Slide 4
Sudden Cardiac Arrest (SCA)
• Abrupt loss of heart pump function
• Death certain without rapid treatment
Slide 5
The Heart Pump: A Series of Events...
• An electrical event…
• Stimulates a mechanical event…
• Results in rhythmic and coordinated pumping action of the heart
Main Pumping Chambers
Slide 6
SCA: Heart in Chaos Ventricular Fibrillation• Abnormal; irregular,
very fast heart rhythm
• Heart can’t pump blood effectively
• Victim: Unconscious Not breathing spontaneously No pulse
• Only definitive treatment: Defibrillation
Slide 7
Defibrillation
• Electric shock to the heart
• Stops uncoordinated activity
• Allows coordinated heart rhythm and pumping action to resume
• Only effective treatment for ventricular fibrillation
Slide 8
Heartstream FR2 AED
• Heartstream FR2 AED is• Easier than CPR• Low maintenance• Safe and effective
• Heartstream FR2 AED automatically• Prompts the user• Interprets heart rhythm• Advises “Shock” only if needed
Slide 9
“Chain of Survival”
• Rapid, coordinated response improves outcome
EarlyAccess
EarlyCPR
EarlyDefibrillation
EarlyAdvanced
Care
Slide 10
Role of CPR
• Integral componentof AED use
• CPR circulates oxygen ...• Prolongs heart’s
electrical activity• Minimizes brain
damage
• … but defibrillation is the definitive treatment
Slide 11
Role of the AED Provider
• Recognize emergency
• Activate EMS/emergency response
• Verify SCA
• Access the Heartstream FR2 AED
• Attach Heartstream FR2 AED and follow prompts
• Provide BLS/CPR as indicated
Slide 15
Turn On AED
• Push the green On/Off button
• Voice and screen prompts begin
• Data collection starts
Slide 17
Pads Location
• Pad on patient’s right• Below collar bone• Right of sternum
• Pad on patient’s left• On rib cage• Below breast• Wrapped towards back
Slide 18
Rhythm Analysis
• Automatic decision-making process
• Don’t touch patient during analysis
• Outcome of analysis• Shock advised• No shock advised
Slide 19
Deliver Shock
• Before shock button is pushed• Verbal clear• Visual clear
• Push shock button when advised and follow prompts
Slide 20
Pause for CPR
• Fill bar shows progress through pause
• Heartstream FR2 AED will prompt you at completion “Analyzing...”
Slide 21
No Shock Advised
• Heartstream FR2 continues to monitor ECG
• Provide BLS/CPR as indicated
• Heartstream FR2 will advise when analysis is needed
Slide 23
Troubleshooting
• “APPLY PADS. PLUG IN CONNECTOR.”
• Possible cause:Pads and/or pads connector are not firmly attached.
• Sample corrective action:Press pads firmly to patient’s bare chest and insert connector.
Slide 24
Troubleshooting
• “PRESS PADS FIRMLY TO PATIENT’S BARE CHEST.”
• Possible cause:Incomplete pad contact with the skin.
• Sample corrective action:Prep skin, press entire pad onto the chest.
Slide 25
Troubleshooting
• “REPLACE PADS.”
• Possible cause:Pads, cable, or connector damage or short.
• Sample corrective action:Replace the pads.
Slide 26
Troubleshooting
• “ANALYZING INTERRUPTED.”
• Possible cause:Patient is being moved or jostled
• Sample corrective action:Stop CPR; do not touch patient.
Slide 28
Other Considerations
• Implanted pacemakers or defibrillators
• Wet surfaces
• Metal surfaces
• Medication patches
• Children
Slide 30
Event Storage and Review
• Data storage• Data card
• Data review• Download data from
Data Card to computer
Slide 33
Automatic Selftests
• Selftests• Automatic• Comprehensive
• Test result displayed in Status Indicator window
Slide 34
Status Indicator
• Status Indicator signals
• Ready for use:
• Use not advised; troubleshoot:
• Do not use; change battery:
Slide 35
Battery Insertion Selftest
• Run the battery insertion selftest• If status indicator doesn’t
display flashing black hourglass
• If a problem is suspected• After use or training
• Battery insertion selftest is initiated by• Removing and re-installing battery
Slide 36
Battery Insertion Selftest
• Battery insertion selftest results• Status indicator • Display screen
• Passed• Interactive selftest begins
• Failed• Install new battery;
perform battery insertion selftest• If second selftest fails, take FR2 AED out of service
Slide 37
SMART Battery in a Small Package• Description:
12 VDC, 4.2 Ah; lithium; disposable, recyclable
• Shelf life prior to installation: Typically, 5 years from date of manufacture*
• Capacity when new: Minimum of 300 shocks or 12 hours of operating time at 77° F (25° C)
• Installed shelf life (standby):Typically, 5 years*
* when stored under standby environmental conditions
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