for undergrads

1. Asystole, PEA, Vtach,
VFib
Dr Amber Zohaib Jafferi
Emergency Department
SIH,Isb

2. Asystole
• Patient has no pulse and no elestrical activity on the cardiac
monitor

3. PEA
• Pulseless electrical activity stands for electrical activity on
cardiac monitoring without a pulse

6. 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

12. Critical Actions
• Perform all steps in the ABCD primary survey,
• CPR
• Operate monitor
• Recognize PEA
• Direct intubation and assess ventilation
• Direct IV access

13. 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

14. 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?

25. Thank you