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Derivation of a termination of resuscitation clinical decision rule in the UK. House M, Jackson M, Dinning J, McMeekin P. The Association of Ambulance Chief Executives. The ethics of resuscitation and end-of-life decisions. European resuscitation council guidelines for resuscitation 2015. Crit Care 2017 21:96.īossaert LL, Perkins GD, Askitopoulou H, et al. Early predictors of poor outcome after out-of-hospital cardiac arrest. Martinell L, Nielsen N, Herlitz J, et al. 2015 Guidelines have now been superseeded by 2021 version. Soar J, Deakin C, Lockey A, Nolan J, Perkins G. Out-of-hospital cardiac arrest patient characteristics: comparing ventricular arrhythmia and pulseless electrical activity. Wolbinski M, Swain AH, Harding SA, Larsen PD. Outcomes following out-of-hospital cardiac arrest with an initial cardiac rhythm of asystole or pulseless electrical activity in Victoria, Australia. Available at: Īndrew E, Nehme Z, Lijovic M, Bernard S, Smith K. 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Textual data was extracted to form conclusions which were categorised into similar meaning and developed into synthesised findings. A three-step search strategy was applied. The review included locally amended guidelines and cited evidence sources for the management of PEA. The review was conducted according to the Joanna Briggs Institute systematic review of text and opinion. This review examined the local guidelines of services to identify the local clinical management of PEA, summarise the available evidence and prioritise future research. These guidelines are not fully evidenced, resulting in emergency medical services in the United Kingdom amending guidelines to support paramedics when making resuscitation decisions. Pulseless electrical activity (PEA) is managed in accordance with international and national guidelines. 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