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ACLS.net ACLS 2005 Pulseless Electrical Activity (PEA) Algorithm
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The following directs AHA accepted actions as part of the Secondary ABCDs for pulselessness with an organized cardiac rhythm. Provide 2 minute cycles of CPR-rhythm/pulse checks and think:
P E A
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| Letter |
Intervention |
| P |
Problem search (see Differential Diagnosis Table). Treat accordingly. Continue this algorithm if indicated. |
| E |
Epinephrine 1 mg IV/IO q3-5 min. Or vasopressin 40 U IV/IO, once, in place of the 1st or 2nd dose of epi. |
| A |
Atropine, with a slow heart rate, 1 mg IV/IO q3-5 min. (3mg max.) |
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