This document provides instructions for performing defibrillation to treat cardiac fibrillation. It describes the defibrillator equipment including the monitoring screen, connecting leads, electrodes, and energy setting panels. It outlines the technique for defibrillation including turning on the defibrillator, applying pads and gel to the chest, positioning the pads in anterolateral locations on the chest, setting the appropriate energy level, charging and discharging the defibrillator, and assessing the patient after each attempt. The goal is to provide safe and effective treatment to restore a normal heart rhythm through defibrillation.

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)