Precautions for defibrillation with a defibrillator

1. Defibrillation must be performed when the patient is unconscious.

2. When applying the conductive paste, it is forbidden to apply the two electrode plates to each other, and the application should be even to prevent burns to the skin.

3. Keep the skin clean and dry to avoid the formation of open electrical pathways on the skin surface and to avoid burning the skin.

4. For patients with permanent pacemakers or ICDs, the electrode plates should be placed in a position that avoids the implantation site of the pacemaker or ICD by at least 10 cm.

5. When defibrillation is in progress, the operator and the surrounding personnel should not come into contact with the patient or the objects connected to the patient, especially metal objects.

6. The defibrillator should be kept clean after use, and the conductive paste on the electrode plates should be wiped clean to prevent rust from affecting the conductive function.

7. Keep the defibrillator in a good standby state, place it at a fixed point, check its performance regularly, and charge it in time.

(1) Ventricular fibrillation is an absolute indication for electrical cardioversion.

(2) Chronic atrial fibrillation (history of atrial fibrillation within 1 to 2 years) with persistent atrial flutter.

(3) Paroxysmal supraventricular tachycardia that is ineffective with conventional therapy and accompanied by significant hemodynamic disturbances or preexcitation syndrome complicated by supraventricular tachycardia and difficult to medicate.

1, good cardiac monitoring, clear defibrillation indications.?

2. The patient lies flat on a hardboard bed.?

3. Energy selection.?

4, The electrode plate is coated with conductive paste or saline gauze is placed on the patient's chest wall.?

5, press the charging button, at this time, you will hear a continuous charging sound instead of a beep.

6.Place the electrode plate on the patient's chest wall to optimize contact with the patient.?

7. Clearly and loudly yell "get out of bed". The operator straightens both arms to secure the electrode plates and move his or her body away from the edge of the bed, then presses the discharge button with both hands at the same time to defibrillate the patient.

8.Evaluation of defibrillation effect:Immediately after defibrillation, CPR was continued for 5 sets of CPR, the heart rhythm was checked, and defibrillation was given again when indicated.?

9.? Release defibrillation when? Press the release button. If ? a defibrillation shock is not performed in seconds? the defibrillator will be automatically disarmed.

10. After the operation, turn off the power, recover the button, clean the electrode plate, and accurately place it according to the specified position.