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Defibrillator

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26 views16 pages

Defibrillator

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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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NEED FOR A DEFIBRILLATOR

Ventricular fibrillation is a serious cardiac


emergency resulting from asynchronous
contraction of the heart
Due to ventricular fibrillation, there is an
irregular or rapid heart rhythm.
NEED FOR A DEFIBRILLATOR
Ventricular fibrillation can be converted into a
more efficient rhythm by applying a high
energy shock to the heart.
This sudden surge across the heart causes all
muscle fibers to contract simultaneously.
Possibly, the fibers may then respond to
normal physiological pulses
The instrument for administering the shock is
called a DEFIBRILLATOR
TYPES OF DEFIBRILLATORS
A. Internal defibrillator
Electrodes placed directly to the heart
Eg - Pacemakers
B. External defibrillator
Electrodes places directly on the heart
Eg - AED
THE POWER OF DEFIBRILLATION
Higher voltages are required for external
defibrillation than for internal defibrillation.
A corrective shock of 750-800 volts is applied
within a tenth of a second
DEFIBRILLATOR ELECTRODES
TYPES OF DEFIBRILLATOR ELECTRODES
a) Spoon shaped electrode
Applied directly to the heart
b) Paddle type electrode
Applied against the chest wall
c) Pad type electrode
Applied directly on chest wall
PRINCIPLE OF DEFIBRILLATION
 Energy storage capacitor is charged at relatively slow
rate from AC line
 Energy stored in capacitor is then delivered at a
relatively rapid rate to chest of the patient
 Simple arrangement involve the discharge of capacitor
energy through the patient’s own resistance
AED is visually and vocally instruct the operators to place the conductive adhesive
polymer electrodes on the upper and lower chest. It measures the
electrocardiogram, and if detects ventricular fibrillation, it instruct the operator to
press the shock button.
AUTOMATED EXTERNAL
DEFIBRILLATOR
 AED is a portable electronic device that
automatically diagnosis the ventricular fibrillation
in a patient
 Automatic refers to the ability to autonomously
analyse the patient’s condition
 AED is a type of external defibrillation process
 AEDs requires self-adhesive electrodes instead of
hand held paddles
 The AED uses voice prompts, lights and text
messages to tell the rescuer what steps have to
take next
WORKING OF AED
Turned on or opened AED
AED will instruct the user to:
1. Connect the electrodes (pads) to the patient.
2. Avoid touching the patient to avoid false
readings by the unit.
3. The AED examine the electrical output from
the heart and determine the patient is in a
shockable rhythm or not
4. When device determined that shock is warranted,
it will charge its internal capacitor in preparation to
deliver the shock
5. When charged, the device instructs the user to
ensure no one is touching the victim and then to
press a red button to deliver the shock
 Many AED units have an ‘event memory’ which
store the ECG of the patient along with details of
the time the unit was activated and the number
and strength of any shocks delivered
PRECAUTIONS IN
DEFIBRILLATION PROCESS
The paddles used in the procedure should not
be placed;
 On a woman’s breasts
 Over an internal pacemaker patients.

 Before the paddles is used, a gel must be


applied to the patient’s skin
THANK YOU

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