Pulseless electrical activity physical examination: Difference between revisions
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A rapid physical examination should be performed to identify rapidly reversible causes of PEA: <ref name="pmid30020721">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume= | issue= | pages= | pmid=30020721 | doi= | pmc= | url= }}</ref> | A rapid physical examination should be performed to identify rapidly reversible causes of PEA: <ref name="pmid30020721">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume= | issue= | pages= | pmid=30020721 | doi= | pmc= | url= }}</ref> | ||
===Pulse=== | |||
* Absence of palpable pulses is the main finding. | * Absence of palpable pulses is the main finding. | ||
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===Lungs=== | ===Lungs=== | ||
*Unilateral absence of breath sounds suggests [[tension pneumothorax]] | *Unilateral absence of breath sounds suggests [[tension pneumothorax]] | ||
* | *===Heart=== | ||
*Tachycardia | *Tachycardia | ||
===General=== | |||
* Decreased skin turgor | * Decreased skin turgor | ||
* Traumatic chest | * Traumatic chest | ||
* Cool extremities | * Cool extremities | ||
* Cyanosis | * Cyanosis | ||
==References== | ==References== | ||
Revision as of 18:48, 3 April 2020
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Differentiating Pulseless Electrical Activity from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical Examination
A rapid physical examination should be performed to identify rapidly reversible causes of PEA: [1]
Pulse
- Absence of palpable pulses is the main finding.
Depending upon the cause, the following might be found:
Neck
- Distended neck veins suggests cardiac tamponade
- Tracheal deviation suggests tension pneumothorax
Lungs
- Unilateral absence of breath sounds suggests tension pneumothorax
- ===Heart===
- Tachycardia
General
- Decreased skin turgor
- Traumatic chest
- Cool extremities
- Cyanosis