164: Electrical Storm Part 1:The Pathophysiology of Ventricular Storm and the Science of Defibrillation

Podcast: Rapid Response RN · Sarah Lorenzini

Opublikowano: 2026-06-19

Sometimes V-fib doesn't respond to the shock at all. Sometimes it converts and comes right back. Those are two completely different problems. In this episode, Sarah breaks down the science behind why defibrillation fails, how to recognize the difference between refractory and recurrent V-fib, and respond when shocks aren't working. You'll learn how to start approaching the electrical storm at the bedside — that means understanding transthoracic impedance, optimizing your pad placement, and knowing when to reach for double sequential defibrillation. Topics discussed in this episode: Refractory vs. recurrent V-fibThe physiology of ventricular fibrillation and re...