Pulseless electrical activity history and symptoms

Resident Survival Guide

Pulseless electrical activity Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

History and Symptoms

• Loss of consciousness
• Apnea

A quick thorough history should be done to check the following:

• Risk factors for myocardial infarction or pulmonary embolism
• Any trauma
• Severe fluid loss
• Exposure to low temperatures
• Risk of metabolic derangements

Physical findings:

Absence of palpable pulses is the main finding.

Depending upon the cause, the following might be found:

• Tracheal deviation
• Decreased skin turgor
• Traumatic chest
• Cool extremities  
• Tachycardia
• Cyanosis