Defibrillator Operation

ICU · Emergency/Cardiology · 10–20 min

Safe delivery of unsynchronized shock for VF/pulseless VT.

Indications

  • VF / pulseless VT

Equipment

  • Defibrillator + pads or paddles
  • Conductive gel (paddles)
  • Airway kit

Positioning

  • As appropriate for the procedure and patient comfort.

Consent

  • Explain indication, benefits, alternatives
  • Explain risks & complications
  • Obtain written/verbal consent as per SOP
  • Document consent

Universal precautions

  • Hand hygiene
  • PPE — gloves, mask, eye protection
  • Aseptic technique
  • Sharps safety
  • Verify patient identity & site

Step-by-step (0/6)

Tap to complete

1. Confirm rhythm

VF or pulseless VT.

2. Turn on

3. Apply pads

4. Charge

5. Clear

6. Shock

Immediate complications

  • Skin burn
  • Operator shock (if not clear)
  • Myocardial injury

Delayed complications

  • Skin injury

Prevention

  • Correct pad placement
  • Clear before shock

Post-procedure observation

  • Vitals q15min × 1h then hourly

Monitoring

  • Site inspection
  • Symptom review

Documentation

  • Procedure note
  • Consent
  • Findings

Patient instructions

  • Report pain, bleeding, fever, worsening symptoms

Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.

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WardRound

Clinical Decisions in Seconds