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AED Safety Training

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

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AED Safety Training

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  1. AED Safety Training Emergency Response for the Workplace

  2. 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 possible If unsure, go call! Chain of Survival

  3. Early Defibrillation Use AED when it arrives 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 Chain of Survival

  4. Advanced & Post-Arrest Care Advanced 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 • 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 Chain of Survival

  5. 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 rhythm Provides CPR reminders CPR Overview

  6. 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” V-fib present in 90% of SCA cases CPR Overview

  7. How an AED Works Power on & Attach pads • 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 Overview

  8. Sum it Up CPR restores flow of oxygen to the brain CPR can extend time for successful AED use The sooner an AED is used, the more likely it will work CPR Overview

  9. When to Use the AED Use AED when it’s available If 2nd 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? C-A-B

  10. Using an AED

  11. Key Concepts • AEDs can be used on adults, children and infants • An 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 Using an AED

  12. Power the AED • Place AED near head • Power on AED • AED guides actions Using an AED

  13. 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 Using an AED

  14. 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 Using an AED

  15. Clear Victim and Shock Do not touch victim or clothing during a 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 Using an AED

  16. Resume CPR • Start with chest compressions • AED will analyze heart rhythm every 2 minutes • If 2nd 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 Immediately resume CPR Using an AED

  17. AED Use on Children • For AED use: • A child is 1-8 years old, or less than 55 lbs. • An infant is < 1 year old • 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 Using an AED

  18. For Smaller Children or Infants • Use front-to-back AED pad placement if needed • Pads should not touch or overlap • Do not cut or fold pads to fit Using an AED

  19. Defibrillation • Use when available • Place near victim’s head • Power on AED • Follow prompts • Apply pads • Press shock button • Resume compressions after shock Adult CPR

  20. Special considerations - AED

  21. 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 Special Considerations - AED

  22. Implanted Devices Device may appear as a small raised lump under skin • 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 Special Considerations - AED

  23. Medication Patches Medication can be embedded in an adhesive patch applied to skin • 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 Special Considerations - AED

  24. 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 Special Considerations - AED

  25. 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 information • Movement • Disrupts analysis of heart rhythm • When AED is analyzing, do not touch or move victim Special Considerations - AED

  26. 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 Special Considerations - AED

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