AEDs Do Not Require Use Of Paddles To Shock
Various Forms and Uses of a Defibrillator
A defibrillator plays a very important role in the field of medicine. It is used to restore a normal heart rhythm through sending an electrical shock to the heart when heartbeat becomes dangerously fast due to ventricular fibrillation or ventricular tachycardia. Both conditions may be life-threatening, and could lead to cardiac arrest, and even cardiac death. Other conditions that require defibrillation are long QT syndrome, cardiomyopathy, and arrhythmogenic right ventricular dysplasia and survivors of sudden cardiac death.
Defibrillation is the best treatment for life-threatening cardiac arrhythmias ventricular fibrillation and pulseless ventricular tachycardia. It works by sending a therapeutic jolt of electrical energy to the affected heart through a device called a defibrillator. This treatment depolarizes a critical mass of the heart muscle, stops the arrhythmia, and reestablishes normal sinus rhythm. It restores normal heart rhythms before the affected heart suffers from sudden cardiac arrest.
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There are different forms and sizes of defibrillators. Those types you see in a hospital are called manual defibrillators or defibrillator paddles or, and they can only be operated by healthcare professionals. On the other hand, the AED can be used by lay people with only less training, which is handy for emergency purposes where no healthcare professional is around. ICDs or implantable cardio-verter defibrillators are implantable in the patient’s chest.
There are both internal and external manual defibrillators. The clinician diagnoses a cardiac condition through external units that work in conjunction with electrocardiogram readers. After the diagnosis, the clinician then decides on the charge in joules to deliver to the patient’s chest, and sends the shock through pads or paddles. Medical knowledge and experience is needed to perform this treatment, thus they are only generally found in hospitals and some ambulances.
Manual internal defibrillators are just about identical to the external version. The difference is that the charge is delivered through internal leads attached to the heart. The leads are used to detect when the heart is experiencing a rhythm that demands a shock, and to deliver the shock. Generally, you can find these units exclusively in operating rooms, where the chest is likely to be open, or can be quickly opened by a surgeon.
For emergency purposes, automated external defibrillators are available. These units rely on computer technology to analyze the heart rhythm and advise whether a shock is needed. AEDs can be used by lay persons, who call for little training. Generally, they are held by qualified personnel who will attend incidents or are PADs or public access defibrillators that can be found in airports, hotels, shopping centers, and corporate or government offices, among others.
Implantable cardio-verter defibrillators or ICDs are another type. They are implanted in the patient’s chest, and could function similarly to pacemaking. ICDs continuously observe and monitor the patient’s heart rhythm, and if necessary, also correct an irregular heart rhythm (arrhythmia) depending on the device’s programming. A pacemaker can also be used in conjunction with an ICD to treat complex arrhythmias.
Those are some of the various forms and uses of a defibrillator. Although they vary in shapes and sizes, all of them aim to convert an unhealthy cardiac rhythm into a more standard rhythm. It plays a significant role in saving lives of people, whether the unit is automated or manual, internal or external, or used by medical professionals or lay men.
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