No of times to shock patient with defib?

Question

Is there any recommended maximum number of times a patient should be shocked with an AED?

Answer 1

Every code situation plays out differently. If you ever take ACLS (advanced cardiac life support), you'll see that quite a lot of shocks are possible.

The goal in ACLS is to get the heart to a state where the shocks will work. We give a drug, then a series of shocks, then more drugs, then shocks, etc.

Codes can go on for a LONG time if the person is young and otherwise healthy. People are less aggressive with the old and sickly, as a rule.

If you are a non-ACLS trained rescuer, continue with the AED until help arrives.

Answer 2

Not really. A lot depends on the rythem and cause. Prehospitally in the UK we normally look to start to seek advice from a senior doctor around 12 shocks, I have heard of a patient receiving 45 shocks. After 3 shocks we may also consider a anti arrythmia drug (such as Amiodarone). Have a look at resus council guidelines for more info on the guidance. I hope that helps?

Answer 3

No fixed number. But they do it three or four times. If no positive result is seen they give up.