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Heartsaver: AED for Lay Rescuers and First Responders

Learn to recognize cardiac arrest signs, call 911, activate EMS, operate AED, and follow priorities for life-saving CPR and defibrillation. Understand AED operations, electrode pad placements, and safety measures for effective emergency response.

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Heartsaver: AED for Lay Rescuers and First Responders

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  1. Heartsaver AEDfor the Lay Rescuer andFirst Responder • American Heart Association

  2. Extent of the Problem • 1.1 million heart attacks • 480,000 deaths due tocoronary heart disease • 250,000 prehospital cardiac arrests

  3. Recognize Emergency and Call 911 • Airway obstruction • Universal distress signal, blue skin • Respiratory arrest • Not breathing but has pulse • Cardiac arrest • Not breathing and no pulse

  4. Activate EMS • Know your local EMS number • Give the location of call • Telephone number • The nature of the emergency • Advise that AED is on the scene • Don’t hang up until dispatcher advises

  5. Signs of Cardiac Arrest • Unresponsive • Not breathing • No pulse

  6. AEDs and Ventricular Fibrillation • VF is the most frequent initial rhythm in sudden cardiac arrest • VF is a useless quivering of the heart that results in no blood flow • Defibrillation is the only effective treatment for VF • Successful electrical defibrillation diminishes rapidly over time

  7. Time and AEDs • Approximately 50% survival after 5 minutes • Survival reduced by 7% to 10% each minute • Rapid defibrillation is key • CPR helps extend survival time minutes

  8. Priorities and the AED C - Circulation A - Airway B - Breathing D - Defibrillation

  9. AEDs and Personnel • One rescuer • Unresponsiveness – Call 911 – Get the AED • Assess Breathing/Pulse • Attach AED • Two rescuers • #1 – Call 911/Perform CPR • #2 – Attach AED • More than two rescuers • #1 – Call 911 • #2 – Attach AED • #3 – Perform CPR

  10. Special Considerations • Is victim lying in water? • Is victim less than 8 years old? • Is victim wearing a transdermal medication patch on his or her chest? • Does victim have a pacemaker or implanted defibrillator?

  11. Operation of AED • POWER ON the AED • ATTACH pads • ANALYZE rhythm • SHOCK (if advised)

  12. Electrode Pad Placement • Right electrode pad • To the right of the breastbone • Below the collarboneabove the right nipple • Left electrode pad • Outside the left nipple, upper edge of the pad several inches below the left armpit

  13. Effective Adherence of Pads • Sweaty chest • Dry with a towel • Do not use alcohol • Hairy chest • Shaving may be needed

  14. AED Safety • No patient contact during analysis and shock • Warn bystanders: • “I’m clear” • “You’re clear” • “Everybody’s clear” • Perform a visual inspection • Press to shock

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