How Good is Your Defibrillation Technique?

Lown B. , Amarasingham R. , Neuman J. New method for terminating cardiac arrhythmias: use of synchronised capacitor discharge. JAMA 1962; 182: 548–55

Lown B. Electrical reversion of cardiac arrhythmias. Br Heart J 1967; 29: 469–89

International Resuscitation Council. Guidelines. Resuscitation 2000; 46: 109–13

Gwinnutt C.L. , Columb M. , Harris R. Outcome after cardiac arrest in adults in UK hospitals: effect of the 1997 guidelines. Resuscitation 2000; 47: 125–35

Spearpoint K.G. , McLean C.P. , Zideman D.A. Early defibrillation and the chain of survival in ‘in-hospital’ adult cardiac arrest; minutes count. Resuscitation 2000; 44: 165–9

Jaffa A. , Landau W.M. , Wetzel R.D. Automated external defibrillators. N Engl J Med 2001; 344: 771–3

Zafari A.M. , Zarter S.K. , Heggen V. . A program encouraging early defibrillation results in improved in-hospital resuscitation efficacy. J Am Coll Cardiol 2004; 44: 846–52

Mattei L.C. , McKay U. , Lepper M.W. , Soar J. Do nurses and physiotherapists require training to use an automated external defibrillator? Resuscitation 2002; 53: 277–80

Kerber R.E. , Martins J.B. , Kelly K.J. . Self-adhesive preapplied electrode pads for defibrillation and cardioversion. J Am Coll Cardiol 1984; 3: 815–20

Deakin C. , McLaren R. , Petley G. , Clewlow F. , Dalrymple-Hay M. A comparison of transthoracic impedance using standard defibrillation paddles and self-adhesive defibrillation pads. Resuscitation 2001; 39: 43–6

Walcott G. , Melnick S. , Chapman F. , Jones J. , Smith W. , Ideker R. Relative efficacy of monophasic and biphasic waveforms for transthoracic defibrillation after short and long durations of ventricular fibrillation. Circulation 1998; 98: 2210–15

Torok R. , Till J. Biphasic or monophasic defibrillation for adult ventricular fibrillation. Emerg Med J 2003; 20: 464–5

Lermann B. , Deale O. Relation between transcardiac and transthoracic current during defibrillation. Circ Res 1990; 67: 1420–6

Goktekin O. , Melek M. , Gorenek B. . Cardiac troponin T and cardiac enzymes after external transthoracic cardioversion of ventricular arrhythmias in patients with coronary artery disease. Chest 2002; 122: 2050–4

Walcott G.P. , Killingsworth C.R. , Ideker R.E. Do clinically relevant transthoracic defibrillation energies cause myocardial damage and dysfunction? Resuscitation 2003; 59: 59–70

Kerber R. , Kouba C. , Martins J. . Advance prediction of transthoracic impedance in human defibrillation and cardioversion: importance of impedance in determining success of low energy shocks. Circulation 1984; 70: 303–8

Ewy G. Electrical therapy for cardiovascular emergencies. Circulation 1986; 74: 111–16

Dalzell G. , Cunningham S. , Anderson J. , Asgey A. Electrode pad size, transthoracic impedance and success of external ventricular defibrillation. Am J Cardiol 1989; 64: 741–4

Dalzell G. , Adgey A. Determinants of successful transthoracic defibrillation and outcome in ventricular fibrillation. Br Heart J 1991; 65: 311–16

Caterine M.R. , Yoerger D.M. , Spencer K.T. Effect of electrode position and gel-application technique on predicted transcardiac current during transthoracic defibrillation. Ann Emerg Med 1997; 29: 588–95

Kerber R.E. , Grayzel J. , Hoyt R. Transthoracic resistance in human defibrillation: influence of body weight, chest size, serial shocks, paddle size and paddle contact pressure. Circulation 1981; 63: 676–82

Heames R. , Sado D. , Deakin C. Do doctors position defibrillation pads correctly? BMJ 2001; 322: 1393–4

Nurmi J. , Rosenberg P. , Castren M. Adherence to guidelines when positioning the defibrillation electrodes. Resuscitation 2004; 61: 143–7

Deakin C.D. , Sado D. , Petley G.W. , Clewlow F. Is the orientation of the apical defibrillation paddle of importance during manual external defibrillation? Resuscitation 2003; 56: 15–18

Deakin C. , Petley G. , Cardan E. , Clewlow F. Does paddle force applied during defibrillation meet advanced life support guidelines of the European Resuscitation Council? Resuscitation 2001; 48: 301–3

Sirna S. , Ferguson D. , Charbonnier F. , Kerber R. Factors affecting transthoracic impedance during electrical cardioversion. Am J Cardiol 1988; 62: 1048–52

Guidelines for advanced life support. Resuscitation 1992; 24: 111–21

Sado D. , Deakin C.D. , Petley G.W. , Clewlow F. Are European Resuscitation Council recommendations for paddle force achievable during defibrillation? Resuscitation 2001; 51: 287–90

Deakin C.D. , Sado D. , Petley G.W. , Clewlow F. Determining the optimal paddle force for external defibrillation. Am J Cardiol 2002; 90: 812–13

Deakin C.D. , Sado D. , Petley G.W. , Clewlow F. Differential contribution of skin impedance and thoracic volume to transthoracic impedance during external defibrillation. Resuscitation 2004; 60: 171–4

Persse D. , Dzwonczyk R. , Brown C. Effect of application of force to self-adhesive defibrillator pads on transthoracic electrical impedance and countershock success. Ann Emerg Med 1999; 34: 129–33

Bissing J. , Kerber R. Effect of shaving the chest of hirsute subjects on transthoracic impedance to self-adhesive defibrillation electrode pads. Am J Cardiol 2000; 86: 587–9

Sado D. , Deakin C.D. , Petley G.W. , Clewlow F. Comparison of the effects of removal of chest hair with not doing so before external defibrillation on transthoracic impedance. Am J Cardiol 2004; 93: 98–100