Uses of Conventional Defibrillator

Definition:
A Conventional Defibrillator (DC) is used as a Defibrillator that use in Hospitals to treat the cardiac arrhythmia, cardiac arrest, Ventricular tachycardia (pulse-less) or Ventricular fibrillation.

Method:How to use the DC?
1-It can only use by that person who have experience in ECG monitoring and Recognition.
2-Remove the patient from metallic body or bed
3-Make the patient position, it can be supine or decubitus.
4-Expose the patient chest, Remove contaminated things like; wet, metal etc
5-Prepare the DC, attach the batteries, attach the paddle with DC.

6-Place the paddle on patient chest; in supine or decubitus position.

• In Supine; one paddle place to the right side just below to the clavicular bone and above nipple line, second place to the left side at anterior axillary line.
• In decubitus; one paddle place to the left side just below the clavicular bone, second place to the back below shoulder blade in right lateral position.

7-Now check again DC connection, Make sure that all wires are attached.

8-Provide the Electric shock to the patient when needed, otherwise continue CPR.

Important:
DC can be Monophasic and Biphasic.

In Biphasic shock can be 150 joule.

In Monophasic shock can be 200, 300 and 360 joule.

Uses of Automated External Defibrillator

Definition:
Automated External Defibrillator is a portable or easy to use device that checks the heart rhythm. In use it can send an electrical shock to the heart to treat the cardiac arrest and normalize the heart rate.
Uses of AED:
Conditions in which an Automated external Defibrillator is used;

1- Cardiac Arrest or Asystol
2- Pulse-less Tachycardia
3-Ventricular Fibrillation
Protocol:
Scene Secure
Personal Safety
Patient safety
Approach to the patient
Check the response (Alert, Verbal, Painful Stimuli)

* If unresponsive
Call to EMS
Check ABC (Airway, Breathing, Circulation)
Start CPR
Use AED
Method:
How to use an Automated External Defibrillator?
1-An untrained person can easily use an automated external defibrillator.
2-Remove the patient from contaminated area make sure patient's and your safety.
3-Expose the patient chest, remove all contaminated things from the chest like; jewelry, metals, wet, heavy hair etc
4-Prepare the AED as turn on it, attach the sticky electrodes with AED machine, make the patient's position as supine, apply the pads as;

a) place one pad on right side just below to the clavicular bone and above to the nipple.
b) place second pad on left side in anterior axillary line at the apex beat position.

5-Make sure patient have not any medication bracelet or neck-less that alert the patient disease.
6-If patient is on PPM (permanent pace maker) then you should need to place pads 1 inch away from its wires.
7-Make Sure that no one touching ti the patient.
8-Recheck again AED preparation, then follow these steps;

• Press "Analyze" button ___ AED will check the rhythm of patient's heart.
• If needed shock ___ It will provide the shock
• If shock is not needed ___ Start CPR.

Important:
AED are mostly Biphasic.

It provide the mostly 120, 150 and 200 Joule Shock.