What is the proper treatment of a patient with no detectable pedal pulse?

No pedal pulse is a medical emergency and requires immediate assessment and treatment.

Initial Assessment

- Check for responsiveness and airway patency.

- Call for help and activate the code team if necessary.

- Check for a carotid pulse. If present, the patient may have bradycardia or an AV block, and should be given 1mg atropine.

- Initiate CPR if there is no pulse. Continue CPR until the patient regains a pulse or medical help arrives.

Further Evaluation and Treatment

1. Establish IV access.

2. Administer oxygen.

3. Obtain 12-lead ECG.

4. Start ACLS algorithms if there is no pulse.

5. Obtain blood samples for lab tests:

- CBC

- CMP

- Cardiac biomarkers

- ABG

- Coagulation studies

6. Consider additional tests:

- Echocardiogram

- Stress test

- Coronary angiography

7. Consult with a cardiologist or vascular surgeon.

The specific treatment for no pedal pulse depends on the underlying cause and may involve medications, surgery, or a combination of both.