This systematic review and meta-analysis shows that among 1,202 patients across 18 studies, point-of-care ultrasound (POCUS) exhibits high prognostic accuracy for survival to admission (SHA) and moderate accuracy for ROSC and survival to hospital discharge (SHD) in pulseless electrical activity (PEA) patients.

POCUS alone does not appear to provide adequate accuracy for guiding early TOR treatment decisions.

Instead, it should serve as a complement to, rather than a replacement for, comprehensive clinical evaluations.

Future research should explore strategies like integrating POCUS with traditional prognostic variables to develop clinical scoring systems that enhance the accuracy of resuscitation outcome predictions.

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