Asystole or flatline

Asystole is not actually a true rhythm but rather is a state of no cardiac electrical activity.
The main treatment of choice for asystole is the use of epinephrine and CPR.
Asystole is treated using the right branch of the puslesless arrest arrest algorithm. Click
below to view the pulseless arrest algorithm diagram. When done click again to close the
diagram.
Pulseless Arrest Algorithm Diagram.
During asystole, there is no blood flow to the brain and other vital organs. This results in
very poor outcomes if resuscitation is successful.

If asystole is visualized on the monitor, you should ensure that all leads are connected
properly. If all leads are properly connected, you should rapidly assess for any underlying
causes for the asystole.

As with pulseless electrical activity (PEA), asystole can have possible underlying causes
which can be remembered using the Hs and Ts mnemonic.
In the following video, asystole is depicted on the defibrillator monitor and suggestions
for treatment are given.