Dc Cardioversion Pals

Learn about physiology indications equipment and voltage selection and clinical considerations when performing cardioversion.

Dc cardioversion pals. The pads are placed on the chest of the patient or one is placed on the chest and one on the back. If adenosine is unsuccessful or iv io access is not available synchronized cardioversion is indicated start at 0 5 1 0 joules kg if not effective increase to 2 joules kg sedate if needed but do not delay treatment. Patients in af are often not aware of any symptoms and the condition is not in itself life threatening. In biphasic devices the current reverses direction part way through the shock waveform.

We re going to talk about the causes of these tachycardias the treatments of these tachycardias and the drugs and drug dosages that we re. The electrical shock is carefully synchronized to occur at a specific point in the qrs complex. Atrial fibrillation af is the most common cardiac arrhythmia abnormal rhythm. The biphasic device requires lower energy and has been shown to lead to higher rates of return of spontaneous circulation rosc.

5 facts you need to know. For defibrillation cardiac arrest with a shockable rhythm first shock should be given at 2 j kg and the second shock should be given at 4 j kg. Synchronized cardioversion is a medical procedure that delivers a low energy electrical shock to reset an irregular heart rhythm. Direct current dc cardioversion or defibrillation can be delivered as monophasic or biphasic current.

We re going to review the types of tachycardias that are seen in the algorithm. Unstable child administer synchronized cardioversion immediately. To perform synchronized electrical cardioversion two electrode pads are used or alternatively the traditional hand held paddles each comprising a metallic plate which is faced with a saline based conductive gel. Pediatric tachycardia algorithm last updated.

Wide complex tachycardia qrs 0 09secs probable ventricular. In today s video we re going to review the brand new 2015 pals pediatric tachycardia algorithm. If ineffective increase the energy level to 2 j kg. A dc cardioversion direct current cardioversion is a procedure to convert an abnormal heart rhythm to a normal heart rhythm.

However patients are usually given anti coagulants blood thinning medication most commonly warfarin to protect them from having a stroke. However survival outcomes are similar in both devices. Dc cardioversion cardioversion is a procedure used to convert an irregular or abnormal heart rhythm to a normal heart rhythm by applying high energy shock. Common rhythms that may require elective cardioversion include atrial fibrillation atrial flutter and ventricular tachycardia.

For synchronized cardioversion begin with an electrical dose of 0 5 to 1 j kg of the child s body weight. Subsequent shocks may be higher up to the adult maximum of 10 j kg body weight.