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Strongly agree; the phrase always confused me.
I strongly disagree and don’t see the confusion. PEA may present with a relatively “normal-looking” rhythm on the monitor. Recognizable rhythms (i.e., ones that we have names for) are often described as “organized.”
UWorld (Step 2 qid:4725) uses the same terminology:
Pulseless electrical activity (PEA) refers to an organized cardiac rhythm (eg, sinus bradycardia, atrial fibrillation) that has become unable to generate sufficient cardiac output to create a measurable blood pressure or pulse (ie, nonperfusing).