Defibrillation - Basic 55 For Distributor
Defibrillation - Basic 55 For Distributor
Defibrillation - Basic 55 For Distributor
Cardiac Defibrillator
2/14
Contents
Main Functions of a Defibrillator Fibrillation Defibrillation Arrhythmias Requiring Defibrillation Defibrillation and Cardioversion Cardioversion AED (Automated External Defibrillation) Monitoring
3/14
Monitoring
4/14
Fibrillation
Fibrillation = Cardiac muscle cells are excited randomly. = Heart muscle spasms = Quivering instead of pumping
Decreased pump function No circulation of blood Cardiac Arrest Defibrillation by large current!!
Alive Death
5/14
Fibrillation
ECG waveform of Ventricular fibrillation (Vf)
6/14
Defibrillation
Defibrillation delivers an electrical shock to stop fibrillation and convert the abnormal rhythm to a normal rhythm. = A large current shock normalizes the muscle excitability phases. = This stops the fibrillations and restores the normal rhythm.
(Image)
Normal rhythm
7/14
8/14
P-wave is missing
Irregular R-R
9/14
No P-wave
10/14
Sudden excitement goes around the Re-entry Circuit Only ventricular contraction Greatly decreased cardiac output, depending on the HR Wide QRS, high heart rate, regular R-R, No P-wave
11/14
Irregular excitement everywhere in the ventricles Just quivering, no contraction No cardiac output, no circulation
12/14
Defibrillation
Cardioversion
= Defibrillation should be synchronized with R-wave. To prevent R on T R on T? If the stimulation is given on the T-wave, the heart will go to VF.
13/14
Cardioversion
Shock in synchronization with R-wave
14/14
Discharge by manually !