
Originally Posted by
wiretap_md
When you come across someone with no breathing and no pulse, your first reaction would be to initiate cardiopulmonary resusciation. The heart has stopped pumping so you need to "massage" it back to function. This is the purpose of your chest compression procedure. However, chest compression is futile without oxygen bein delieverd to the lungs for transport to the body and vice versa, thus necesitating the need for mouth to mouth blows.
Fibrillation means that there is an abnormal electrical spread of the current inside the heart, thus causing fine, uncoordinated and ineffective pumping. Doing "DE"-fibrillation means you introduce a sequence of strong electric jolts to the heart (measured in JOULES) with the hope that you "shock" the heart back to its proper cardiac rhythm and pace. 2 paddles are applied to the chest... one to the sternal area and the other to the apex. No one should be in contact with the patient except the operator holding the 2 paddles. In our institution back in UST, we would usually shout" ONE, I'm clear, TWO, you're clear, THREE everybody clear" then depress the 2 paddle triggers.