How often should CPR be administered in cases of PEA?

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In cases of pulseless electrical activity (PEA), it is crucial to understand the recommendations for cardiopulmonary resuscitation (CPR). CPR should be provided continuously, with high-quality compressions being delivered. The correct interval for reassessment and potentially changing the provider or for rhythm checks is every 2 minutes, leading to a more structured approach whereby CPR is typically administered for 1-2 minutes before reassessing the patient.

The guideline of performing CPR every 3-5 minutes does not align with the urgency required in resuscitating a patient in PEA. This condition is critical, and timely intervention is essential to maintain any residual blood flow and improve the likelihood of a return to spontaneous circulation. Continuous high-quality CPR is imperative, and reassessment should occur much more frequently, ideally every 2 minutes, to provide the best chance of survival. The other options fail to emphasize the immediacy required in such situations.

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