![]() During this time applying ETCO2 and/or arterial line placement is recommended to assure good compressions and assessing for a possible perfusing cardiac activity with ETCO2 >40 and/or end-diastolic pressure >40mmHG.Īt the first pulse check, they recommend a quick (<5-10sec) POCUS echo to assess for cardiac activity. If no vessel pulsation is identified then they recommend initiating CPR, IV access, and 1mg of epinephrine. This is thought to be more sensitive than using the palpation method of pulse check. Essentially this is placing a linear probe over the carotid or femoral arteries to look for vessel pulsation. In their algorithm, they recommend a POCUS pulse check (8). Helman, Simard and Weingart created a tremendous algorithm that helped quickly diagnose and more appropriately treat PREM and PRES (7). In a podcast from emergency medicine case, Dr.
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