#27: Reversible Causes, Irreversible Mistakes: Mastering pPOCUS in OHCA (ENG)
From pseudo-PEA to penetrating trauma: What you need to see when seconds matter
27.07.2025 28 min
Zusammenfassung & Show Notes
In this episode, Ben & Tom explore the critical role of point-of-care ultrasound (pPOCUS) during cardiac arrest. Together, they dive into the power — and the pitfalls — of using ultrasound to identify reversible causes like tamponade, pulmonary embolism, and tension pneumothorax. They discuss how pPOCUS can help differentiate true PEA from pseudo PEA and guide life-saving decisions in both traumatic and non-traumatic arrests. But there’s a catch: ultrasound can extend pauses in chest compressions, with potentially harmful consequences.
From peri-arrest insights to penetrating trauma scenarios, this conversation highlights when — and how — ultrasound truly adds value. The key takeaway? pPOCUS can be a powerful ally in resuscitation, but only when used with precision, preparation, and a well-coordinated team.
🎙️ Episode 27 – Reversible Causes, Irreversible Mistakes: Mastering pPOCUS in Arrest
What role does point-of-care ultrasound really play during cardiac arrest? In this episode, Dr. Ben Thal and Dr. Tom Hamp, both senior physicians with Vienna EMS, explore the promises and pitfalls of pPOCUS in high-stakes resuscitation. Together, they break down the key reversible causes ultrasound can help identify, the difference between true and pseudo PEA, and why timing, training, and team communication are everything.
You’ll learn:
- When and how to use ultrasound during CPR
- Why differentiating PEA subtypes matters
- The critical role of pPOCUS in the peri-arrest phase
- How to approach trauma arrest with ultrasound
- Common mistakes to avoid
- Why routine scanning is essential for building confidence
- How a simple team briefing can prevent dangerous delays
Whether you’re a seasoned resuscitationist or just starting to integrate pPOCUS into your workflow, this episode offers clarity, nuance, and plenty of practical takeaways.
👉 Listen now and upgrade your arrest algorithm.