Arab Board EM Final Written Practice Questions - Arab Board Emergency Medicine Final Written Examination Exam

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During closed-chest cardiopulmonary resuscitation for an intubated patient in pulseless electrical activity (PEA), the end-tidal carbon dioxide (ETCO2) tracing suddenly and sustainedly rises from 14 mmHg to 42 mmHg without any change in chest compression technique. What is the most appropriate immediate action?

Check for a central pulse and assess for return of spontaneous circulation (ROSC) Administer an immediate 1 mg bolus of intravenous epinephrine Increase chest compression rate to 140 compressions per minute Extubate the patient because this indicates esophageal misplaced intubation

Correct Answer:

Check for a central pulse and assess for return of spontaneous circulation (ROSC)

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