Penggunaan

DC Shock dan AED

Edward Kusuma, dr., M.Kes., Sp.An., KIC

Anesthesiology and Intensive Therapy Department

Medical Faculty Airlangga University - Dr Soetomo District Hospital
Surabaya
 • Mechanical
Heart
Activity
• Electrical
Mechanical Activity
Heart as a pump
 Blood Flow
inside the heart
Electrical Activity
 Electrical pathway

SA Node

Internodal pathway

AV Node

AV Bundle

Left and right bundle branch

Purkinje fiber
Electrical activity recorded as ECG
Normal ECG
Dangerous arryhtmia
shockable rhytim

Pulseless
 History of DC Shock
• First Defibrillator - AC
1899 current
Frederic
Jean-Louis Prevost
Bateli

1959
• Moving to DC current -
monophasic waveform
Bernard Lown

1980 • DC Shock - Biphasic

waveform
 DC Shock
Monophasic Biphasic
Highest energy level 360 Joules Highest energy level 200 Joules

Decrease energy level,

decrease risk of burns and
myocardial damage
How to perform DC Shock ?
• Right Indication: pulseless VT dan VF
• Apply gel to surface paddle
• Select energy level (Monophasic 360 J or
Biphasic 200 J )
• Right placement and pressure to bare chest
• Charging
• “Attention !! DC shock !! I’m clear !! You’re
clear !! Everybody clear !! SHOCK !!”
• Discharge energy
 Correct paddle placement

1 1

2
2

1.Right parasternal
2.Apex of the heart
 AED
(Automated External Defibrillator)

Now available in “almost” every airport in Indonesia

The steps to use an AED are as follows:

1. Open up / turn on the AED

2. Place pads on patients bare dry chest
3. Plug in the pads if applicable (some pads are already attached to the AED)
4. Press analyze button (some analyze automatically)
5. Have all people stand away from the patient
6. Shock patient if prompted by the AED
7. Check breathing and pulse when prompted by the AED
8. If no breathing and no pulse perform CPR between AED analyze cycles
9. Follow all prompts given by the AED
AED Simulation
VF converting to sinus rhytim
after DC shock
any question please