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Cardiac DC Shocks: Presented By: Eng. Mohammed Elkheir Osman

This document discusses cardiac DC shocks and defibrillation. It aims to explain the purpose and procedure of defibrillation, differentiate it from cardioversion, and discuss who should receive defibrillation. Defibrillation involves delivering a strong electric shock to the heart during ventricular fibrillation to depolarize the heart and allow for normal sinus rhythm to resume. It is delivered to pulseless patients, while cardioversion is delivered during a shockable rhythm like ventricular tachycardia and is synchronized with the R wave to prevent inducing fibrillation. The document provides tips to reduce resistance during defibrillation like using conductive gel and pressing paddles firmly to the chest.

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chanlal
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59 views

Cardiac DC Shocks: Presented By: Eng. Mohammed Elkheir Osman

This document discusses cardiac DC shocks and defibrillation. It aims to explain the purpose and procedure of defibrillation, differentiate it from cardioversion, and discuss who should receive defibrillation. Defibrillation involves delivering a strong electric shock to the heart during ventricular fibrillation to depolarize the heart and allow for normal sinus rhythm to resume. It is delivered to pulseless patients, while cardioversion is delivered during a shockable rhythm like ventricular tachycardia and is synchronized with the R wave to prevent inducing fibrillation. The document provides tips to reduce resistance during defibrillation like using conductive gel and pressing paddles firmly to the chest.

Uploaded by

chanlal
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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Cardiac DC Shocks

Presented by: Eng. Mohammed Elkheir Osman

2008

Eng. Mohammed Elkheir Osman

Eng. Mohammed Elkheir Osman

Objectives

Understand the purpose and actions of defibrillation Differentiate between defibrillation and cardioversion Explain the proper procedure for successfully defibrillating a patient

Eng. Mohammed Elkheir Osman

Defibrillation

Questions

What are we doing when we defibrillate? What is the difference between defib. & cardioversion?

Eng. Mohammed Elkheir Osman

Who gets defib?

Eng. Mohammed Elkheir Osman

Defibrillation

Principals of Defib.

DC counter shock- there is polarity! Thoracic wall offers resistance to current flow

Reduce resistance with


Proper paddle pressure Conductive medium Skin prep Escalating energy levels

Eng. Mohammed Elkheir Osman

Defibrillation

How can we reduce resistance?


25 pound of paddle pressure Fully adhere combo pads- remove all air Remove excess hair Avoid transdermal patches Avoid implanted devices

Eng. Mohammed Elkheir Osman

Defibrillation

Pad or electrode placement Sternal Apex Anterior Posterior

Eng. Mohammed Elkheir Osman

Eng. Mohammed Elkheir Osman

Defibrillation vs. Cardioversion

What's the difference?


Defib- patient must be pulseless Cardioversion- designed to be synchronized with the R wave (during the absolute refractory period) Cardioversion is used to control tachydysrhymias

Eng. Mohammed Elkheir Osman

Cardioversion

Practice Pearls

CI for Poison/drug induced tachycardia Must be connected to EKG leads as well as defib paddles Most units default after every cardioversion to the defib mode

Eng. Mohammed Elkheir Osman

Block Diagram of a typical Defibrillator


S T A N D B Y

Power supply

Charge

Discharge

Patient

Energy Storage

Manual Control

Synchronizer

ECG Monitor

Optional

Eng. Mohammed Elkheir Osman

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