m. Repeat the defibrillation sequence, if needed. Repeat the sequence of
analyzing, shocking, and five cycles of CPR until on of the following occurs:
(1)
Six shocks have been delivered.
(2)
A "no shock advised" is issued by the AED
(3)
The patient has a return of adequate spontaneous pulse.
n. Prepare the patient for immediate transport if.
(1)
The patient has return of adequate pulse.
(2)
Six sets of shocks have been delivered.
(3)
The AED advises "no shock advised" and the patient is still pulseless.
8-3.
CARING FOR A PATIENT AFTER THE AED DELIVERS ITS SHOCK
a. If the patient has regained a pulse:
(1) Assess for adequate breathing and treat appropriately with assisted
ventilations with supplemental oxygen or with just supplemental oxygen.
(2)
Prepare the patient for transport.
(3) Monitor the patients pulse every 30 seconds in case the patient returns
to a pulseless state and CPR is needed.
b. If the patient does not have a pulse and the AED indicates that no shock is
advised:
(1) Continue CPR at 30:2 for five cycles (about two minutes) and then
reassess the pulse.
(2)
Prepare the patient for transport.
c. If the patient does not have a pulse and the AED indicates that a shock is
advised.
(1)
Clear the patient.
(2)
Press the push to shock button to deliver the shock.
(3)
Resume CPR at 30:2 for five cycles and then reassess the pulse.
MD0532
8-6
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