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.
Keywords
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Article Info
Publication History
Published online: October 14, 2019
Accepted:
October 2,
2019
Received in revised form:
August 29,
2019
Received:
August 3,
2019
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.
