Cardiac Standstill on POCUS during CPR

A 79yo male presents after being found unresponsive by his wife. ACLS performed x 30min and clip shows the last few seconds of CPR followed by his heart during the pulse check. What is your next step?
Resolution: Stop resuscitative efforts. No purposeful cardiac activity p 30min ACLS, no clot in transit, no pceff, no fine VF. Would consider lytics in a younger pt +/- DVT, plethoric IVC, or septal bowing into LV, but remember RV can dilate to size of LV in cardiac standstill.

#Cardiac #Standstill #POCUS #CPR #Echoardiogram #ACLS #S4C #Intraarrest #compressions
Meghan Kelly Herbst, MD @eusmkh · 4 years ago
UCONN Associate Professor in Emergency Medicine. Ultrasound Fellowship Yale 2011. Family, patients, education, running = my life. https://twitter.com/EUSmkh | https://www.instagram.com/eus_mkh/
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