Based on Australian Resuscitation Guidelines 2006 found at
https://resus. Org. Au and UK Resuscitation Council Guidelines 2005 available at https://resus. Org. Uk
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3 'stacked' shock followed by a rhythm check
3 'stacked' shocks followed by 2minutes of CPR (chest compressions/ventilation)
1 shock followed by rhythm check
1 shock followed by 2 minutes of CPR (chest compressions/ventilation)
Pre cordial thump followed by 3 'stacked' shocks
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Place the heel of the hand over the centre of the chest
Place the heel of the hand 2 finger breaths above the xiphisternum
Place the heel of the hand over the xiphisternum
Place the heel of the hand 1 finger breath above the xiphisternum
Place the heel of the hand over the nipple line
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360J
260J
200J
150J
100J
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150J
200J
260J
300J
360J
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Defibrillate
Commence CPR
Administer Amiodarone
Administer Adrenaline
Change gain settings
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After every shock
Before every shock
Every 1-2 minutes
Every 3-5 minutes
After the second shock and with alternate shocks
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There is a pause for ventilation during CPR
Oxygen should be turned off during defibrillation
The ventilator or bag-valve device should be disconnected and moved 1m from the patient
Nasal cannulae or oxygen mask should be moved 1m away from the patient during defibrillation attempts
The use of self adhesive pads may minimise the risk of sparks compared to paddles
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A bolus of 300mg, followed by 150mg and an infusion of 15mg/kg over 24 hours
After the 3rd shock, during rhythm check prior to 4th shock
After Lignocaine 1mg/kg
Via the endotraceal tube if intravenous access is not available
Via the intraosseous route if intravenous access is not available
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