071913 | Asystole


When do you use a defibrillator?



A defibrillator is primarily used for two conditions, Ventricular Fibrillation (V-Fib) and Ventricular Tachycardia (V-Tach). V-Fib is when the heart basically twitches and V-Tach is when it beats too fast to actually move blood. A defibrillator will NOT work if there is no electrical rhythm. If the heart is not beating and has no electrical activity at all (Asystole) then contrary to what happens in the movies, using a defibrillator would be pointless. In this situation, the only thing that can possibly “bring the patient back” is full life-support and cardiac drugs.SOURCE: http://wiki.answers.com/Q/When_do_you_use_a_defibrillator

I was assigned in the ICU last night, PM shift. We had one patient admitted at exactly 11am in the E.R yesterday and was transferred to the ICU at 12noon. A code blue responded at exactly 3:00pm when the patient’s in cardiac arrest. Unfortunately, the patient died at 3:53pm with the final diagnosis of Cardiogenic Shock.


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