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Defibrillation - Coggle Diagram

- - - - asystole
        
        pulseless electrical activity
        
        sinus rhythm
        
        in a conscious patient with a pulse when there is a risk to the operator
- - - - 1) Semiautomatic (DESA).
      - 2) Manuals.
      - 3) Implantable cardioverter defibrillators (ICD).
- - - - 1) Semi-automatic defibrillation technique.
        
        Clinical diagnosis is not essential for its use.
        
        Most DESA deliver a biphasic energy shock between 150 and 300 J.
        
        The DESA have been adapted to the protocols of the National and European Plan for Basic Cardiopulmonary Resuscitation.
      - 2) Defibrillation technique with DESA.
        
        • Connect the electrodes to the patient.
        
        • Do not touch the patient while you are analyzing the patient.
        
        • If it detects a shockable rhythm, it tells us, charges, and asks us to apply the shock.
        
        When the shock is performed, no one should touch the patient.
        
        • It is essential that cardiac massage is interrupted as little as possible, before and after defibrillation.
      - 3) Manual defibrillation [technique]
        
        • Clear the patient's chest.
        
        • Connect the defibrillator asynchronously.
        
        • Apply conductive gel on the blades.
        
        • Check your heart rate on the monitoring screen.
        
        • Select the shock energy (200-300 J).
        
        • Press the load button.
        
        • Avoid having an O2-rich atmosphere near the defibrillator paddles.
        
        • Wait for the visual and acoustic signals, which indicate the defibrillated charge.
        
        • Press the paddles hard on the thorax.
        
        • Reconfirm the heart rate on the monitor.
        
        • Check that no one touches the patient: strong shock warning!
        
        • Press both shock buttons simultaneously.
        
        • The discharge is checked by the sudden jolt.
        
        • Check for sinus rhythm