1. Perform defibrillation in children with ventricular fibrillation or ventricular tachycardia prior to establishing intravenous access or securing a definitive airway. |
2. Apply electrode conduction paste or gel to the paddles or open the electrode pads. |
3. Turn the machine on. |
4. If using paddles, select "quick look" to assess rhythm. |
5. Apply paddles or pad to appropriate positions on chest (anterior pad or paddle to right of sternum just under the clavicle, apex pad or paddle in the midaxillary line at the level of the nipple). Paddles must be applied firmly*. |
6. If ventricular fibrillation or ventricular tachycardia without a pulse is seen on the monitor, select an initial energy dose of 2 Joules/kg. |
7. Charge unit by simultaneously pressing the charge button on the paddles or by pressing the charge button on the machine if electrode pads are being used. |
8. Ensure all personnel are clear from the patient and the patient's stretcher by loudly stating "All Clear!" prior to shock delivery. |
9. Deliver current by either depressing discharge buttons simultaneously on the paddles or by pressing the discharge button on the machines if electrode pads are being used. |
10. Assess clinical and electrical response to shock delivery. |
11. Initiate or resume basic cardiopulmonary resuscitation if shock unsuccessful and proceed according to pediatric advanced life support guidelines. |
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟