Dual Sequential Defibrillation

we are able to do it here. unsure of the specifics as to which conditions warrant it, but i have done it once with our advanced medic, and have heard of multiple other times its been used.
 
jpmedic21 said:
we are able to do it here. unsure of the specifics as to which conditions warrant it, but i have done it once with our advanced medic, and have heard of multiple other times its been used.
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I've noticed that our 80's don't do it but our APPs do.
 
Kind of a cool concept. You figure these people are dead anyways, so the only risk is that you might save one or two a year by trying it. I believe i've seen it done once, and I don't believe it worked that time.
 
jjesusfreak01 said:
Kind of a cool concept. You figure these people are dead anyways, so the only risk is that you might save one or two a year by trying it. I believe i've seen it done once, and I don't believe it worked that time.
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Are you serious? Really, the only arrest rhythm that has any measurable success in survival to discharge is VF. If sequenced shocks can convert refractory VF, it's more than just a "cool concept". It's actually a valid, workable solution to a problem that has prevented a successful resuscitation in these type of codes.

I hate the, "they're dead anyway, you can't make them any worse" mentality.
 
n7lxi said:
Are you serious? Really, the only arrest rhythm that has any measurable success in survival to discharge is VF. If sequenced shocks can convert refractory VF, it's more than just a "cool concept". It's actually a valid, workable solution to a problem that has prevented a successful resuscitation in these type of codes.

I hate the, "they're dead anyway, you can't make them any worse" mentality.
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Well, you have to admit - it makes a good fallback line if the treatment doesn't work.

As for pad placement - I've only read of 1 pair fore/aft, and one top/bottom.

Oh, and I changed the title. Because it confused me at first.
 
n7lxi said:
Are you serious? Really, the only arrest rhythm that has any measurable success in survival to discharge is VF. If sequenced shocks can convert refractory VF, it's more than just a "cool concept". It's actually a valid, workable solution to a problem that has prevented a successful resuscitation in these type of codes.

I hate the, "they're dead anyway, you can't make them any worse" mentality.
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Hey hey, i'm not trying to stir up trouble here. I understand what you're saying, i'm just pointing out that refractory v-fib is a superhard rhythm to break, and it is very unlikely that these patients are going to survive. If it makes you feel any better, I think of all arrests as dead people who are probably going to stay that way, but i'm trying to get them back regardless. I love working arrests, so don't think that my opinion in this regard at all effects my efforts.
 
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