Cardio-respiratory arrest is a real medical emergency. It can present as Pulseless VT (ventricular tachycardia), VF (ventricular fibrillation), Asystole, and PEA (Pulseless Electrical Activity). PEA is defined as any organized rhythm without a detectable pulse.  As per ACLS protocol 2010 guidelines, PEA should be treated with CPR and Epinephrine and/or Vasopressin as charted below and the most important step is to identify any reversible cause and to correct it. Here in our present case, the 61 yrs old female patient presented as Cardio-respiratory arrest with PEA with severe metabolic acidosis and hyperkalemia.  She was treated as per ACLS guidelines and was revived successfully and she was discharged in a stable condition after 48 hrs. 

 

Keywords : Pulseless Electrical Activity (PEA); Chronic Kidney Disease (CKD); End Stage Renal Disease; Cardiac Arrest; Compressions; Hyperkalemia; Hypercarbia; Metabolic Acidosis; Hemodialysis; Sudden Cardiac Death; Agonal Gasp.