Defibrillation

Indications: Is used in emergency situations as the treatment of choice for

ventricular fibrillation (VF) , ventricular tachycardia (VT) and pulseless
The most common cause of abrupt loss of cardiac function and sudden cardiac death.
Defibrillation is not used for patients who are conscious or have a pulse.
Energy Levels:
Adult: With monophasic energy levels, deliver the first shock at 360J. If using a
biphasic manual defibrillator, use the manufacturers device-specific energy levels,
usually 120200 J. Continue at a monophasic energy level of 360 J for further shocks.
With a biphasic manual defibrillator, use the device-specific energy levels, usually
120200 J for further shocks. Use device-specific energy levels for an automated
external defibrillator (AED).
Child (18 yr.): Deliver the first shock at 2 J/kg for a monophasic or biphasic manual
defibrillator; use 4 J/kg for subsequent shocks. Use device specific energy levels for
an automated external defibrillator (AED).
Application: Use handheld paddles or remote adhesive pads. Always use a
conducting gel with paddles and apply firm pressure to the chest to ensure good skin
contact. Dry moisture off skin; shave excessive hair
Methods: Manual or automated.