Defibrillation is a process where an electronic device sends an electric shock to the heart to stop an extremely rapid, irregular heartbeat and restore normal rhythm. There are internal defibrillators like ICDs and external defibrillators like AEDs. A defibrillator can deliver a shock to treat ventricular fibrillation or pulseless ventricular tachycardia, or it can perform cardioversion to convert non-sinus rhythms like SVT to normal sinus rhythm. The appropriate use and procedures for defibrillation or cardioversion are outlined.

1. M R . G O P I K R I S H N A . K
DEFIBRILLATION

2. MEANING OF DEFIBRILLATION
DE-BRAK
FIBRILLATION- ABNORMAL RHYTHM

3. DEFINITION
 Defibrillation is a process in which an
electronic device sends an electric shock to
the heart to stop an extremely rapid,
irregular heartbeat, and restore the normal
heart rhythm.

4. USES OF DEFIBRILLATOR
 1.DC SHOCK
 2.CARDIO VERSION
 3.MONITORING

5. 1 . I N T E R N A L U S E D E F I B R I L L A T O R
A . I C D
2 . E X T E R N A L U S E D E F I B R I L L A T O R
A . A E D
B . M O N O P H A S I C D E F I B R I L L A T O R 3 6 0 J O U L E S
C . B I P H A S I C D E F I B R I L L A T O R 2 0 0 J O U L E S
3 6 0 J 2 0 0 J
TYPES OF DEFIBRILLATORS

6. I V E N T R I C U L A R F I B R I L L A T I O N
I I P U L S E L E S S V E N T R I C U L A R T A C H Y
C A R D I A
INDICATIONS FOR DC
SHOCK

7. CONTRA INDICATIONS FOR DC SHOCK
FLAT LINE
BRADY CARDIA
TACH CARDIA
SUPRA VENTRICULAR TACHY CARDIA
VENTRICULAR TACHY CARDIA WITH PULSE
ATRIAL FIBRILLATION
ATRIAL FLUTTER

8. AIM OF DC SHOCK:
 TO CHANGE THE LIFE THREATENINFG
RHYTHM [FIBRILLATE RHYTHM] TO NORMAL
SINUS RHYTHM
Ex:VF………..> NSR
AIM OF CARDIO VERSION:
TO CHANGE THE NON SINUS RHYTHM TO
NORMAL SINUS RHYTHM
Ex: SVT ………> NSR

9. FOR DC SHOCK
WARN EVERYONE,I AM AWAY ,YOUR
AWAY, ALL ARE AWAY
FOR CARDIO VERSION
I. INJ MIDAZOLAM I MG IV
2.INJ FENTANYL 1 MIC/KG B.W IV
PRECAUTIONS

10. S W I T C H O N D E F I B R I L L A T O R
PROCEDURE

11. SELECT THE JOULES
 MONOPHASIC 360 JOULES
 BIPHASIC 200 JOULES

12. PRESS CHARGE BUTTON

13. TAKE OUT PADDLES FROM THE
DEFIBRILLATOR

14. APPLY JELLY ON BOTH PADDLESS

15. SAY PLEASE STOP CPR

16. PLACE THE PADDLES ON THE CHEST

17. SAY I AM AWAY,YOU ARE AWAY,ALL ARE
AWAY

18. PRESS THE PADDLES FIRMLY

19. DELIVER THE SHOCK

20. REPLACE THE PADDLES

21. SAY PLEASE CONTINUE CPR FOR 2 min

22. THANK YOU