Cardiac Defibrillation Automated – Clinical Indications: Non-traumatic cardiac arrest in patients older than 1 year of age Procedure: Confirm the cardiac arrest. Instruct partners or First Responders to initiate CPR while the defibrillator is set up. If defibrillation is underway by Frist Responders, continue resuscitation as outlined. Turn the defibrillator on and begin documentation. Attach the cables to the appropriate pads and then apply the pads to the patient’s chest in the proper position. Stop CPR and clear the patient prior to rhythm analysis. Analyze the patient’s rhythm by pushing the button. “analyze” Assertively state and visualize that no one, including yourself, is in contact with the patient prior to “CLEAR” defibrillation. Defibrillate if appropriate by depressing the button. The sequence of defibrillation charges is preprogrammed for monophasic defibrillators. Biphasic defibrillators will determine the correct joules accordingly. Immediately resume CPR for two minutes and then repeat steps 4 7 three more times if indicated. – If shock advised” appears, perform CPR for two minutes and then reanalyze. “no Transport and continue treatment as indicated. Cardiac Defibrillation Manual – Clinical Indications: Cardiac arrest with ventricular fibrillation or pulseless ventricular tachycardia Procedure:
Cardiac Defibrillation – Automated Clinical Indications: Non-traumatic cardiac arrest in patients older than 1 year of age Procedure: Confirm the cardiac arrest. Instruct partners or First Responders to initiate CPR while the defibrillator is set up. If defibrillation is underway by Frist Responders, continue resuscitation as outlined. Turn the defibrillator on and begin documentation. Attach the cables to the appropriate pads and then apply the pads to the patient’s chest in the proper position. Stop CPR and clear the patient prior to rhythm analysis. Analyze the patient’s rhythm by pushing the “analyze” button. Assertively state “CLEAR” and visualize that no one, including yourself, is in contact with the patient prior to defibrillation. Defibrillate if appropriate by depressing the button. The sequence of defibrillation charges is preprogrammed for monophasic defibrillators. Biphasic defibrillators will determine the correct joules accordingly. Immediately resume CPR for two minutes and then repeat steps 4 – 7 three more times if indicated. If “no shock advised” appears, perform CPR for two minutes and then reanalyze. Transport and continue treatment as indicated. Cardiac Defibrillation – Manual Clinical Indications: Cardiac arrest with ventricular fibrillation or pulseless ventricular tachycardia Procedure:
ems_protocols.3.21a.docx