Quote from tinderbox
Can someone please tell me the differences between
defib, transcutaneous pacing (ie., in a code situation), and cardioversion. I'm referring to all during a code situation.
defibrillation is a strong, immediately delivered current of energy delivered to the chest during a "code" situation (pulseless VT/VF) in order to restore "normal" electrical activity -AND A PULSE.
Transcutaneous pacing is used in cases where the patient's HR is too low to maintain perfusion..this is to include patients in higher level blocks...second degree type I/II and third degree blocks.
Cardioversion is used in patients WITH A PULSE. The difference between defibrillation and cardioversion is the delivery of the energy. In cardioversion, you are delivering the energy to a SPECIFIC AREA of the hearts depolarization/ repolarization cycle, a specific "part" of the rhythm you see on the EKG screen. They're in a rhythm that is at least PARTIALLY perfusing..whatever it may be...atrial fib, a-flutter, VT with a pulse, et cetera. By delivering the energy in this way, it is a more "controlled" way of getting a person back to a more perfusing rhythm, NSR, sinus tach. Defibrillating these people will more than likely bring about the kind of rhythm you don't want, like VF and VT...without a pulse. Then you'll be earning your money, I guarantee it.
Hot in Texas
I'm sure others will post great reference websites. Do a search to find some and you'll come across dozens, I'm sure!!