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SalusPrep

Paramedic NREMT®

← Skills

Cardiac

Cardiology Treatment Challenge

PEA: Tamponade Recognition · L1

How this exercise works

Drag ACLS interventions into the correct priority order for bradycardia, tachycardia, or arrest algorithms. Life-threatening rhythms get pacing, shock, or epinephrine before secondary steps.

Fundamental concept

Sequencing pacing, defibrillation, medications, and supportive care for bradycardia, tachycardia, and arrest rhythms.

Read: ACLS Cardiac Algorithm Prioritization →

Scenario

PEA arrest during transport. CPR ongoing. EtCO₂ 12, distended neck veins, muffled heart sounds.

Drag items into priority order, highest priority at the top.

Available

Treat other reversible H's and T's concurrently
Identify Beck triad suggesting cardiac tamponade
Rapid transport; pericardiocentesis if protocol and skills allow
Continue high-quality CPR and epinephrine per ACLS
Notify receiving facility of suspected tamponade

Priority order

1

Drop here

2

Drop here

3

Drop here

4

Drop here

5

Drop here