a. Place the negative paddle to the right of the upper sternum and below the
b. Place the positive paddle below and to the left of the patient's left nipple.
c. The patient's skin will be burned.
d. Yell "Stand clear!" and make sure no one has direct or indirect contact with
the patient. (paras 3-12c(2)(a) through (e))
Epinephrine. (para 3-12h)
Bretylium tosylate. (para 3-12j)
Cardiovert. (paras 3-12k(1) through (4))
Defibrillation is used when there is electrical activity in the heart. In asystole,
there is no electrical activity in the heart; therefore, defibrillation is not used.
(para 3-12l(3) NOTE)
Electromechanical dissociation is organized electrical activity without myocardial
contraction. (para 3-12m)
Electromechanical dissociation is determined by correlating the cardiac rhythm to
the patient's pulse. (para 3-12m)
Cardioversion is the use of the defibrillator to end abnormal cardiac rhythms,
other than ventricular fibrillation. (para 3-14)
Turn off the synchronizer.
Charge to between 200 to 300 joules.
Begin defibrillation procedures. (paras 3-14h(1) through (3))
A = P wave
E = R wave
B = P-R
F = S wave
C = PR segment
G = QRS complex
D = Q wave
H = T wave
(paras 3-14b(1) through (5) and figure 3-9)
End of Lesson 3