pt was a limited code on vent, no CPR, no defib, no anti-arr | Figure 1
melrn2004
Registered Nurse
pt was a limited code on vent, no CPR, no defib, no anti-arrhythmics
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911 based prehospital provider, recently dispatched to a trouble breathing/ dec loc call where the patient went into PEA on scene. Manual Cpr was immediately initiated and after 2 cycles switched to mechanical cpr. During the length of the code the patient maintained PEA capno never went below 16. After 25 to 39 minutes the patient began normal spontaneous respirations but was still pulseless confirmed with ultrasound. About 3 years ago I ran a similar call where the patient was in PEA AND ABOUT 25 minutes into the code began spontaneous respiration while still in PEA also confirmed no heart movement via ultrasound. I am wondering and hoping if anyone has any research or additional information relating to this case as the unusual nature of breathing while in cardiac arrest sharing the similarities of both PEA and downtime.