Trauma Resuscitation with PEA Arrest

You arrive at a trauma call in a regional hospital just as the emergency doctor has intubated the patient. As a self-inflating bag is being connected, a team member announces that they cannot feel a pulse. You are told the patient is a 25-year-old male who fell approximately three metres as a result of collapsed scaffolding and has just been intubated because of increasing restlessness and a falling GCS (Glasgow Coma Scale). The bedside monitor shows: ECG HR: 120 bpm Last recorded SBP: 90 mmHg Blood pressure monitor is cycling and not recording a pressure Pulse oximeter: 'searching'