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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.