Part 6: electrical therapies: automated external defibrillators, defibrillation, cardioversion, and pacing: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.
The recommendations for electrical therapies described in this section are designed to improve survival from SCA and life-threatening arrhythmias. Whenever defibrillation is attempted, rescuers must coordinate high-quality CPR with defibrillation to minimize interruptions in chest compressions and to ensure immediate resumption of chest compressions after shock delivery. The high first-shock efficacy of newer biphasic defibrillators led to the recommendation of single shocks plus immediate CPR instead of 3-shock sequences that were recommended prior to 2005 to treat VF. Further data are needed to refine recommendations for energy levels for defibrillation and cardioversion using biphasic waveforms.
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Mark S
MS
Atkins
Dianne L
DL
Passman
Rod S
RS
Halperin
Henry R
HR
Samson
Ricardo A
RA
White
Roger D
RD
Cudnik
Michael T
MT
Berg
Marc D
MD
Kudenchuk
Peter J
PJ
Kerber
Richard E
RE
D000572:American Heart Association; D002304:Cardiac Pacing, Artificial / Q000379:methods* / Q000592:standards; D002309:Cardiology / Q000379:methods / Q000592:standards; D016887:Cardiopulmonary Resuscitation / Q000379:methods* / Q000592:standards; D047548:Defibrillators / Q000592:standards; D004554:Electric Countershock / Q000379:methods* / Q000592:standards; D004632:Emergency Medical Services / Q000379:methods / Q000592:standards; D006323:Heart Arrest / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D017410:Practice Guidelines as Topic / Q000592:standards; D013997:Time Factors; D014481:United States