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Question for the group:
On a medical patient brought to the ED in PEA arrest without an obvious etiology, do you have a set amount of fluid you'll give prior to calling it? Ie, what in your mind constitutes an adequate fluid bolus for ruling out occult hypovolemia as a cause of PEA? I tend to just leave the IVFs wide open and however much goes in prior to the patient failing to respond to other therapies for PEA and then maybe one more round of chest compression (usually about 500ml-1L depending on access). My thought is that hypovolemia is rarely clinically occult, but I wonder what is your practice pattern?
On a medical patient brought to the ED in PEA arrest without an obvious etiology, do you have a set amount of fluid you'll give prior to calling it? Ie, what in your mind constitutes an adequate fluid bolus for ruling out occult hypovolemia as a cause of PEA? I tend to just leave the IVFs wide open and however much goes in prior to the patient failing to respond to other therapies for PEA and then maybe one more round of chest compression (usually about 500ml-1L depending on access). My thought is that hypovolemia is rarely clinically occult, but I wonder what is your practice pattern?
