Inside a Zoll defibrillator - with SCARY capacitor
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 Published On Feb 20, 2024

This is probably the SCARIEST capacitor I've ever removed from a circuit. It's entire purpose in life is to stop people's hearts - but for a good reason.

The days of defibrillators being big scary hospital machines are long in the past. These days they are a very affordable piece of first aid equipment that should be in every public place and workshop.

The science behind modern units is stunning. When the pads are applied to the chest of someone in a suspected state of ventricular fibrillation (heart out of sync), the unit will monitor the heart's electrical signal and decide if it is good or if there is an issue that needs a resync pulse. If the pulse is needed it calculates the best timing and strength of pulse to achieve the highest success in bringing the heart back into sync.

During the whole event the unit talks you through every part of the process, and even applying the pads is made easy by the clear instructions printed on them.

It's important to note that the unit will not "shock" a heart in what it regards as a safe condition. It only applies a resynchronisation pulse if it detects that the heart is out of sync and that death is imminent. Sadly it can't do anything if the heart is flatlining, as that is a tough task even for trained paramedics, that may involve injection of drugs to directly stimulate the heart.

It is MASSIVELY important that a defibrillator is applied as soon as possible in the event of an incident occurring, as the chance of survival reduces dramatically with time.

If in any doubt about whether there is a heart issue then apply the unit, as it can help make a medical diagnosis. Paramedics will often keep the original electrodes in place with an adaptor to suit their own equipment.
The cost of a replacement set of electrode pads is insignificant compared to the loss of a life.

Although originally designed to save the lives of American utility workers (who usually work on live high voltage equipment), it's unfortunate that many do not have these in their utility trucks yet, despite the fact that their cost is insignificant compared to many of the other specialist tools they use.

The Zoll units (not a sponsor) are one of the most affordable available, as they use standard batteries and the pads have much longer storage life (up to five years) than many other brands.

Most modern defibrillator units keep a record of every event they are involved in for future refinement of software and functionality. I do recommend sharing the logged data with the manufacturer to allow them to improve the functionality of their units.

The circuitry in these units is very impressive, since it can use the same pads to monitor very low voltage biological signals and also apply high voltage and high current pulses.

It appears the little square device in the chest compression box is an accelerometer. It must be measuring the force as physical displacement.


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