7 ]. They had a favorable 30-day survival rate (32% vs 11%) compared to standard CPR patients, but young age was the only individual prognostic … Concomitantly, the proportion of pulseless electrical activity (PEA) has increased, currently ranging between 22 to 30% in OHCA [4-7]. Antipsychotic drugs are associated with pulseless electrical activity: the Oregon Sudden Unexpected Death Study. Objective: To describe the prevalence, baseline characteristics and factors associated with survival in out-of-hospital cardiac arrest (OHCA) with initial non-shockable rhythm sub-grouped into pulseless electrical activity (PEA) and asystole as presenting rhythm. All factors that were associated with survival (with p < 0.5) were included in multivariate analysis. On the other hand, pulseless electrical activity (PEA) is a form of cardiac arrest in which patients continue to have organized cardiac electrical activity without a palpable pulse. Pulseless electrical activity (PEA) is a clinical condition characterized by unresponsiveness and the lack of a palpable pulse in the presence of organized cardiac electrical activity. How to Deal With Pulseless Electrical Activity. Asystole; pulseless electrical activity; VF or pulseless VT resistant to electrical defibrillation; severe hypotension; anaphylactic shock; symptomatic bradycardia after atropine. (See Etiology.) This patient population's overall survival is much lower with 2.4% of patients surviving to hospital discharge [2]. Pulseless electrical activity has previously been referred to as electromechanical dissociation (EMD). Pulseless electrical activity follows somewhat similar treatment protocol as that of asystole. Crit Care Med. Galea S, Blaney S, Nandi A, Silverman R, Vlahov D, Foltin G, Kusick M, Tunik M, Richmond N. "Non-shockable" cardiac arrest PEA means that, although the heart is showing electrical activity, this stimulation is no longer sufficient to translate into mechanical cardiac activity. In the Kaplan–Meier analysis of survival outcomes after the first 24 hours following arrest until May 16, 2009 (n = 258), the mean survival period was 2.56 (standard deviation [SD] 2.00) months among the 78 patients with pulseless electrical activity or asystole. Survival advantage from ventricular fibrillation and pulseless electrical activity in women compared to men: the Oregon Sudden Unexpected Death Study. Patients with pulseless electrical activity (PEA) account for almost 1/3 of cardiac arrest and even more troublesome is that the survival rate is significantly worse than patients with shockable rhythms. Am J Emerg Med. Pulseless electrical activity has previously been referred to as electromechanical dissociation (EMD).