PEA stands for Pulse less Electrical Activity and is a severe cardiac problem requiring immediate intervention or the patient will die. There are several reasons for this cardiac arrhythmia and the PALS class discuss in depth what they are and what is required of the medical professional to quickly intervene in a timely manner. During this algorithm of PEA/Asystole, always consider causes that can be reversible in order to change this Heart rhythm. Here are some causes to consider with recommended intervention:
* Hypovolemia- fluid boluses
* Hypoxia- re-assess airway and ventilate with high flow O2
* Tension Pneumonia- pleural decompression
* Hypothermia- Warming body with fluids orally or IV and warm blankets
* Hyperkalemia- physician may order Kayexalate to lower the potassium level

Medication used during the PEA/Asystole algorithm for PALS class is:
*Epinephrine-usually given IV, IO or via ET tube if no IV/IO route available

The medical professionals that provide medical treatment to the pediatric population are required to attend a PALS class and become certified. The certification lasts for a period of 2 years. During the PEA algorithm, always re-assess after every intervention to ensure that they are effective and if the appropriate treatment is being provided. Continue CPR for 2 minutes as recommended by the American Heart Association. In the pediatric population, the cardiac problems that are occur are almost always due to respiratory compromise that precipitated the event. Take a good patient history and what led up to the event.