CARDIOVERSION vs. DEFIBRILLATION


What is Cardioversion?

Cardioversion is a form of electrical treatment
used to change the heart from atrial fibrillation
to a normal rhythm (sinus rhythm). It is usually
done in a synchronized manner (the R wave of the EKG rhythm).

What is defibrillation?


Defibrillation is a form of electrical shock treatment
used to change the heart from a life-threatening cardiac
rhythm to a normal one. It is usually done by a medically
trained person.
Learn more about: Chest pain  assessment and the EKG

What is the difference between Cardioversion and Defibrillation?


Cardioversion is not done as an emergency, whereas defibrillation
is usually done emergently. The level of electrical energy used is
decided by the doctor. ACLS protocols are usually followed.


The image above shows a Code blue in progress. This is 
happening in the Emergency Room. Always follow your
Institution's policies and procedures for Code Blue. 

What is the role of the nurse who is assigned to the Code Blue?

The nurse has an important role in effective communication.
There are many responsibilities.
- staying calm in a chaotic situation
- giving clear instructions to coworkers
- ensuring that MD orders are conveyed correctly
- proper documentation of vital signs and all treatments /
  interventions that take place ( defibrillation for example)
  - the nurse becomes the " binding force

Like the artist perfects painting skills, so does the
nurse perfect clinical skills!





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