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Synchronized cardioversion is simply a well-timed defibrillation. While it typically starts at lower doses, synchronization can occur at any energy level. When we hit “sync,” the monitor identifies the patient’s R waves. When we hit the shock button, we hold it and the monitor will deliver a shock on the next R wave (in contrast to a defib that full sends as soon as we hit the button). Why? In order to miss the relative refractory period: the second half of the T wave where stimulation can cause
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🫀Time to go over synchronized vs. unsynchronized cardioversion friends!⁣ ⁣ 1. 𝗧𝗶𝗺𝗶𝗻𝗴 𝗼𝗳 𝗦𝗵𝗼𝗰𝗸 𝗗𝗲𝗹𝗶𝘃𝗲𝗿𝘆:⁣ ▪️ 𝗦𝘆𝗻𝗰𝗵𝗿𝗼𝗻𝗶𝘇𝗲𝗱 𝗖𝗮𝗿𝗱𝗶𝗼𝘃𝗲𝗿𝘀𝗶𝗼𝗻: This method delivers the electrical shock at a specific point in the cardiac cycle, during the R-wave (QRS complex) of the patient's electrocardiogram (ECG). The synchronization helps prevent the delivery of a shock during the vulnerable period of the cardiac cycle, reducing the risk of inducing ventricular fibrilla
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