Patient-dependent current dosing for semi-automatic external defibrillators (AED).
The improvements in semiconductors and modern circuitry allow new waveforms to be created for treating life-threatening heart fibrillation. A comparison of common waveforms shows that there is no definite optimal waveform. Especially in the case of early defibrillation by novices, the question of dosage should be re-discussed. While a physician may be able to dose the intensity of the therapeutic electric shock, one can't expect that from someone having no medical training. Common AEDs have predefined energy levels, that are delivered to a patient regardless of the patient's size and weight, etc. Current-based defibrillation provides a therapy matched to patient parameters, keeping the myocard stress as low as possible so that the heart has better chances of resuming a normal rhythm.
Schönegg
M
M
FZI Forschungszentrum Informatik Karlsruhe, Germany. schoenegg@fzi.de
Schöchlin
J
J
Bolz
A
A
D002307:Cardiography, Impedance; D004553:Electric Conductivity; D004554:Electric Countershock / Q000295:instrumentation* / Q000592:standards; D004869:Equipment Safety; D006801:Humans; D013813:Therapy, Computer-Assisted / Q000295:instrumentation*; D014693:Ventricular Fibrillation / Q000628:therapy*