Pseudo-pulseless electrical activity in the emergency department, an evidence based approach - 08/05/20
Abstract |
Introduction |
A great deal of the literature has focused specifically on true pulseless electrical activity (PEA), whereas there is a dearth of research regarding pseudo-PEA. This narrative review evaluates the diagnosis and management of patients in pseudo-PEA and discusses the impact on emerging patient outcomes.
Discussion |
Pseudo-PEA can be defined as evidence of cardiac activity without a detectable pulse. Distinguishing pseudo-PEA from true PEA is important for emergency physicians as the prognosis and management of these patients differ. POCUS is the tool most commonly used to diagnose pseudo-PEA and there are varying treatment strategies to manage these patients. Identifying patients in pseudo-PEA can help guide resuscitation decisions, and ultimately impact emergency response systems, patients, and families.
Conclusions |
The incidence of pseudo-PEA is increasing. Effective care of these patients begins with early diagnosis of this condition and immediate treatment to warrant the greatest chance of survival. There is a need for further prospective studies surrounding pseudo-PEA as evidenced by the lack of research in the current literature.
Le texte complet de cet article est disponible en PDF.Keywords : Electromechanical dissociation, Pseudo-EMD, Pseudo-PEA, Near-PEA, PEA, False-PEA
Plan
Vol 38 - N° 2
P. 371-375 - février 2020 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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