What is the 1st step to be done in patient of ventricular fibrillation who has suffered from MI and already present in hospital?
CPR or Defibrillation ?
Answer is CPR but my doubt is that if patient is already in hospital then Defibrillation should be done as ARD is available in hospital then why to waste time giving CPR why can’t we straight away give defibrillation?
the response to ventricular fibrillation (VF) in a patient who has suffered from a myocardial infarction (MI) is typically different from the response in a non-hospital setting, such as an out-of-hospital cardiac arrest situation. In a hospital, healthcare providers have quick access to advanced cardiac life support (ACLS) equipment, including automated external defibrillators (AEDs) or manual defibrillators. Therefore, the initial steps for managing VF in a hospital may differ from what is done in an out-of-hospital setting.
In a hospital, the general approach to VF that you described is often correct. In this setting, defibrillation may be performed as one of the initial steps. Hospital staff can quickly access defibrillation equipment and initiate the process. However, it’s essential to recognize that the specific actions taken may depend on the clinical circumstances, hospital protocols, and the individual patient’s condition.
The use of CPR as the first step in VF management is commonly recommended in basic life support (BLS) protocols for out-of-hospital situations where immediate access to a defibrillator may not be available. CPR helps maintain blood circulation, which can be crucial for the brain and other vital organs during VF. In a hospital, where defibrillation equipment is readily available, the immediate application of a defibrillator may be prioritized. Healthcare providers are trained to assess the situation quickly and take appropriate actions based on the specific needs of the patient.
In summary, while initiating CPR first may be the standard practice in out-of-hospital cardiac arrest situations, the response to VF in a hospital can often include prompt defibrillation as the initial step. Hospital staff are trained to respond quickly and appropriately to manage VF in the hospital setting. However, the specific steps taken may depend on the hospital’s protocols and the clinical judgment of the healthcare providers involved in the patient’s care.