ambulance

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Offline patneela

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ambulance

  • on: August 18, 2010, 03:42:07 AM
What are the odds of getting a shockable rythm based solely off of movement from the ambulance? I am wondering if there is credible data (some numbers) to the chances of getting a shock-able rhythm from the AED based off of ambulance moving. I am just wondering because I know the filters in the AED are sensitive and I would think would have to be very capable.
« Last Edit: December 31, 1969, 07:00:00 PM by Guest »

Offline LadyMedic

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Re: ambulance

  • on: August 18, 2010, 01:40:12 PM
Quote from: "patneela"
What are the odds of getting a shockable rythm based solely off of movement from the ambulance? I am wondering if there is credible data (some numbers) to the chances of getting a shock-able rhythm from the AED based off of ambulance moving. I am just wondering because I know the filters in the AED are sensitive and I would think would have to be very capable.
They were not using an AED. The monitor the paramedics have has a defibrillator, which means the paramedics will analyze the rhythm on their own and then determine whether or not to shock. In my experience of defibrillating in a moving vehicle, it is very easy to determine whether or not the patient is in a shockable rhythm. It is true that movement can cause artifact, but not enough for the medic to think it's V fib or V tach instead of asystole. Lifepak 12s generally have less artifact than the Zoll that I use, and even Zoll isn't that bad.
You'll get artifact moreso from the patient moving or poor lead placement than the movement of the ambulance. 12-leads require the patient to be quite still, and I personally try to get one before we start moving. But in a cardiac arrest, you will not be doing a 12 lead (unless you obtain a sustained ROSC and have time to do one). And a regular 3 lead doesn't get much artifact from ambulance movement.
« Last Edit: December 31, 1969, 07:00:00 PM by Guest »

Offline mjboogie

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Re: ambulance

  • on: January 08, 2011, 11:42:52 PM
hi i am new here i am a 1 year old :D  :)  ;)  :(  8-)  :?  :shock:  :o  :lol:  :x  :P  :oops:  :roll:  :twisted:  :evil:  :cry:  :!:  :?:  :idea:  :arrow:  :ugeek:  :geek:  :mrgreen:  :|
« Last Edit: December 31, 1969, 07:00:00 PM by Guest »

Offline ROFL

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Re: ambulance

  • on: January 09, 2011, 12:17:58 PM
Quote from: "mjboogie"
hi i am new here i am a 1 year old :D  :)  ;)  :(  8-)  :?  :shock:  :o  :lol:  :x  :P  :oops:  :roll:  :twisted:  :evil:  :cry:  :!:  :?:  :idea:  :arrow:  :ugeek:  :geek:  :mrgreen:  :|

 :?:

And how can you be new when you joined  -> Dec 2nd, '09, 19:15?

 :lol:  :? :?:
« Last Edit: December 31, 1969, 07:00:00 PM by Guest »
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