Direct current reversion
Clinical Procedure
 
Aliases:
DCR
Cardioversion
External cardioversion
Defibrillation
External defibrillation

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Atrial fibrillation

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Atrial flutter

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Supraventricular tachycardia

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Ventricular fibrillation

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Ventricular tachycardia (unstable)

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Ensure there is no oxygen flowing over the defibrillation pads at the time of discharge to minimise the risk of fire.

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Take note of any pacemakers and their position and place pads appropriately to minimise risk of damage to the pacemaker.

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The operator of the defibrillator will need to communicate clearly to instruct staff around the patient to step away from the bed, and warn immediately prior to cardioversion with instructions to "stand clear" while confirming no staff are contacting the patient or bed.

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Atrial fibrillation will usually revert with 50J biphasic if pads are placed in the anterior posterior orientation.

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