The document distinguishes between defibrillation, used for terminating non-perfusing rhythms like ventricular fibrillation, and cardioversion, used for unstable perfusing rhythms such as atrial fibrillation. It emphasizes the importance of synchronizing cardioversion with the patient's QRS complex and outlines precautions to prevent injury during defibrillation. It also lists various types of defibrillators and equipment used in these procedures.

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
1. VF AND PULSELESS V T
• CARDIOVERSION
1. UNSTABLE VT, SUPRAVENTRICULAR
TACHY,ATRIAL FLUTTER, A FIB
2. 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

9. PADDLE/PAD POSITIONING
STEPS

10. MANUAL DEFIBRILLATION

11. AED

12. INTERNAL DEFIB

13. CARDIOVERSION

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

15. THANK YOU