AED Safety Training Emergency Response for the Workplace Activate EMS Call 911 Use cell phone or land line Activate EMS Call 911 Recognize cardiac arrest Not responding Chest not moving no breathing ID: 765848
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AED Safety Training Emergency Response for the Workplace
Activate EMS (Call 9-1-1) Use cell phone or land line Activate EMS (Call 9-1-1) Recognize cardiac arrest Not responding Chest not moving, no breathing Don’t delay: early 9-1-1 linked to increased survival Send bystander if possibleIf unsure, go call! 2 CPR/AED for Community Rescuers Chain of Survival
Early Defibrillation Early Defibrillation Defibrillators can restart the heart of a victim Calling 9-1-1 gets a defibrillator to the scene An Automated External Defibrillator (AED) is used by citizen rescuers Some public places like airports have AEDs accessible to all rescuers 3 CPR/AED for Community Rescuers Chain of Survival Use AED when it arrives
Advanced & Post-Arrest Care Advanced Care AKA: Advanced Life Support Provided by paramedics, continued at hospital Adds advanced airway management, drug therapy, cardiac monitoring to CPR Goal: restart heart and stabilize for post-arrest care Post-Arrest Care Comprehensive care once person is stabilized Begins at hospital and continues through discharge Provided by doctors, nurses, therapists and many others Goal: Improve chances of continued survival with least disability 4 CPR/AED for Community Rescuers Chain of Survival
What is an AED Automated External Defibrillator (AED) What it does… Uses voice and visual prompts Easily guides rescuers Analyzes heart rhythm Determines if shock is needed Restores normal rhythmProvides CPR remindersCPR/AED for Community Rescuers CPR Overview 5
Ventricular Fibrillation (V-fib)SCA=Sudden Cardiac Arrest V-fib to Shock to Normal V-fib is common in SCA Heart overwhelmed by electrical activity Can be related to lack of oxygen Quickly lethal Victim unresponsive CPR won’t stop V-fib “ Defib ” is only treatment for “V-fib” CPR/AED for Community Rescuers CPR Overview 6 V-fib present in 90% of SCA cases
How an AED Works AED detects V-fib Sends powerful current through heart Shock resets heart’s electrical activity Heart may start beating normally Like a ‘control-alt-delete’ for the heart CPR/AED for Community Rescuers CPR Overview 7 Power on & Attach pads
Sum it Up CPR restores flow of oxygen to the brainCPR can extend time for successful AED use The sooner an AED is used, the more likely it will work CPR/AED for Community Rescuers CPR Overview 8
When to Use the AED Use AED when it’s available If 2 nd Rescuer Present Rescuer 1 continues CPR Rescuer 2 operates AED Switch roles when the AED prompts to stop CPR If no AED, switch performing CPR about every 2 minutes Observe CPR provider & give feedback Pushing hard/fast enough? CPR/AED for Community Rescuers C-A-B 9
Using an AED CPR/AED for Community Rescuers 10
Key Concepts AEDs can be used on adults, children and infantsAn AED has a status indicator to show if it is ready for use Follow local protocols for age-specific AED guidelines if they differ from this course Basic AED Sequence: Power on the AED Apply pads Follow AED prompts CPR/AED for Community RescuersUsing an AED 11
Power the AED Place AED near head Power on AED AED guides actions CPR/AED for Community Rescuers Using an AED 12
Apply AED Pads Expose chest Cut clothing Wipe dry Apply pads (follow pictures) Right upper chest, just below collarbone Lower left side of the chest If 2 rescuers Rescuer 1 continues CPR Rescuer 2 operates AED CPR/AED for Community Rescuers Using an AED 13
Shock or No Shock? After pads are applied:AED prompts rescuer to stop CPR AED analyzes the heart’s electrical rhythm Do not touch or move the person AED will state ‘shock advised’ or ‘no shock advised’ If no shock advised, AED will prompt rescuer to resume chest compressions If shock advised, rescuer must clear victim first CPR/AED for Community RescuersUsing an AED 14
Clear Victim and Shock Clear victim first Loudly state, “Clear!” Look up and down entire victim Ensure no one touching person or clothing Press shock button Some AEDs shock automatically (no button) AEDs announce when safe to resume compressions CPR/AED for Community Rescuers Using an AED 15 Do not touch victim or clothing during a shock
Resume CPR Start with chest compressions AED will analyze heart rhythm every 2 minutes If 2 nd rescuer present Switch roles when AED prompts to stop CPR One rescuer rests Other rescuer gets in position for CPR Rescuer 2 will continue to operate AED CPR/AED for Community Rescuers Using an AED 16 Immediately resume CPR
AED Use on Children Children & infants require less electrical current Special equipment reduces amount of energy delivered Child/Infant Pads Energy reducer or attenuator Pediatric key or switch If pediatric equipment is not available, use standard equipment CPR/AED for Community Rescuers Using an AED 17 For AED use: A child is 1-8 years old, or less than 55 lbs. An infant is < 1 year old
For Smaller Children or Infants CPR/AED for Community Rescuers Using an AED 18 Use front-to-back AED pad placement if needed Pads should not touch or overlap Do not cut or fold pads to fit
Defibrillation Use when available Place near victim’s head Power on AED Follow prompts Apply pads Press shock button Resume compressions after shockCPR/AED for Community Rescuers Adult CPR 19
Special considerations - AED 20
Key Concepts There are 3 situations to consider when applying AED pads that may alter rescuer’s actions: A very hairy chest An implanted device (e.g. pacemaker) A medication patch CPR/AED for Community Rescuers Special Considerations - AED 21
Implanted Devices Devices may include Pacemaker Automated Implantable Cardioverter -Defibrillator (AICD) Medication administration port Most implanted devices do not affect AED pad placement. Do not place pad directly over implanted device Adjust pad placement at least 1” from device CPR/AED for Community Rescuers Special Considerations - AED 22 Device may appear as a small raised lump under skin
Medication Patches Do not place an AED pad over a medication patch Use a gloved hand to remove the patch Quickly wipe chest clean with a towel or cloth Apply pads after area is wiped clean CPR/AED for Community Rescuers Special Considerations - AED 23 Medication can be embedded in an adhesive patch applied to skin
Storage & Maintenance Close to trained rescuers Near most of people, most of the time Visible signage; easy access Common areas easy to describe With accessories Spare adult pads Pediatric pads or adaptor CPR barrier, gloves Safety razor Absorbent towel Inspection Status indicator shows ‘Ready’ Pads & battery not expired No visible damage No missing accessories CPR/AED for Community Rescuers Special Considerations - AED 24
Troubleshooting An AED performs self checks regularly and every time it is powered on.The AED will notify operator if problem detected“Check pads” Press down firmly, or replace pads w/ back up set Check pad connection to AED “Low Battery” Replace battery Even in low battery state, AED may provide several shocks Refer to AED manufacturer for more informationMovementDisrupts analysis of heart rhythmWhen AED is analyzing, do not touch or move victimCPR/AED for Community Rescuers Special Considerations - AED 25
Sum It Up Avoid placing pads over implanted device Remove medication patches Store AED near trained rescuers and a phone If a problem with AED cannot be quickly solved, discontinue AED use and resume CPR CPR/AED for Community Rescuers Special Considerations - AED 26