synchronized cardioversion/defibrillation

INDICATIONS:

- Treatment option for patients with severe signs/symptoms of poor cardiac perfusion (systolic BP ≤ 90, altered LOC, chest pain)

- SVT (Narrow QRS Complex Tachycardia - Regular Rhythm - Adult/Adolescent)

- Ventricular tachycardia (unstable VT w/ pulses)

 

PROCEDURE:

1.  Explain the procedure if patient is conscious

2.  Ventilate patient if necessary.

3.  Apply pads. 

4.  Activate synchronizer switch

5.  Turn up gain.

6.  Select energy level.

7.  Activate the charge button.

8.  Clear all personnel from Pt. contact

9.  Depress the shock button

If the “synch mode” does not function, disengage the “sync” button and prepare to defibrillate at the same energy level indicated for synchronized cardioversion.

 

 

JOULES FOR CARDIOVERSION - SVT:

Zoll

ADULT70 j / 120 j / BHO - all subsequent

PEDS1 j/kg / 2 j/kg BHO

Philips

ADULT: 100 j  / 200 j / BHO - all subsequent

PEDS: 1 j/kg / 2 j/kg BHO

JOULES FOR CARDIOVERSION - VT:

Zoll

ADULT: 70 j / 120 j / 150 j / BHO - all subsequent

PEDS: 1 j/kg / 2 j/kg BHO

 

Philips

ADULT: 100 j  / 200 j / 200j /  BHO - all subsequent

PEDS: 1 j/kg / 2 j/kg BHO

 

Continuous rhythm strip during cardioversion attempts

 

When converting / Defibrillating pediatric patients:

  • Pt < 1 yr/10 kg:  use peds pads.

  • Pt > 1 yr/10 kg:  use adult pads.  

**The anterior/posterior placement should be used unless the chest is too small to accommodate.**

Philips - Cardioversion

Zoll - Cardioversion

Call

M: 949-769-1162

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