Pulseless electrical activity (PEA) and asystole | NCLEX-RN | Khan Academy

Created by Bianca Yoo.
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[@lotabob]

Fantastic video. Quick, clear and packed with info.

[@jadz328]

Thank you...very well explained! So easy to understand!

[@Tobonouille]

Very well explained video for someone that is not in medical but still work for medical people, thank you !

[@cassalynnvictoria1496]

Great video! Thanks!

[@VickiBee]

Cardiac tamponade: One of our patients died from that. The only thing you can do for it is get the person into surgery as fast as possible, bc trying to open the chest in ER (while you're waiting for all the conditions to be right to get them into surgery) hardly ever works. I've only heard of 2 times that it worked in such a case. You don't give someone with a pulse CPR either. The EMT Instructor kept saying to me "Don't give CPR to someone with a pulse, it pisses them off."

[@kurdman12345678]

is it possible for someone with asystole and flatline to come back and recover.

[@rick6011]

They usually do pericardiocentesis to get that blood out to begin with which doesn't require a thoracotomy. Something that has to be sterile to do, but not necessarily in the OR.

[@rick6011]

@@kurdman12345678 yes

[@lulustoovintage4710]

So well explained!

[@faithbullockaustinbullockb8612]

My 15 year ok’d daughter died after Going into sudden cardiac arrest, I remember reading both of these terms on her EMT report. I wish I understood more of how and why this happened to her, after an autopsy and many EKGs before she died due to chest pain there was Never any reason found for her to go into SCA :(

[@odetayoomolarafoluke6251]

May God heal your loss.

[@atomicpuma492]

Great videos. Thanks

[@Anne-tp7ny]

Excellent. Thank you

[@mosaicrainbow6689]

Thank you!!! Soo grateful

[@sunnytalukder1711]

thanks a lot!!!

[@MrBlablobliblablu]

Good video and up to date information. alot of bad info cirkulating on youtube. keep up the good work :)

[@reemqu1999]

very clear thank u

[@nolickspittle4753]

Brilliant and thanx

[@odetayoomolarafoluke6251]

Great video

[@tonydebaka3967]

With all objectivity, Khan Acad. I've gift to humanity. I live 7,000 miles away from the US and to be able to have all this medical info. At my finger tips is phenomenal. I say this even though I am not in the medical field but to get this detailed info. Is superlative, especially when you live in a part of the world where medical info. Is mediocre at best. Much obliged KA

[@menderinabebe9578]

Life saving vedio 🙏

[@muhammadhayatkhan3730]

Excellent...mem ...😍

[@gloryodion672]

Thank you soo much, this video was very informative and well explained, may God bless you!

[@ShinichiKudou2008]

Can some specific kinds of PEA be diagnosed solely through ECG, or does it need other means to be diagnosed anyway? I know that a PEA can have a normal-looking ECG

[@hellokayetty]

love this,, Now I understand the concept , thank you

[@ivyrosales3582]

So the heart stops? I thought there was just an arrythmia with some kind of ECG waves present but no pulse? For PEA.

[@912sonic]

Can someone tell me, does the heart nodes (ex: SA NODE etca) use oxygen? Cuz I dont get how the NODES still work without oxygen?

[@advancedxdirective]

4:27 "we never shock anyone with a pulse" what about SVT? That rhythm can be shocked

[@colonelkarl3053]

I'd guess they meant with unsyncronised cardioversion, not syncronised

[@dingleberrythebuttplugger5253]

Someone help me understand this: I know PEA is just electricity with no actual pump action, however, how does it create a NSR pattern if there's no actual contractility? The contractions are what causes the P, QRS and T wave forms, so how is there waves with no contractions?

[@Lukania13]

6 Months late and I assume you figured it out lol, but an ECG reads the electrical activity, not the contractions.

[@Big_Chungus935]

So what happens physically in heart during pea?

[@anthonymartinez5539]

I've noticed when I'm on PEA the intense feeling isnt accompanies by increased heartrate.

[@benicioatlas4951]

instaBlaster

[@iwantmyfriescrispynotburnt3981]

Sounds good in 0.75

[@sapmttamimi977]

why do we defibrillate using AED to a patient in say during a sudden cardiac arrest, does that mean patient is in a V-Fib state causing his heart not to contract and produce pulse?

[@TheFantomsLair]

The AED cheks automatically if it's a shockable rythm, and only defibrillates if it is. In that case it may restore the pulse, but if the patient is in a non-shockable rythm it just tells you to do chest compressions

[@sapmttamimi977]

@@TheFantomsLair thanks🤙

[@mariamslowinsky3283]

Great video but please bear in mind that many of the viewers are not native English speakers and clear pronunciation and quality of voiceover matters.

[@joshuafuchs2791]

Good video overall but it should be mentioned that in some instances someone with a pulse can be shocked(cardioverted) if there is a pulse and they are in a tachydysrhythmia. Its called synchronized cardioversion and it helps to reset the heart. It is a different process however and requires synchronization of the R wave and not just a random Defibrillation shock.

[@drew9160]

Why not pace asystole?

[@MChell87]

with asystole, unless witnessed from a block to asystole, it is unlikely that pacing will produce appropriate cardiac output. Best to treat with CPR and meds to maintain a CO and try to quickly identify the cause of asystole (H and T's) l

[@rick6011]

@@grilledcheese2285 you can shock other rhythms as well, like symptomatic narrow and wide complex tachycardia and symptomatic bradycardia.

[@rick6011]

@@grilledcheese2285 shocking isn't just defib. It's defib, pacing, and cardioversion.

[@kamille6291]

how comes she said shock able rhythms are v fib and pluseless v tach dont have pulse and then say they never shock a pulseless person

[@robertlee1771]

She said they never shock a person with a pulse.

[@standuba]

vtach and v fib are exceptions to the rule because you shock to basically reset the heart back to normal rhythm. Thats why she mentioned they belong in their own little special category.

[@youtubeppt.7991]

I can’t focus with the nasally talk :(

[@MamaSunnyside]

the narrator talks very fast which has the effect of slurring and cutting off her words. I had trouble understanding what she was saying most of the time. Slow down!!!

[@sunnyday_lemonbars]

you could have slowed down the video