Short communicationSequential recall of causes of electro-mechanical dissociation (EMD)
References (1)
- Kloeck, W., Cummins, R., Chamberlain, D., et al. The Universal ALS Algorithm. An advisory statement of the Life Support...
Cited by (12)
Transoesophageal echocardiography in cardiac anaesthesia
2024, Anaesthesia and Intensive Care MedicineBedside Thoracic Ultrasonography for the Critically Ill Patient: From the Emergency Department to the Intensive Care Unit
2020, Journal of Radiology NursingCitation Excerpt :Contrary to ventricular fibrillation and pulseless ventricular tachycardia, in which the essential therapeutic intervention is the restoration of rhythm through early defibrillation, in pulseless electrical activity and asystole one should try to identify the underlying cause and provide a corrective measure while aiming for the return of spontaneous circulation (ROSC) (Hernandez et al., 2008). Many nonshockable rhythm cardiac arrest etiologies can be identified with ultrasound (hypovolemia, tension pneumothorax, cardiac tamponade, and PE), as stated previously (Hughes & McQuillan, 1998). Although some authors maintain that this tool does not interfere with the resuscitation process (Niendorff et al., 2005), others have pointed out that its use can inadmissibly prolong pauses during chest compressions (Huis In 't Veld et al., 2017).
Echocardiography in cardiac arrest: An emergency medicine review
2018, American Journal of Emergency MedicineCitation Excerpt :Rather than treating the underlying rhythm, such as in ventricular tachycardia (VT) and ventricular fibrillation (VF), PEA and asystole management focuses on the underlying cause. Conditions such as tension pneumothorax, hypoxemia, hypovolemia, cardiac tamponade, and pulmonary embolism (PE) may be treatable if appropriately diagnosed, though treatment is often invasive [1,3-5]. Despite the potential to address the underlying cause, outcomes can be poor in non-shockable rhythms [6].
C.A.U.S.E.: Cardiac arrest ultra-sound exam-A better approach to managing patients in primary non-arrhythmogenic cardiac arrest
2008, ResuscitationCitation Excerpt :If the results of the cardiac view are inconclusive the pulmonary views are attempted as these use approximately 30 s per side and diagnose only one condition, pneumothorax. If these studies are negative alternate causes of the arrest are considered as described by Hughes in order of frequency and ease of reversibility (i.e. electrolyte and metabolic disturbance, massive hypothermia, massive myocardial infarction, and drugs or toxins).3 If one encounters an abnormal image on examination of the four chambers of the heart, one may attempt further confirmatory views with the ultrasound to make the diagnosis more clear (i.e. the finding of collapsed right and left ventricles should be followed by sonographic evaluation of the IVC and abdominal aorta) (Figures 9 and 10).
A mnemonic for the recall of causes of electro-mechanical dissociation (EMD)
1999, Resuscitation