Version June 2024
| 1. Assess patient: |
| • Perform cardioversion immediately in hemodynamically unstable patients and those with altered mental status (lethargic, agitated). |
| • Administer supplemental oxygen and intravenous sedation and analgesia to stable patients undergoing cardioversion. |
| 2. Turn the machine on. |
| 3. Attach ECG leads to stable patients. |
| 4. Select the lead that displays the tallest R wave. |
| 5. Set machine to synchronous mode. |
| 6. Apply electrode conduction paste or gel to the paddles or open the electrode pads. |
| 7. 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*. |
| 8. Select an initial energy dose of 0.5 to 1 Joules/kg. |
| 9. 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. |
| 10. Ensure all personnel are clear from the patient and the patient's stretcher by loudly stating "All Clear!" prior to shock delivery. |
| 11. 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. |
| 12. Assess clinical and electrical response to shock delivery. |
| 13. Proceed according to pediatric advanced life support guidelines. |
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟
