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When to Give Shock?

Published in Cardiac Emergencies 2 mins read

An electric shock, also known as defibrillation, should be given when the heart is beating abnormally and too fast to effectively pump blood to the rest of the body, potentially leading to cardiac arrest.

Understanding the Need for Defibrillation

The heart normally beats in a regular rhythm, pumping blood throughout the body. However, sometimes the electrical signals that control the heart's rhythm become erratic. This can cause the heart to beat very fast (tachycardia) and ineffectively. When this happens, not enough blood is pumped, and the body's organs don't get enough oxygen. This situation can be life-threatening.

When Defibrillation is Necessary

According to the reference, defibrillation is needed specifically when:

  • The heart is beating abnormally fast: This fast and abnormal rhythm often results in very little blood being pumped out of the heart.
  • This abnormal rhythm could lead to cardiac arrest: Cardiac arrest is when the heart stops beating entirely, resulting in the body being deprived of oxygen and blood flow.

An Automated External Defibrillator (AED) is designed to deliver an electric shock to the heart to try and return it to its normal rhythm.

The Role of an AED

An AED analyzes the heart rhythm and, if necessary, delivers an electrical shock to help the heart restore a regular beat. This is why prompt use of an AED in cases of sudden cardiac arrest is so critical.

Examples of Conditions Requiring Defibrillation

While the reference focuses on when the heart is beating too fast, there are conditions that might require defibrillation:

  • Ventricular fibrillation (VF): This is a chaotic electrical activity in the ventricles (lower chambers of the heart), which prevents them from pumping blood effectively.
  • Pulseless ventricular tachycardia (VT): This is a dangerously fast heart rhythm originating in the ventricles.

Practical Insights

  • Time is of the essence: In cases of cardiac arrest, every second counts.
  • Follow AED instructions: Use the AED as instructed, it will guide you through the process.
  • CPR is often needed: CPR should also be performed before defibrillation as well as after if the shock does not restore a rhythm.
Situation Action
Heart beating abnormally and too fast Defibrillation with an AED is often necessary
Possible Cardiac Arrest Use an AED to administer a shock as directed
No signs of life Perform CPR in conjunction with AED use