Effect on management

Focused echocardiography can be used to predict the likelihood of successful return of spontaneous circulation (ROSC). ‘True pulseless electrical activity (PEA)’ is when co-ordinated electrical activity is seen on the cardiac monitor but there is no cardiac movement on echocardiography. Alternatively, ‘pseudo-PEA’ is when there is co-ordinated electrical activity, no palpable central pulse however there is cardiac activity on echocardiography. The absence of co-ordinated cardiac activity proves to be an excellent predictor of failure to regain spontaneous circulation (negative predictive value 97%). In addition, ELS has been shown to alter management in 78% of cases3.

In view of this timely availability of critical information, and it’s influence on management, ELS is part of Level 1, or ‘core’ ultrasound training. This e-learning session provides the necessary theoretical training (alongside the other 6 created by the College) to begin hands-on practical training.