Defibrillation || DC (Dirrect Current) Shock

1. Fibrillation Treatment
Defibrillation
DC (Dirrect Current) Shock
Komarudin

2. Objectives
• Equipment
• Technique
• Algorithm of Fibrilation Treatment

3. Anatomy of the Equipment
•Defibrillator
Monitoring screen
Connecting leads & electrodes
Panel for energy
setting Panel to choose
unsynchronized or
synchronized
• Pads & Conductive gel

5. Technique
A Turn On Defibrillator.
B. Plug in monitoring Electrodes
C. Recognize Cardiac Rhythm. : Indication
D. Set Energy Level

6. Technique ( continue )
E. Apply conductive gel to paddles
F. Apply paddles to chest wall
G. Paddles placement :
Anterolateral
a. One paddle to right of upper
sternum below clavicle
b. One paddle to left of nipple with
center in midaxillary line

7. Paddle Positions – Defibrillation

8. Technique ( continue )
H. Paddle pressure :
Adult ; 25 lbs of pressure to each
paddle
Paediatric ; ensure good contact
with chest wall
I. Ensure electrical safety ;
Patient /Personnel /Operator

9. Technique ( continue )
J. Charge capacitor
K. Depress both discharge buttons
simultaneously
L. Assess patient ( ECG, pulse, respiration etc)
M. If unsuccessful advance energy level and
repeat process ( standard protocol should be
followed)