“…PEA is increasingly and particularly prevalent in both in-hospital (IHCA) and out-of-hospital (OHCA) cardiac arrest. 11 , 12 Recent research from our research group at NTNU 13 , 14 shows that PEA behaves very differently in terms of developing ROSC, depending on the preceding rhythm (primary, or secondary to temporary ROSC, ventricular fibrillation (VF), ventricular tachycardia (VT), or asystole). Thus, incorrect decisions about the presence or absence of a carotid pulse, both initially and when evaluating the response to treatment, may deprive the patient of an individualized approach.…”