Hello, I'm an expert in the field of cardiology with a focus on arrhythmia management. When a patient experiences a life-threatening abnormal heart rhythm, such as ventricular fibrillation or pulseless ventricular tachycardia, a medical procedure called
defibrillation is used to restore a normal rhythm. Here's how it's typically done:
1.
Preparation: The patient is connected to an electrocardiogram (ECG) to confirm the abnormal rhythm.
2.
Delivery of Shock: An automated external defibrillator (AED) or a manual defibrillator is used. The AED will analyze the heart rhythm and advise if a shock is needed. If using a manual defibrillator, a healthcare professional will make this determination.
3.
Charging the Defibrillator: The device is charged to a specific energy level, which is typically biphasic and weighted to the patient's condition.
4.
Clearing the Person: Everyone must stand clear of the patient to avoid interference with the electrical current.
5.
Placement of Pads: Electrode pads are placed on the patient's bare chest, usually in an anterior-lateral position.
6.
Discharging the Shock: The healthcare provider will press the "Shock" button to deliver the electrical current to the heart.
7.
Post-Shock Care: The patient's rhythm and vital signs are immediately checked, and if necessary, CPR is resumed.
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