CARDIOVERSION AND DEFIBRILLATION- approach

detailed presentation on dysrythmmias

1. CARDIOVERSION AND DEFIBRILLATION DR. KANIKA BHARDWAJ PGY 2

2. DEFIBRILLATION- USED IN AN ATTEMPT TO TERMINATE A NON PERFUSIN RHYTHM- VF OR PULSELESS VT CARDIOVERSION- USED TO TERMINATE A STILL PERFUSION RHYTHM TO ALLOW A NSR TO RESTART DIFFERENCE

3. DEFIBRILLATION VF AND PULSELESS V T CARDIOVERSION UNSTABLE VT, SUPRAVENTRICULAR TACHY,ATRIAL FLUTTER, A FIB AFTER FAILED PHARMACOLOGICAL THERAPY OF ABOVE MENTION ARRYTHMIAS INDICATIONS

4. IF INAPPROPRIATELY GIVEN CAN INDUCE VF CARDIOVERSION SHOULD BE SYNCHRONISED WHICH MEANS THE ELECTRIC CURRENT WILL BE TIMED WITH PATIENT’S QRS COMPLEX SHOCK TO RESCUERS BURN RISKS

5. ALWAYS CHECK THE RHYTHM AND PATIENT TO ASSESS ANY LOOSE LEADS MAKE SURE THE RESCUERS ARE NOT IN CONTACT WHEN SHOCK IS DELIEVERED- FOLLOW ALL CLEAR METHOD SCENE SHOULD BE SAFE AND DRY REMOVE ALL DIRECT SOURCES OF O2 TO PREVENT FIRE DIRECT CONTACT WITH SKIN OF PADDLES TO AVOID BURNS PRECAUTIONS

6. DEFIBRILATOR- MANUAL,SEMI AUTOMATED,FULLY AUTOMATED PADDLES OR SELF ADHESIVE PADS CONDUCTIVE GEL EQUIPMENT

7. PADDLE/PAD POSITIONING STEPS

8. MANUAL DEFIBRILLATION

9. AED

10. INTERNAL DEFIB

11. CARDIOVERSION

12. TINTINALLI’S TEXTBOOK OF EMERGENCY AHA ACLS PROVIDER MANUAL REFERENCES

13. THANK YOU