How do you do synchronized cardioversion?

To perform synchronized cardioversion, the defibrillator is placed into the “synchronize” mode by pressing the appropriate button on the machine. This causes the monitor to track the R wave of each QRS complex that goes by.

How do you do cardioversion on ACLS?

The ACLS Tachycardia Algorithm is used for patients who have marked tachycardia, usually greater than 150 beats per minute, and a palpable pulse….

Cardioversion Rules
QRS narrow and irregular	120-200 Joules
QRS wide and regular	100 Joules
QRS wide and irregular	Turn off the synchronized mode and defibrillate immediately

When should you not use synchronized cardioversion?

Defibrillation or unsynchronized cardioversion is indicated in any patient with pulseless VT/VF or unstable polymorphic VT where synchronized cardioversion is not possible. These are fatal arrhythmias that require prompt recognition and early correction by administration of electrical shock.

Why must cardioversion be synchronized?

The reason a shock must be synchronized is that the cardiac cycle has both a vulnerable and a refractory period. The refractory period occurs during the QRS complex (see the image below).

Is Zoll defibrillator biphasic?

Different defibrillators use different types of waveforms to deliver a shock. ZOLL AEDs use the low-energy, high-current ZOLL® Rectilinear Biphasic™ waveform (RBW), a waveform that provides more current than any biphasic waveform used in other defibrillators on the market today.

How many joules do you shock V-fib?

360 Joules
Apply defibrillator pads (or paddles) and shock the patient with 120-200 Joules on a biphasic defibrillator or 360 Joules using a monophasic.

What is the ACLS protocol?

Advanced cardiac life support (ACLS) is a group of procedures and techniques that treat immediately life-threatening conditions, including cardiac arrest, shock, stroke, and trauma. ACLS procedures and techniques are arranged into algorithms.

When should synchronized cardioversion be used?

Synchronized cardioversion is used to treat other arrhythmias, including atrial fibrillation (AF), atrial flutter, and stable ventricular tachycardia when medications have failed to convert the rhythm, or when the patient is becoming unstable and the rhythm must be immediately terminated.

https://www.youtube.com/watch?v=wCcvfq6gRCU