[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-370165-105":59,"doc-detail-370165-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","point-of-care-ultrasound-in-cardiac-arrest","Point-of-care Ultrasound in Cardiac Arrest","","Point-of-care ultrasound is presented as a reliable bedside diagnostic tool to support differentiation of shock states and to inform cardiac arrest management. With increasing availability of ultrasound equipment in perioperative and intensive care settings, guidelines from major resuscitation organizations advocate its role in cardiac arrest, while emphasizing safe imaging timing and noting the need for more data on effectiveness. The review describes ultrasound in rhythm classification, reversible causes, and integration into perioperative Advanced Cardiac Life Support algorithms, while addressing protocols and pitfalls including CPR pause risk.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/point-of-care-ultrasound-in-cardiac-arrest/370165/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/point-of-care-ultrasound-in-cardiac-arrest/370165.png","ImageObject",300,407,{"name":92,"@type":93},"Chumphorn","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-28","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"How does point-of-care ultrasound help during cardiac arrest care?","Question",{"text":112,"@type":113},"It supports rhythm classification and helps differentiate shock and reversible causes, while also aiding in distinguishing true pulseless electrical activity from pseudo-pulseless electrical activity when it does not delay defibrillation.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Why is the article careful about ultrasound use during CPR?",{"text":117,"@type":113},"It notes that integrating ultrasound may prolong CPR pauses, so multiple protocols aim to integrate ultrasound safely by limiting disruption between chest compressions.",{"name":119,"@type":110,"acceptedAnswer":120},"What is the difference between focused cardiac ultrasound and echocardiography?",{"text":121,"@type":113},"Focused cardiac ultrasound uses basic training to obtain a limited number of two-dimensional grayscale views, whereas echocardiography is an advanced exam that quantifies severity using additional modes such as Doppler.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},370165,1790242375,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":41},2336475401981,"https://ap-avatar.wpscdn.com/avatar/22000c94efd8d5204d?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786935347598174694","CliniCal FoCus Review  \nJerrold H. levy, M.D., F.a.H.a., F.C.C.M., editor  \nPoint-of-care Ultrasound in Cardiac Arrest  \nJonathan A. Paul, D. O. , Oliver P. F. Panzer, M. D.  \nPoint-of-care ultrasound is established as a reliable, bed  \nside diagnostic modality for the differentiation of shock, and it is used increasingly during the management of cardiac arrest as well. Because ultrasound machines are accessible in most perioperative and intensive care unit settings and handheld technology is evolving, it has become practical to deploy this tool to the many locations in which arrests occur. Resuscitation guidelines published by the American Society of Echocardiography (Durham, North Carolina), the American College of Emergency Physicians (Irving, Texas), the European Resuscitation Council (Niel, Belgium), and the American Heart Association (Dallas, Texas) all advocate for the role of point-of-care ultrasound in cardiac arrest, while cautioning clinicians to avoid exceeding 10-s pauses between chest compressions, suggesting that the most experienced clinicians acquire images and acknowledging that more data are required to assess the efficacy of this application.1–3 Because many of the potential causes of cardiac arrest in surgical patients are well suited to sonographic diagnosis, point-ofcare ultrasound was added as a distinct step in the pulseless electrical activity/asystole algorithm of the perioperative Advanced Cardiac Life Support (ACLS) guidelines in 2018.4 Numerous observational studies and meta-analyses report that focused ultrasound may aid in predicting the return of spontaneous circulation for patients with pulseless electrical activity.5–11 However, its predictive value for survival after cardiac arrest is uncertain, because in-hospital arrests are relatively uncommon, and data from randomized controlled studies are therefore sparse. Because some evidence suggests that the use of ultrasound may prolong pauses during cardiopulmonary resuscitation (CPR),multiple protocols have been designed with the intent of integrating ultrasound into ACLS safely.12–21 Although each systematic approach strives toward the worthwhile goals of reducing harm and optimizing efficiency, no single approach has been accepted widely as best practice. In this focused clinical review, we describe the role of ultrasound in cardiac arrest rhythm classification, discuss its use in differentiating reversible  \ncauses of arrest, provide an overview of protocols, highlight potential pitfalls, and summarize strategies to encourage safe and effective application of ultrasound during ACLS.  \nnomenclature  \nThe intended scope of practice described in this article involves point-of-care ultrasound, a qualitative surface  \nexamination of various anatomical locations to screen fora limited number of gross pathologies as indicated by the clinical scenario and as an extension of the physical exam.At times in this review, we use the phrase “focused ultrasound”synonymously. There is potential for other terminology tobe confusing in this field, especially that which pertains to cardiac sonography.When applied to imaging of the heart, the American Society of Echocardigraphy describes focused cardiac ultrasound as a technique involving two-dimensional, grayscale (B-mode) imaging with a limited number of views and performed by someone with basic training in image acquisition and interpretation.1,22,23 The term echocardiography, however, is distinct and refers to an advanced ultrasound exam that identifies and quantifies the severity of a broader list of cardiac pathologies using additional modes such as Doppler. As such, although echocardiography maybe listed in the names of some protocols for point-of-care ultrasound that we discuss, they are not interchangeable, and our focus is on focused cardiac ultrasound. It is worth noting that although most echocardiograms are consultative, a growing number of acute care clinicians are learning and applying echocardiogr","cbCaihg57BI2l0Un","https://ap.wps.com/l/cbCaihg57BI2l0Un","pdf",564782,12,"English","# Point-of-care ultrasound in cardiac arrest\n## Scope and terminology\n## Pulseless electrical activity vs pseudopulseless electrical activity","[{\"question\":\"How does point-of-care ultrasound help during cardiac arrest care?\",\"answer\":\"It supports rhythm classification and helps differentiate shock and reversible causes, while also aiding in distinguishing true pulseless electrical activity from pseudo-pulseless electrical activity when it does not delay defibrillation.\"},{\"question\":\"Why is the article careful about ultrasound use during CPR?\",\"answer\":\"It notes that integrating ultrasound may prolong CPR pauses, so multiple protocols aim to integrate ultrasound safely by limiting disruption between chest compressions.\"},{\"question\":\"What is the difference between focused cardiac ultrasound and echocardiography?\",\"answer\":\"Focused cardiac ultrasound uses basic training to obtain a limited number of two-dimensional grayscale views, whereas echocardiography is an advanced exam that quantifies severity using additional modes such as Doppler.\"}]","Point-of-care Ultrasound in Cardiac Arrest | PDF",1790187131]