电除颤操作流程 英文版

电除颤操作流程英文版
Defibrillation Procedure.
Definition:
Defibrillation is a medical procedure that involves delivering a high-energy electrical shock to the heart to restore its normal rhythm. It is typically used to treat ventricular fibrillation (VF) and ventricular tachycardia (VT), which are life-threatening arrhythmias that can lead to sudden cardiac arrest.
Indications:
Ventricular fibrillation (VF)。

Ventricular tachycardia (VT) with a pulse.
Contraindications:
Asystole (flatline)。

Electromechanical dissociation (EMD)。

Known terminal illness.
Materials:
Defibrillator.
Defibrillation pads.
Personal protective equipment (PPE), such as gloves and eye protection.
Oxygen and airway management equipment.
Procedure:
1. Safety Considerations: Ensure the safety of the patient, healthcare provider, and bystanders.
2. Initial Assessment: Check for responsiveness, breathing, and pulse.
3. Call for Help: Activate the emergency response system and obtain assistance.
4. Attach Defibrillation Pads: Place defibrillator pads on the patient's chest, one pad over the apex of the heart (lower left rib cage) and the other pad on the right side of the chest.
5. Charge the Defibrillator: Follow the defibrillator's instructions to charge it to the appropriate energy level.
6. Confirm Correct Placement: Verify that the defibrillation pads are placed correctly and that no one is touching the patient or the defibrillator.
7. Deliver the Shock: Press the shock button on the defibrillator.
8. Check Pulse: Check the patient's pulse immediately
after defibrillation.
9. Continue CPR: If there is no pulse, continue cardiopulmonary resuscitation (CPR).
10. Evaluate and Monitor: Continuously monitor the patient's vital signs and adjust the treatment plan as needed.
Follow-Up:
After defibrillation, the patient should be transported to a hospital for further evaluation and treatment.
中文回答：
除颤操作程序。

定义：
除颤是一种医疗程序，它通过对心脏传递高能量电击来恢复其正常节律。

它通常用于治疗室颤（VF）和室性心动过速（VT），它
们是可能导致心脏骤停的威胁生命的快速心律失常。

适应症：
室颤（VF）。

有脉搏室性心动过速（VT）。

禁忌症：
心跳停止（平线）。

机电分离（EMD）。

已知晚期疾病。

材料：
除颤仪。

除颤电极片。

个人防护装备（PPE），如手套和护目镜。

氧气和气道管理设备。

程序：
1. 安全注意事项，确保患者、医护人员和旁观者的安全。

2. 初步评估，检查反应能力、呼吸和脉搏。

3. 呼叫求救，启动应急反应系统并寻求帮助。

4. 连接除颤电极片，将除颤电极片放置在患者的胸部，一个电
极片放在心脏尖端（左下肋骨架）上，另一个电极片放在胸部的右侧。

5. 给除颤仪充电，按照除颤仪的说明将其充到适当的能量水平。

6. 确认正确放置，确认除颤电极片已正确放置，并且没有人触
碰患者或除颤仪。

7. 释放电击，按下除颤仪上的电击按钮。

8. 检查脉搏，除颤后立即检查患者的脉搏。

9. 继续心肺复苏，如果没有脉搏，继续进行心肺复苏术（CPR）。

10. 评估和监测，持续监测患者的生命体征，并根据需要调整治疗方案。

后续：
除颤后，应将患者送往医院进行进一步评估和治疗。