For in that sleep of death what dreams may come...

To die: to sleep;
No more; and by a sleep to say we end 
The heart-ache and the thousand natural shocks 
That flesh is heir to, 'tis a consummation 
Devoutly to be wish'd
William Shakespeare (from Hamlet)


1.
PEA rhythm
A wide complex tachycardia with a peaked T wave. The bottom waveform is an invasive arterial BP reading. The systolic pressure is between 50-60 mm Hg. The diastolic pressure is around 40 mm Hg.
The is a good example of the physiology behind a PEA rhythm.  You have a rhythm on the monitor but no pulse and no cardiac output.
  2.
PEA rhythm

The systolic pressure is between 30-40 mm Hg.  The diastolic pressure is not detected.   The patient is a DNR so no "heroic measures" are being attempted.

3.
 Some widening of the QRS complex and slowing of the rate.   The bottom waveform was changed from the arterial waveform to lead V1

4.

5.









6.
Idioventricular rhythm

7.


8.

9.

10.
Bradyasystolic rhythm

11.

12.
Agonal rhythm

13.






To die, to sleep-
To sleep--perchance to dream: ay, there's the rub,
For in that sleep of death what dreams may come
When we have shuffled off this mortal coil....
William Shakespeare (from Hamlet)


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