By Michael Colquhoun, Anthony J. Handley, T. R. Evans
This advisor has concise and functional details on all facets of resuscitation. New instructions are only one of many alterations to the fifth version of this publication as some of the chapters were thoroughly rewritten.
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On occasions, atrial activity may continue for a short time after the onset of ventricular asystole. In this case, the ECG will show a straight line interrupted by P waves but with no evidence of ventricular depolarisation. PEA Diagnosis PEA is the term used to describe the features of cardiac arrest despite normal (or near normal) electrical excitation. The diagnosis is made from a combination of the clinical features of cardiac arrest in the presence of an ECG rhythm that would normally be accompanied by cardiac output.
If this is unsuccessful a further attempt at cardioversion should be made after a slow intravenous injection and subsequent infusion of amiodarone. If circumstances permit, up to one hour should be allowed for the drug to exert its anti-arrhythmic effect before further attempts at cardioversion are made. In the absence of adverse signs there is no single recommendation in the ERC Guidelines for the treatment of persistent narrow complex tachycardia because of the different traditions between European countries.
This causes hypoxaemia (low blood oxygen tension and reduced oxyhaemoglobin saturation). The resulting clinical cyanosis may pass unrecognised in poor ambient light conditions and in black patients. The use of pulse oximetry (SpO2) monitoring during resuscitation is recommended but requires pulsatile blood flow to function. A combination of arterial hypoxaemia and impaired arterial oxygen delivery (causing myocardial damage, acute blood loss, or severe anaemia) may render vital organs reversibly or irreversibly hypoxic.