External defibrillation (DC Shock)

If a patient is found unresponsive, immediately activate the CPR Code and have another team member
obtain an defibrillator . If the pulse is absent, start cardiopulmonary resuscitation (CPR). you started
compression
for the adult patient the arrest due a fatal arrythmias such the ventricular
Fibrillation (VF) which need to defibrillate
 The key to successful defibrillation is accurate and immediate identification of arrhythmias requiring
defibrillation.
For the ventricular fibrillation (VF) and pulseless ventricular tachycardia (VT) the heart is not pumping Early
emergent defibrillation is the treatment of choice to reestablish normal electrical activity and coordinated
contractile activity in the heart,
the earlier defibrillation occurs, the more likely it is that the patient will survive.
So once defibrillator arrived you need to give the shock Various types of monophasic waveforms are used in older defibrillators.
Biphasic waveforms are more currently used defibrillators.
Monophasic defibrillators deliver energy in one direction through the heart
from one paddle or pad to the other.
 Biphasic defibrillators deliver energy in two directions. The energy travels
through the heart in a positive direction, and then it reverses itself and
flows back through the heart in a negative direction.
 Biphasic defibrillators are able to decrease the amount of current needed
to terminate the arrhythmia and may produce a higher rate of success after
the first shock. The AHA recommends an initial shock of 360 J when monophasic waveforms
are used. For biphasic will be 200 J
 Self-adhesive defibrillation pads are more effective than paddles because
they decrease transthoracic resistance, which enhances the effectiveness of
the shock.
 If you are using paddle use jell
 Defibrillator pads or paddles are placed on the patient's exposed chest in the
anterior-lateral position. Or positions are anterior-posterior To utilize the time probably during the CPR Do not stop compression until the
defibrillator is fully charged and ready to be discharged.
 Select energy as recommended
 You can select charge and give the shock using the paddle itself
 Charge the defibrillator
 Disconnect the oxygen source from the patient during defibrillation. To
decreases the risk of fire in the presence of electrical current.
 If using paddles, apply firm pressure to decrease transthoracic resistance.
 State "Clear. Shocking." and look at the patient while talking to verify that no
one is in contact with the patient, bed, or equipment.
 Press the discharge button on the defibrillator to deliver the shock.
 If using paddles, depress the buttons on the paddles simultaneously and hold
until the defibrillator fires. In the defibrillation mode, an electric charge is
immediately released.
 Don’t look at the rhythm or there pulse or no once energy delivered
 Immediately resume CPR.
LIFEPAK 15 Monitor/Defibrillator Physio-Control
external defibrillator paddles

[normpeplow]

Very good -- people doing this must be well trained in the procedure.

[nighthood]

Thank you,
hard to find cardiologist in rural area.

This is the way, do it myself

[layanad]

شكرا من القلب الشرح والانقلش بسيط ورائع أتمنى الاستمرار 💗🥺🥺

[mohammadtoot]

Your way of explaining the defibrillation make it really simple and understandable, waiting to learn more skills, appreciated

[vikramshinde]

A very nice explanation and demonstrate.

[nilarwin]

much appreciated for such wonderfully useful video Sir

[jozceline]

about 3 months ago i almost died this way

[Maryam-rw]

بعد كم صدمة كهربائية ؛ تحدث اثارحرق من الصاعق الكهربائي "مزيل الجفان"
هل تحدث من أول صدمة أو الثانية او الثالثة او بعد عدة صدمات ١٠.او ١٢ مثلا

[Onlymage]

Can you please tell me where to place the pads in pacemaker patients ?🙏

[سيف-رل]

استغفرالله العلي العظيم و اتوب اليه 🍃
انصحكم تابعو الدكتور عدنان ابراهيم 🕊