Table of Contents
Routine indications: AF/atrial flutter after 4 weeks anticoagulation
Emergency indications: tachyarrhythmia with adverse signs (shock, syncope, myocardial ischaemia, heart failure)
Synchronised DC cardioversion is used for patients with a pulse (shock synchronises with R wave to avoid inducing VF)
Unsynchronised DC cardioversion (defibrillation) is used for patients without a pulse (cardiac arrest) – see ALS
Skip this section if it is being performed as an emergency.