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Are you allowed to stop the ambulance en-route to hospital to perform an analyze if you or your monitor detect a shockable rhythm, assuming that this rhythm IS NOT caused by CPR or artifact?

User PaperTsar
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Final answer:

If a shockable rhythm, such as ventricular fibrillation or tachycardia, is detected en-route to the hospital, it is permissible for medical personnel to stop the ambulance and administer treatment using an AED. This can be vital, as ventricular fibrillation is a medical emergency that can lead to brain death if not treated promptly. AEDs are designed to be user-friendly, providing verbal instructions for immediate intervention.

Step-by-step explanation:

Managing Shockable Rhythms in Transit

When a shockable rhythm is detected en-route to the hospital, it is permissible for medical personnel on an ambulance to stop and administer treatment. This protocol is essential especially in the case of ventricular fibrillation (VF) or ventricular tachycardia (VT), which are life-threatening arrhythmias that require immediate intervention. Automated External Defibrillators (AEDs) are commonly carried by ambulances for this purpose. These AEDs can quickly analyze the heart's rhythm and, if necessary, deliver a shock to try to restore a normal heartbeat. This intervention can be lifesaving, as ventricular fibrillation may lead to brain death if not treated within few minutes. AEDs provide verbal instructions for use, making them accessible to both medical personnel and laypersons in emergencies.

Detecting a shockable rhythm while in transit is an indication to potentially stop the ambulance and provide immediate defibrillation with an AED. This is because the delivery of an electrical charge to the heart could restore the heart's natural pacemaker function, essentially 'rebooting' the heart's rhythm back to normal. In some instances, pre-shock CPR is recommended to maximize the chances of a successful defibrillation.

User Tungken
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