Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications...
-
Upload
anna-salisbury -
Category
Documents
-
view
231 -
download
1
Transcript of Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications...
![Page 1: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/1.jpg)
Home
Automatic External Defibrillator
![Page 2: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/2.jpg)
Home
- Why we use the AED?- How to use the AED?- Indications for the AED?
- Contraindications to AED?
Objectives for this subject
![Page 3: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/3.jpg)
Home
The chain of survival:- early access to 911
-early CPR-early defibrillation-early advanced care
![Page 4: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/4.jpg)
Home
Defibrillation is the application of electrical shock to
help restore the heart’s regular
rhythm
![Page 5: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/5.jpg)
Home
Defibrillator is the device used to deliver that shock and it can be
manual or automatic.
![Page 6: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/6.jpg)
Home
Early defibrillation is the single most important factor in
determining survival from cardiac arrest.
![Page 7: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/7.jpg)
Home
• Defibrillation should be performed with in the first 8 minutes after cardiac arrest. Ideally, the sooner, the better.
![Page 8: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/8.jpg)
Home
AED
• Most common initial rhythms patients go into as they enter into cardiac arrest are:
![Page 9: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/9.jpg)
Home
“2 Shockable Rhythms”
V-Tach and V-Fib
![Page 10: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/10.jpg)
Home
Ventricular Tachycardia:Fast heart rhythm which does not allow
the heart to fill properly and cardiac output is compromised and reduced.
![Page 11: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/11.jpg)
Home
Ventricular Fibrillation:disorganized series of electrical
discharges in the ventricles. Where the ventricles “quiver”.Stops Cardiac output
and hearts pumping ability.
![Page 12: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/12.jpg)
Home
AED’s that are available are automatic and semi-automatic.
![Page 13: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/13.jpg)
Home
Automatic: where machine does all of the work.
Semi Automatic: where machine tells you when to push button to
deliver shock.
![Page 14: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/14.jpg)
Home
Apply AED as soon as you
determine that your patient is not breathing and does not have a pulse.
![Page 15: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/15.jpg)
Home
Always making sure that CPR is still in progress while you are
setting up the AED.
If by yourself, apply the AED.
![Page 16: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/16.jpg)
Home
• Ensure before putting pads on chest, it is clear of all patches, paste or pacemakers. Don’t cover something up with pad.
![Page 17: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/17.jpg)
Home
• If patient has hair on chest that could interfere with conduction, make sure you shave it off with razor provided to you.You want pads on chest to fit snug and secure.
![Page 18: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/18.jpg)
Home
Now attach the adhesive pads to the cables remembering-
White is negativeWhite is negative, anterior chest wall.Red is positiveRed is positive ,
left anterior axillary line.
“Red on Ribs! WhiteWhite on right!”
![Page 19: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/19.jpg)
Home
Do Not Utilize The Anterior – Posterior (Front and Back) Lead
Placement For Automatic Defibrillation
![Page 20: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/20.jpg)
Home
Now turn on machine and
wait for AED to analyze the
patients rhythm. Making sure that CPR has
been stopped for machine to
detect rhythm.
![Page 21: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/21.jpg)
Home
While waiting for machine, you can begin your patient
information by speaking clearly into the tape recorder of the machine. You want to give
certain information.
![Page 22: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/22.jpg)
Home
- Patients age.- Patients past medical history.- Patients medications. - Brief description of what happened prior to your arrival.
![Page 23: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/23.jpg)
Home
When machine advises a shock is indicated, ”CLEARCLEAR”
your patient.
Ensuring that no one is touching patient or stretcher.
![Page 24: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/24.jpg)
Home
When the AED delivers a shock it will go back and reanalyze the
rhythm.
If another shock is appropriate“Clear Patient”“Clear Patient”
anddeliver the shock.
![Page 25: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/25.jpg)
Home
Sets of 3 shocks are called stacked shocks and they are done
without any pauses to check patients pulse or administer CPR
![Page 26: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/26.jpg)
Home
If “No shock” is indicated:
-Check breathing give appropriate oxygen therapy.
-Check pulse, if no pulse! Start CPR for
1 minute and then have the AEDreassess.
![Page 27: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/27.jpg)
Home
Transport patient when:
*Patient regains a pulse
*Total of 6 shocks have been given.
*AED has indicated 3 “no shocks”with intervening CPR.
![Page 28: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/28.jpg)
Home
Defibrillator
Some ALS providers will choose to leave the AED in place.
Some will choose to use their monitor for manual defibrillation.
![Page 29: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/29.jpg)
Home
Safety should always be maintained by the provider:
-Not using near or around water
-Ensuring all med patches and pastes are off the patient.
-Making sure that everyone is clear of the patient when the shock is delivered.
![Page 30: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/30.jpg)
Home
Indications for AEDIndications for AED * Unresponsive * Apneic * Pulseless patients.
![Page 31: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/31.jpg)
Home
Adult Patients• > 8 years old
• > 55 lbs.
• Unresponsive,pulseless and apneic.
![Page 32: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/32.jpg)
Home
Contraindications:
• Infants and children
• < 8 years old
• < 55 lbs.
![Page 33: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/33.jpg)
Home
Contraindications:
!! HypothermiaHypothermia !!
(Contact medical control)
![Page 34: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/34.jpg)
Home
Contraindications:
Rigor / Livor Mortis
No Code /DNR
![Page 35: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/35.jpg)
Home
The AED can’t properly analyze patient in moving
ambulance.
It is recommended that you stop the medic and let AED do it’s
job.
![Page 36: Home Automatic External Defibrillator Home - Why we use the AED? - How to use the AED? - Indications for the AED? - Contraindications to AED? Objectives.](https://reader033.fdocuments.in/reader033/viewer/2022061304/5513bf815503463a298b48cf/html5/thumbnails/36.jpg)
Home
Please review your RegionalMedical Protocol Manual
for further information