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PEA - EKG grand round
Transcript
PEA
(Pulseless Electrical Activity)
Contents of PEA
PEA
PEA (Pulseless Electrical Activity)
PEA
- 무맥성 전기 활동
- 심장에 전기 활동이 있음에도 불구하고,
환자에게서 감지할 수 있는 맥박이 없는 상태
PEA
GIF
GIF
EMD (Electro-Mechanical Dissociation
EMD
- 전기 기계적 해리
- 전기적흥분 ○ → 심근수축 Ｘ → 맥박 Ｘ ; EMD
전기적흥분 ○ → 심근수축 ○ → 맥박 Ｘ ; pseudo EMD
QRS of PEA
QRS
QRS
6Hs 6Ts
Cause
Cause
6Ts
- Tamponade
- Tension pneumothorax
- Thrombosis (myocardia infarction)
- Thrombosis (pulmonary embolus)
- Toxins
- Trauma
6Hs
- Hypovolemia
- Hypoxia
- Hyperkalemia
- Hypothermia
- Hydrogen ion access
- Hypoglycemia
CPR
---
Shockable rhythm vs.
Non-shockable rhythm
CPR
BLS
BLS
ㅠBasic Life Support
ACLS
ACLS
Advanced Cardiovascular
Life Support
Case Review
Case Review
ER note
---
BP 144/76
M/58
10:07 Dypsnea 호소
119 신고
10:12 119 도착
Pulseless 로 CPR 시작
DC shock 5회 진행
10:34 응급실 도착
PEA, VF, ROSC 반복
01
ER note
ECMO insertion during CPR
02
ECMO
LAD PCI
---
03
LAD PCI
RCA PCI
04
RCA PCI
Final LAD, RCA after CPR
05
Final Angio
ECG before DC shock
06
ECG before DC shock
ECG after DC shock
07
ECG after DC shock
Conclusion
Non-shockable rhythm vs Shockable rhythm
Pulseless electrical activity vs Shockable rhythm
Fluoroscopy
Artery pressure
08
Conclusion
09
Conclusion
Thanks for your attention
PEA
(Pulseless Electrical Activity)
2023.7.27
EKG grand round
심혈관촬영실 신종호
10
Final
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