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Rhythms for Defibrillator Taining

VF

VT-HI

VT-LOW

T de P

AFIB

AFLTR

PSVT

S TACH
ANT
ST

NSR

ASYS

Ventricular Fibrilla on

Ventricular Tachycardia - fast.  Wide QRS. Rate: 185 bpm

Ventricular Tachycardia - slow. Wide QRS. Rate: 140 bmp

Ttorsades de Pointes.  Fluctua ng QRS axis.

Atrial Fibrilla on. P waves absent. Rapid, varying ventricular 
response.  Rate: 154 - 160 bpm

Atrial Flu er. 2:1 AV conduc on. Rate: 150 bpm

SVT alternates with NSR, then remains in SVT Rate: 213 bpm. 
PAC falls on T wave. Symmetric T wave inversion.

Sinus Tachycardia with anterior ST depression. 
Rate: 100 bpm.

Normal Sinus Rhythm. Rate: 72 bpm.

Asystole.

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VF

VT-HI

VT-LO

AFIB

AFLTR

PSVT

NSR

ASYS

SINUS

SINUS

3rd

2nd I

SINUS

S BRDY

S BRDY

2nd II

1st

2nd II

ON OFF

LOW
BATT

DEFIB
DSCHG

T de P

S TACH

ANT

ST   

convert

AMI

RBBB

PVC

LBBB

PACER
PULSE

capture

ANT S

ST   

LAT
ST  

INF

ST   

IMI

AMI

PVC

LBBB

ST Segment and T Wave Abnormali es

SINUS
AMI

SINUS
AMI
PVC

SINUS
ANT  S
ST

2nd I
LAT
ST

S BRDY
INF
ST

S BRDY
IMI

Sinus rhythm with acute AMI. Q waves in anterior leads. 
ST eleva on.  
Rate: 72 bpm.

Sinus rhythm with acute AMI and PVCs. 
Q waves in anterior leads.
ST eleva on.  Rate: 72 bpm.

Sinus rhythm with Antero-Septal ST eleva on.
Rate: 72 bpm.

Mobitz type I second degree AV block (4:3) 
with lateral ST eleva on.
Rate: varies from 40 to 50 bpm.

Sinus Bradycardia with inferior ST eleva on.
Rate: 40 bpm.

Sinus Bradycardia with Q waves and ST eleva on 
in II, III and VF.
Rate: 40 bpm.

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Rhythms for External Pacer Training

1st
RBBB

2nd II
LBBB
PVC

2nd II
LBBB

3rd 

Sinus rhythm with first degree AV block and right bundle branch 
block. Wide QRS.  
Rate: 60 bpm.

Mobitz type II second degree AV block (4:3) with le  bundle 
branch block and PVCs.  Wide QRS.  
Rate: varies from 32 to 65 bpm.

Mobitz type II second degree AV block (4:3) with le  bundle 
branch block. Wide QRS. 
Rate: varies from 37 to 50 bpm.

Third degree AV block. Q waves in V2 - V4, but normal ST 
segments. Wide QRS. 
Atrial rate: 60 bpm.  
Ventricular rate: 37 bpm.

VF

NSR

Defibrillator Exercises

Exercise:

 Convert VF to NSR. 

at simulator:
1.  Press 

VF 

key. VF indicator glows steadily. Confirm VF is displayed on 

     monitor.
2.  Press 

convert 

key. VF indicator pulses brighter.

3.  Press 

NSR 

key. NSR indicator flashes on and off. VF indicator glows 

     steadily again.

at defibrillator:
4.  Select 200J using 

Energy Select

 switch (1).

5.  Press 

Charge 

bu on (2). Listen for charge ready tone.

6.  Press 

Discharge 

bu on(s) (3).

7.  A er discharge observe that:
         On monitor, NSR is displayed
         At simualtor, NSR indicator glows steadily, and VF indicator is off.

Connect simulator to defibrillator.

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