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    Penggunaan DC Shock Dan AED: Edward Kusuma, DR., M.Kes., SP - An., KIC

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    NdalemSanguDunia-Akhirat
    This document discusses the use of DC shock and automated external defibrillators (AEDs) for treating dangerous arrhythmias. It describes the electrical activity and pathways in the heart, conditions that require shock therapy, and the history and proper technique for delivering DC shocks using monophasic or biphasic waveforms. It also outlines the steps for using an AED, which are now widely available in public places. DC shock or AED use can effectively convert ventricular fibrillation or pulseless ventricular tachycardia back to a normal heart rhythm.

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    Penggunaan DC Shock Dan AED: Edward Kusuma, DR., M.Kes., SP - An., KIC

    Uploaded by

    NdalemSanguDunia-Akhirat
    206 views21 pages
    This document discusses the use of DC shock and automated external defibrillators (AEDs) for treating dangerous arrhythmias. It describes the electrical activity and pathways in the heart, conditions that require shock therapy, and the history and proper technique for delivering DC shocks using monophasic or biphasic waveforms. It also outlines the steps for using an AED, which are now widely available in public places. DC shock or AED use can effectively convert ventricular fibrillation or pulseless ventricular tachycardia back to a normal heart rhythm.

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    Penanganan shock

    Original Title

    Dc shock

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    This document discusses the use of DC shock and automated external defibrillators (AEDs) for treating dangerous arrhythmias. It describes the electrical activity and pathways in the heart, conditions that require shock therapy, and the history and proper technique for delivering DC shocks using monophasic or biphasic waveforms. It also outlines the steps for using an AED, which are now widely available in public places. DC shock or AED use can effectively convert ventricular fibrillation or pulseless ventricular tachycardia back to a normal heart rhythm.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    206 views21 pages

    Penggunaan DC Shock Dan AED: Edward Kusuma, DR., M.Kes., SP - An., KIC

    Uploaded by

    NdalemSanguDunia-Akhirat
    This document discusses the use of DC shock and automated external defibrillators (AEDs) for treating dangerous arrhythmias. It describes the electrical activity and pathways in the heart, conditions that require shock therapy, and the history and proper technique for delivering DC shocks using monophasic or biphasic waveforms. It also outlines the steps for using an AED, which are now widely available in public places. DC shock or AED use can effectively convert ventricular fibrillation or pulseless ventricular tachycardia back to a normal heart rhythm.

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    © All Rights Reserved
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    Penggunaan

    DC Shock dan AED


    Edward Kusuma, dr., M.Kes., Sp.An., KIC

    Anesthesiology and Intensive Therapy Department


    Medical Faculty Airlangga University - Dr Soetomo District Hospital
    Surabaya
    • Mechanical
    Heart
    Activity
    • Electrical
    Mechanical Activity
    Heart as a pump
    Blood Flow
    inside the heart
    Electrical Activity
    Electrical pathway

    SA Node

    Internodal pathway

    AV Node

    AV Bundle

    Left and right bundle branch

    Purkinje fiber
    Electrical activity recorded as ECG
    Normal ECG
    Dangerous arryhtmia
    shockable rhytim

    Pulseless
    History of DC Shock
    • First Defibrillator - AC
    1899 current
    Frederic
    Jean-Louis Prevost
    Bateli

    1959
    • Moving to DC current -
    monophasic waveform
    Bernard Lown

    1980 • DC Shock - Biphasic


    waveform
    DC Shock
    Monophasic Biphasic
    Highest energy level 360 Joules Highest energy level 200 Joules

    Decrease energy level,


    decrease risk of burns and
    myocardial damage
    How to perform DC Shock ?
    • Right Indication: pulseless VT dan VF
    • Apply gel to surface paddle
    • Select energy level (Monophasic 360 J or
    Biphasic 200 J )
    • Right placement and pressure to bare chest
    • Charging
    • “Attention !! DC shock !! I’m clear !! You’re
    clear !! Everybody clear !! SHOCK !!”
    • Discharge energy
    Correct paddle placement

    1 1

    2
    2

    1.Right parasternal
    2.Apex of the heart
    AED
    (Automated External Defibrillator)

    Now available in “almost” every airport in Indonesia


    The steps to use an AED are as follows:

    1. Open up / turn on the AED


    2. Place pads on patients bare dry chest
    3. Plug in the pads if applicable (some pads are already attached to the AED)
    4. Press analyze button (some analyze automatically)
    5. Have all people stand away from the patient
    6. Shock patient if prompted by the AED
    7. Check breathing and pulse when prompted by the AED
    8. If no breathing and no pulse perform CPR between AED analyze cycles
    9. Follow all prompts given by the AED
    AED Simulation
    VF converting to sinus rhytim
    after DC shock
    any question please

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