SIM Scenario Exchange

Pulseless Electrical Activity

Contributed on April 28, 2015, last updated June 29, 2022.

English

Author(s)

Pam Morgan, MD FRCPC, Dept of Anesthesia, Women’s College Hospital, University of Toronto
Jordan Tarshis, MD FRPCP, Dept of Anesthesia, Sunnybrook Health Sciences Centre, University of Toronto

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A middle-aged woman is coming to hospital for day surgery. She has controlled hypertension and NIDDM. After induction of anesthesia she develops pulseless electrical activity. The OR team must resuscitate her.

Learning Objectives:

Primary
1. Describe management of pulseless electrical activity cardiac arrest
2. Perform chest compressions and manual ventilation as per ACLS guidelines
3. Administer epinephrine according to ACLS guidelines
4. Recall the differential diagnosis of PEA and systematically eliminate possible causes
5. Describe some key components of clinical teamwork and identify applications in their practice
Secondary
1. Review contents of emergency ‚’crash‚Äô cart
2. Identify methods of improvement of non- technical skills/behavioral skills

Simulation Modality:

Manikin-based

Equipment:

high fidelity mannikin

Citation:

Morgan P, Tarshis J. Pulseless Electrical Activity. Simulation resource published by Simulation Canada; 2015. Available from https://simulationcanada.ca/scenario/pulseless-electrical-activity/.

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License:

The information about this resource and any downloadable files are shared under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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Target Learners

Interprofessional:

Yes

Profession:

Medicine
Nursing
Respiratory Therapy

Levels:

Continuing professional development
Graduate / postgraduate / residency

Fields / Disciplines:

Anesthesia / peri-anesthesia care
Surgical

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