Ventricular fibrillation |


    • Jeff with admin. says

      Hi Carolyn,
      There are a couple of things that can cause this. You can find a troubleshooting guide in the help area here, or you can give a call to the technical support line and I would be glad to help you trouble shoot the issue. The technical support line is 316-243-7096. Kind regards, Jeff

  1. Raynald Raynald says

    thanks for the nice video, one thing though, so how can you tell for sure the difference between asystole and Vfib that looks like asystole in a monitor or defib monitor

    • Jeff with admin. says

      It can be difficult to differentiate asystole from fine VF. If the the cardiac arrest is sudden and you see immediate asystole after collapse you may suspect fine VF. Asystole means the heart is dead. A heart becoming dead takes time.

      The longer cardiac arrest progresses, the more likely the chances that a isoelectric or nearly isoelectric line is asystole. I hope that helps.

      Kind regards,

      • Shawnita148 says

        That was a great answer! “A heart becoming dead takes time”. It really helps paint the picture and troubleshoot. This program is fantastic!

  2. Alergologu says

    Hello Jeff!Thank you for this amazing lesson!Could anyone explain to me please the way of epinephrine and amiodarone in the case of cessation of cardiac contractions?How the drugs reach systemic circulation?!

    • Jeff with admin. says

      When you perform uninterrupted high quality chest compressions, you will move the medications to the central circulation. Chest compressions take the place of the cardiac contractions.

      Kind regards,

  3. sborowiak10 says

    After shock number 3 and giving 300mg Amiodarone, are you able to continue giving Epinephrine q 3-5 min between the next 5 cycles of CPR and rhythm check even with the follow up dose of 150 mg coming after the next shock.?

    • Jeff with admin. says

      Yes you can. Epinephrine is basically on its own time table and can be given every 3-5 minutes. Just make sure it is given when chest compressions are being performed. Also make sure that you follow every dose with 20 ml of NS rapid IV push.

      Kind regards,

    • Joni R says

      Don’t forget to change leads for lead verification if unsure fine V fib vs asystole. If in doubt – shock/defibrillate

  4. zongmei Hanson says

    I would like the vedios have voice to explain everything on the diagram because the sounds make me remember better and I could not read it so fast. but I like them anyway. I hope it will help me pass the test this time. thank you

  5. Judith Fusco says

    Jeff in your video for V fib it says follow the “pulseless arrest algorithm”. You do mean follow the left side of the Adult Cardiac Arrest Algorithm where it says VF or Pulseless VT: not the PEA (pulseless electrical arrhythmia). I just want to be clear that when you use the words “pulseless arrest algorithm” in your video you do me the left side not the asystole/PEA (both of course are pulseless?

    • Jeff with admin. says

      You are correct. Pulseless arrest algorithm should be stated adult cardiac arrest algorithm left side. This video needs to be updated. Sometimes I find myself calling the cardiac arrest algorithm the pulseless arrest algorithm because it used to be called the pulseless arrest algorithm prior to 2010.

      Kind regards,

  6. Avani says

    This is a very useful site.Thanks for all your help.Just wanted to ask We have an AED instead of a DEFIBRILLATOR.Can I use AED instead of a Defibrillator for shock in PULSELESS VT/VF.

  7. Nancy says

    I love your site. one question on exam was “What would be your very first action if you have pulseless V.T.
    The answer was defib. first and yet the algorithm says to start C.P.R. first.
    Thank you Nancy

    • Jeff with admin. says

      If the patient is attached to the defibrillator then the first action would be defibrillation. If the defibrillator is not attached then you would start CPR. Was this not made clear in the question?
      Kind regards,

  8. patrickfanelli says

    I have the AHA provider manual and it puts me to sleep! I have just started using you website for 10 min and I am already hooked! This will probably be the best 16.95 I ever spent! I am a Wildland Fire Fighter in FL. So I do not run any medical calls. But I am also a Paramedic and this site is going to keep my skills up to date and prepare me for my renewal . Good job with this site!


  9. Stu the Medic says

    THANK YOU to whoever set this website up and keep it running smoothly!!! It is so awesome, so easy to learn, and entertaining as well: love the drama music during rhythm videos. May God bless you and give you many donations for your efforts!

  10. Marcella says

    Just started! This is awesome! I’ve passed courses in the past, but this time I’m understanding. Thank you!

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