![]() Now, the paper does also bring to light the clear distinction between PEA with cardiac motion vs. And yes it’s nice to keep in mind that obstructive causes are more likely to have a narrow complex- why wouldn’t they, since narrow complexes are much more common period? But as the paper acknowledges, a Wide Complex not only may be a pre-existing feature of the pt’s rhythm, but in fact may also be the result of the acute insult causing the code! (ie:MI and PE, which are probably the most common causes of codes overall) Adhering to the algorithm in these instances could lead the practitioner astray. Sure, I think it’s nice to keep in mind that Wide Complex PEA is probably more likely to be Hyperkalemia, and Narrow Complex is less likely to be Hyperkalemia. I do not think PEA is all about Wide Complex vs Narrow Complex- and in my opinion this dichotomy is not terribly helpful. (not just true for PEA) Cause-specific treatments are always better than rote ACLSĬlinical picture (history, physical, meds, etc) should always be taken into contextĮcho is an integral, indispensable tool to accomplishing #1– in any code ![]() One of the greatest/ most important things we can be doing during code is to figure out the etiology & try to reverse. It brings to light some of what I would consider golden rules of codes in general: The paper itself is Interesting & thought-provoking. Glad to hear you all on together… could feel the love from here, ha! Here’s a way that makes sense joins ERcast to stop the madness - Rob Orman November 29, 2014 “PEA is just a bunch of BULLSHIT!” Joe talks about the FALLACY OF PEA on the ER Cast podcast with Rob Orman… This new study seems to demonstrate that stratification by ecg width may not be evidence-based
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