Run Time: 3 minutes
Author: Aaron Lessen M.D.
- Defibrillation is used to depolarize the heart and reset the electrical activity. How can the success of defibrillation be maximized for a patient with persistent Vfib and has been shocked several times previously by EMS.
- Success is dependent on the contact of the pads with the chest. Drying off a patient, removing hair and increasing pressure can all improve success, but so can dual sequential defibrillation.
- Dual sequential defibrillation is the use of 2 simultaneous defibrillators to increases the amount of electricity reaching the heart.
- One set of pads from each defibrillator are placed in the AP lateral position and the other set of pads are placed in the AP posterior position.
- This is generally considered a safe technique to increase the electricity to the heart and the chances of success of defibrillation.
Link to Podcast: http://medicalminute.madewithopinion.com/defibrillation/