Defibrillation

Section 10 Procedure Guidelines

9.11 DEFIBRILLATION

INDICATIONS:

• Ventricular Fibrillation.
• Pulseless Ventricular Tachycardia.
  • Check the equipment - Turn on the monitor / defibrillator.
  • Apply monitor per Procedure Guideline.
  • Confirm the rhythm.

DEFIBRILLATION:

• Confirm the patient is unresponsive and pulseless.
• Ensure synchronizer is turned off.
• Check paddles or fast patch pads position and conduction.
• Select appropriate energy level per Standing Order.
• Stop CPR and call ALL CLEAR. Check to ensure all people including yourself are clear of the patient. Ensure EMS personnel are in a safe operating location.
• Apply 20 - 25 pounds of pressure to paddles, (If applicable).
• Discharge energy by pressing discharge buttons simultaneously.
• Observe for rhythm change and check the patient for a pulse, (If applicable).
• Repeat per Practice Parameters.