Immediate Life Support (ILS)- Healthcare

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Manual defibrilation

Video 69 of 95
3 min 5 sec
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Manual Defibrillation: Vital Techniques and Considerations


Understanding the Role and Limitations of Manual Defibrillation

  • Qualified Use: Only for Competent Responders
  • Life-Threatening Arrhythmias: When to Administer a Shock
  • Biphasic Shock: Depolarizing the Heart for Natural Restart

Manual defibrillation is a critical skill that requires competence in recognizing specific life-threatening arrhythmias.

Manual Defibrillation Process

Steps for Effective Manual Defibrillation

  • Continuous CPR: Coordinated Efforts with Chest Compressions
  • Pads Placement: Ensuring Proper Contact
  • Rhythm Assessment: Identifying VF and Pulseless VT
  • Joule Selection: Choosing the Appropriate Energy Level

Manual defibrillation involves a systematic process, starting with assessing the patient's heart rhythm and selecting the correct energy level.

Setting the Joules and Shock Delivery

Configuring the Defibrillator for Safe and Effective Shocks

  • Joule Range: Typically 150 to 360 Joules for Adults
  • Energy Select: Choosing the Initial Joules
  • Charging: Preparing for the Shock
  • Shock Administration: Ensuring Safety and Effectiveness

Proper configuration and safe shock delivery are essential components of manual defibrillation.

Post-Shock Protocol

Immediate Actions Following a Manual Defibrillation

  • Chest Compressions: Resuming Compressions to Support Circulation
  • Continuous Monitoring: Observing for Signs of Life or Perfusion

After administering a shock, prompt resumption of chest compressions is crucial to maintain circulation and support the patient.