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Uptodate Reference Title
Manual defibrillation performance bundle
Manual defibrillation performance bundle
Attach and charge the defibrillator while continuing excellent chest compressions.
Stop compressions and assess rhythm (should take no more than 5 seconds).
If VF or VT is present, deliver shock; if non-shockable rhythm is present, resume excellent CPR (and clear the charged defibrillator*).
Resume excellent chest compressions and CPR immediately after the shock is delivered.
Critical point: Interruptions in chest compressions must be kept to a minimum: Do NOT stop compressions while defibrillator is being charged.
*The defibrillator is charged during CPR in anticipation of treating a shockable arrhythmia and to minimize interruptions in CPR. If a non-shockable arrhythmia is present, the charged defibrillator should be discharged into the machine, rather than the defibrillation pads, according to the manufacturer's instructions.
