Using the Pulseless Arrest Algorithm for Managing PEA Oct 6, 2017 Version control: This document is current with respect to 2015 American Heart Association Guidelines for CPR and ECC. These guidelines are current until they are replaced on October 2020. If you are reading this page after October 2020, please contact ACLS Training Center at support@acls.net for an updated document. Patients with PEA have poor outcomes. Their best chance of returning to a perfusing rhythm is through the quick identification of an underlying reversible cause and correct treatment. As you use the algorithm to manage the PEA patient, remember to consider all the H's and T's, particularly hypovolemia, which is the most common cause of PEA. Also look for drug overdoses or poisonings. Begin with the primary survey to assess the patient's condition: Pulseless Electrical Activity (PEA) occurs when you see a rhythm on the monitor that would normally be associated with a pulse, however the...
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