⭕SVT Rate: 150bpm with no visible P waves (AHA 2016 Guidelines). Unstable patients needs immediate Synchronized Cardioversion. The machine synchronizes itself to your patients ventricular depolarization (QRS) but shock upon discharge on the relative refractory period during ventricular repolarization (downslope of the the T wave). This prevents an R-on-T Phenomenon (causes dysrhythmias). SVT, Atrial Flutter and PSVT responds better to Biphasics: 50-100 Joules for the first shock. If using Monoph
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💥 Synchronized vs. Unsynchronized Cardioversion 💥 🫀 Synchronized Cardioversion: When the heart’s rhythm is out of sync, we SHOCK it back into rhythm on a QRS complex! 🕒 Perfect for A-fib, A-flutter, SVT — your heart’s personal reset button! ⚡️🔄 ⚡️ Unsynchronized Cardioversion (aka Defibrillation): This is the all hands on deck moment! Used during V-fib or pulseless V-tach, no rhythm is safe! Shock delivered ANYTIME. We’re talking full-on emergency mode! 🚨💥 🩺 Pro tip: Don’t forget to chec
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Synchronized cardioversion is simply a well-timed defibrillation. While it typically starts at lower doses, synchronization can occur at any energy level. When we hit “sync,” the monitor identifies the patient’s R waves. When we hit the shock button, we hold it and the monitor will deliver a shock on the next R wave (in contrast to a defib that full sends as soon as we hit the button). Why? In order to miss the relative refractory period: the second half of the T wave where stimulation can cause
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