Manual Defibrillation: Vital Techniques and Considerations

Introduction

Understanding the Role and Limitations of Manual Defibrillation

• Qualified Use: Only for Competent Responders
• Life-Threatening Arrhythmias: When to Administer a Shock
• Biphasic Shock: Depolarizing the Heart for Natural Restart

Manual defibrillation is a critical skill that requires competence in recognizing specific life-threatening arrhythmias.

Manual Defibrillation Process

Steps for Effective Manual Defibrillation

• Continuous CPR: Coordinated Efforts with Chest Compressions
• Pads Placement: Ensuring Proper Contact
• Rhythm Assessment: Identifying VF and Pulseless VT
• Joule Selection: Choosing the Appropriate Energy Level

Manual defibrillation involves a systematic process, starting with assessing the patient's heart rhythm and selecting the correct energy level.

Setting the Joules and Shock Delivery

Configuring the Defibrillator for Safe and Effective Shocks

• Joule Range: Typically 150 to 360 Joules for Adults
• Energy Select: Choosing the Initial Joules
• Charging: Preparing for the Shock
• Shock Administration: Ensuring Safety and Effectiveness

Proper configuration and safe shock delivery are essential components of manual defibrillation.

Post-Shock Protocol

Immediate Actions Following a Manual Defibrillation

• Chest Compressions: Resuming Compressions to Support Circulation
• Continuous Monitoring: Observing for Signs of Life or Perfusion

After administering a shock, prompt resumption of chest compressions is crucial to maintain circulation and support the patient.