Treloars at 17:40, 1 February 2018

2018-02-01T17:40:03Z

← Older revision		Revision as of 17:40, 1 February 2018
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	* Repeat per Practice Parameters.		* Repeat per Practice Parameters.

	[[Category:Procedure Guidelines]]		[[Category:Procedure Guidelines\|0907]]

Treloars: /* Section 9 Procedure Guidelines */

2012-04-02T01:25:18Z

Section 9 Procedure Guidelines

← Older revision		Revision as of 01:25, 2 April 2012
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	* Observe for rhythm change and check the patient for a pulse, (If applicable).		* Observe for rhythm change and check the patient for a pulse, (If applicable).
	* Repeat per Practice Parameters.		* Repeat per Practice Parameters.

			[[Category:Procedure Guidelines]]

Treloars: Created page with "==Section 9 Procedure Guidelines== ===9.07 CARDIOVERSION=== '''INDICATIONS:''' * Supraventricular Tachycardia Practice Parameter 4.07 * [[Ve..."

2012-02-02T15:19:04Z

Created page with "==Section 9 Procedure Guidelines== ===9.07 CARDIOVERSION=== '''INDICATIONS:''' * Supraventricular Tachycardia Practice Parameter 4.07 * [[Ve..."

New page

==Section 9 Procedure Guidelines==
===9.07 CARDIOVERSION===

'''INDICATIONS:'''
* [[Supraventricular Tachycardia|Supraventricular Tachycardia Practice Parameter]] 4.07
* [[Ventricular Tachycardia with a Palpable Pulse|Ventricular Tachycardia With A Palpable Pulse Practice Parameter]] 4.09
* [[Wide Complex Tachycardia Uncertain Origin|Wide Complex Tachycardia - Uncertain Origin Practice Parameter]] 4.10
* If the patient presents with one or more unstable criteria, (significant discomfort of suspected cardiac origin, severe dyspnea, altered mental status, or hypotension with signs of decreased tissue perfusion), [[Defibrillation|DEFIBRILLATION]] may be administered at the same joule setting listed in the Practice Parameters to avoid delays associated with synchronization.
* [[Atrial Fibrillation Atrial Flutter|Symptomatic Atrial Fibrillation / Atrial Flutter with RVR]].
** Check the equipment - Turn on the monitor / defibrillator.
** Apply monitor per Procedure Guideline.
** Verify function of synchronizer button.
** QRS complex must be upright on monitor - inverted or low amplitude complexes may not trigger synchronizing circuit. Turn up machine gain until a small dot appears on the QRS complex. This indicates that the synchronizer circuit has been activated.
** Confirm the rhythm.

'''CARDIOVERSION PROCEDURE:'''
* Confirm the rhythm.
* Select synchronization and look for flagging of the QRS.
* Check paddle or fast patch pads position and conduction.
* Select appropriate energy level per Standing Order.
* Check to ensure all people, including yourself; are clear of the patient. Ensure EMS personnel are in a safe operating location.
* Apply 20 - 25 pounds of pressure to paddles, (If applicable).
* Discharge energy by pressing discharge buttons simultaneously and hold until energy is delivered. Machine will not deliver energy until the proper time.
* Observe for rhythm change and check the patient for a pulse, (If applicable).
* Repeat per Practice Parameters.

Cardioversion - Revision history

Treloars at 17:40, 1 February 2018

Treloars: /* Section 9 Procedure Guidelines */

Treloars: Created page with "==Section 9 Procedure Guidelines== ===9.07 CARDIOVERSION=== '''INDICATIONS:''' * Supraventricular Tachycardia Practice Parameter 4.07 * [[Ve..."