Ventricular Fibrillation
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Uploaded by HeartStartSkills on Apr 19, 2009
Coarse Ventricular Fibrillation.
The ventricles are no longer contracting but only fibrillation or quivering. There is no blood flow due to no ventricular contraction. If CPR and ACLS protocols are not initiated, coarse VF will progress to fine VF, then to Asystole.
Follow AHA ACLS 2011 Guidelines. High quality CPR with immediate Defibrillatory shock is recommended.
Biphasic Defibrillators: 120 - 200 Joules or recommended. Monophasic Defibrillators: 200 J (followed by 2 mins. of compressions) then 300 J (2 mins. CPR), then 360 J (followed by 2 mins. CPR). Other secondary interventions can be started if IV/IO access has been established.
Medications that can be given with Pulseless VT:
- Epinephrine 1mg IVP/IO (1:10,000) every 3-5 mins.
- Vasopressin 40 International Units 1x, instead of the 1st or 2nd Epi dose
- Amiodarone 300mg IVP/IO for the 1st dose; 150mg IVP/IO for the 2nd dose
- Lidocaine 1-1.5mg/kg IVP/IO 1st dose; 0.5-0.75mg/kg 2nd dose
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Top Comments
All Comments (54)
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rate 300
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this patinet need to be shocked! QUICKEY!
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The difference between Torades (de pointes) and VF:
Torsades de pointes shows a different, a bit regular ECG like shown in this video --> big 'tops' and small 'tops' are alternating.
v-fib is much more irregular, often with only small 'tops' on the ECG
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plz carefully
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If anyone can tell me how to differentiate between Torsades and coarse v-fib, it would be greatly appreciated
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vfib! cpr then dfib the patient immediately 200 joules....
im clear you are clear everybody clear! shock delivered...
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V-fib is a ryhthm in ventrices. resulting in no cardic output and leaving the brain dead.
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either way shock that bad boy!!
benn6434 2 years ago 13
@MelnDyl2010
V-fib isn't tachy OR brady since the ventricles aren't really contracting , they're just shaking, so the atrium doesn't push any blood to the ventricles and also the ventricles aren't contracting either. The monitor shown here doesn't have arrythmia analysis so each time that the monitor views an "R" wave look a like it doesn't have the technology to think otherwise so, it shows a heart rate. No blood is outputted to the rest of the body in ventricular fibrillation.
IAMSOCARDIO 9 months ago 4