PEA (Pulseless Electrical Activity)

A 45-year-old construction worker suddenly collapses at a job site. Upon checking, you find no palpable pulse, but the ECG shows organized electrical activity.

A post-operative patient in the ICU exhibits no pulse but shows normal sinus rhythm on the ECG.

A patient with suspected opioid overdose collapses and has no pulse with organized electrical activity on the ECG. Placing the following answers in order, starting with initial treatment.

An emergency room patient collapses with no pulse but shows electrical activity on the ECG. After starting chest compressions.

A hospitalized patient experiences cardiac arrest with no pulse but organized ECG activity.

A drowning victim is found with no pulse. Chest compressions are immediately started by a bystander. An AED is attached but a shock is not advised, however, the patient still does not have a pulse.

A trauma patient collapses and shows no pulse with organized ECG activity.

 A patient with severe sepsis collapses with no detectable pulse but sinus arrhythmia on the monitor.

A patient with severe electrolyte imbalance collapses, showing no pulse but sinus bradycardia on the cardiac monitor.

 A 62-year-old patient, 4 days post-heart transplant, suddenly collapses and is found unresponsive. The ECG shows normal sinus rhythm without a palpable pulse.