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Coma Scales. The primary goal of the neurologic examination in an unresponsive patient is to localize the lesion and thereby narrow the differential diagnosis. The examination should proceed in a stepwise fashion and be familiar to the neurologist because of constant repetition.
Asystole is sometimes referred to as a âflat line.â. Pulseless electrical activity (PEA) is a clinical condition characterized by unresponsiveness and no palpable pulse but with some organized cardiac electrical activity.Pulseless electrical activity has previously been referred to as electromechanical dissociation (EMD).With both asystole and PEA there is no blood flow to the brain unless immediate CPR is performed. When all emergency treatments are unsuccessful, death is confirmed.ulseless electrical activity has previously been referred to as electromechanical dissociation (EMD). With both asystole and PEA there is no blood flow to the brain unless immediate CPR is performed. When all emergency treatments are unsuccessful, death is confirmed.