The amount of energy needed to successfully defibrillate, or cardiovert, someone used to confuse a lot of ACLS students. AEDs and biphasic technology has made this easier.
AED use for cardiac arrest.
Biphasic energy needed to defibrillate someone in V-Fib or pulseless V-Tach.
Monophasic defibrillators require more energy to successfully convert a fibrillating heart.
The energy settings to deliver a sychronized shock for cardioversion of perfusing rhythms is less when using a biphasic vs monophasic defibrillator. Be sure to engage the synch button and remember that it can take several seconds for the machine to discharge when cardioverting.
More energy is needed to convert wide complex rhythm such as V-Tach than a narrow-complex SVT.
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Good luck with your ACLS class!
03/04/22 • 4 min
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