PEA Cardiac Arrest

Non-shockable — reversible causes

First 30 seconds

  1. 1Confirm arrest → CPR 30:2
  2. 2IV/IO access
  3. 3Adrenaline 1 mg IV immediately, repeat q3–5 min
  4. 4Advanced airway if trained
  5. 5Actively search 4H 4T

Organised electrical activity without palpable pulse.

A

Airway

  • Patency, protect
  • Adjuncts / definitive airway
B

Breathing

  • RR, SpO₂
  • O₂ to target sats
C

Circulation

  • HR, BP, IV access
  • Fluids/vasopressors
D

Disability

  • AVPU/GCS, pupils, glucose
E

Exposure

  • Full exposure, bleeding, source
View flowchart algorithm

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Clinical Decisions in Seconds