Hello all, so pretty simple question, or at least I hope it is. It seems every bls and acls instructor has a different set of opinions that typically end with ambiguity once investigated... does defibrillation start the heart back to a normal rhythm?
It it is my understanding that defibrillation is obviously key, however the action it contributes is often unclear. I believe that a jolt of high voltage will literally stop the hearts ventricles from fibrillation and essentially put the heart in asystole aka flatline, and that it is compressions that 'restart' the hearts normal rhythm. So basically in my limited education I learned defibs stop the bad activity and kill the heart super duper dead and compressions get it firing proper aka defibrillation is 'reset' akin to pulling the plug on a computer and compressions is 'restart' like hitting the power button to resume functionality.
Im aware there are other rhythms that require pacemaking and I'm NOT talking about that. In terms of vtac or vfib full arrest, does a pt ever Frankenstein post defibrillation? My current understanding is that defibrillation without compressions is essentially killing your pt immediately.
educate me. And thanks in advance
You all are fantastic. Thank you so much for the replies, I've spent hours googling this over the last few years and have taken numerous bls acls and basic ekg/anat/phis courses and have never found such clarity! Thank you thank you thank you!!!! I wish aha instructors especially at the bls level would have this basic information. I'm super excited to have read this and now I know better where to research and study as I continue to learn.
Last edit by cpr,sucka on Jan 7