AUTOMATED EXTERNAL DEFIBRILLATOR
Actually, u can skip this part kase parang di naman ginawa key Sir Jayar pero useful to para sayo kapag may emergency
talaga and may part ng AEB sa dulo nung sa checklist
AED
Defibrillation is the electrical attempt to stop a lethal arrhythmia such as ventricular fibrillation
allows for individuals trained only in basic life support to defibrillator
defibrillator that incorporates a rhythm analysis system
EQUIPMENT:
AED
Pair of AED adhesive pads *meron pang adult and pedia
INDICATION
Cardiopulmonary Arrest
• Absence of respiration
• Lack of circulation
• No pulse
• No respiration
• No movement
• Unconscious
How
Start chest compressions and continue until AED is attached to patient and verbal prompt of device advises you, “Do not
touch the patient.” – CPR → ATTACH AED → device will say do not touch → continue CPR
Place AED next to patient near chest or head
Turn on power (will guide you in the next steps)
Attached the:
first AED → upper right sternal border directly below the clavicle
second AED → lateral to the left nipple with the top of the pad a few inches below the axilla
• Always apply a new set of pads. Do NOT reuse if poor pad-skin contact
• Do not attach pads to a wet surface, over a medication patch, or over a pacemaker or implanted defibrillator.
Wet surfaces,
• implanted defibrillators, and medication patches reduce the effectiveness of the defibrillation attempt and
result in complications
Do NOT touch patient when AED prompts you. Direct rescuers and bystanders to avoid touching patient by announcing
“Clear!” – 5 to 15 seconds to analyze → prevents artifact errors
Before pressing the shock button, announce loudly to clear the victim and perform a visual check to ensure that no one
is in contact with him or her
Immediately begin chest compression after the shock and continue for 2 minutes. Do NOT remove the pads
Deliver two breaths using mouth-to-mouth with barrier device or mouth-to-mask device or bag-mask device. Watch for
chest rise and fall. Deliver 10-to-12 breaths/min.
After 2 minutes of CPR, the AED will prompt you not to touch patient and will resume analysis of patient’s rhythm. This
cycle will continue until patient regains a pulse or physician determines death.
CARDIOPULMONARY RESUSCITATION
Initially a code is managed by the first responder performing the basic skills of cardiopulmonary
resuscitation (CPR)
Usually sa hospital to:
Primary survey:
• C (circulation)
• A (airway)
• B (breathing)
• D (early defibrillation)
Secondary survey:
• C (rhythm analysis of cardiac rhythm) – attaching ECG
• A (airway intubation) – ET intubation
• B (confirmation of airway and ventilation) – ventilate using bag device
• D (differential diagnosis of the cause) – lab and diag to know the cause of arrest
prevent lethal dysrhythmias such as ventricular fibrillation from deteriorating to asystole (absence of cardiac electrical
activity) and provide a chance for the heart to return to its normal rhythm.
Early CPR and defibrillation delivered within the primary survey optimizes heart and brain function, leading to improved
survivability
INDICATION
Cardiopulmonary Arrest
• Absence of respiration
• Lack of circulation
• No pulse
• No respiration
• No movement
• Unconscious
HOW?
Clear the area → scene is safe
Hey sir, hey sir are you okay?
If an unresponsive person has adequate respirations and pulse, remain until further assistance is present. Place victim in
a modified lateral recovery position (see illustration). Continue to assess for the presence of respirations and pulse because a recurrent arrest
may develop
CIRCUALTION:
→carotid pulse – adult child
→brachial or femoral pulse – infant
Palpate for no more than 10 seconds
Place patient in a heard surface (floor, ground, backboard)
➔ Must be flat
➔ Logroll victim to flat
CHECK FOR:
BREATHING
Look chest
Listen for the sound of the nose
Feel the breath
AIRWAY
Apply clean gloves and face shield (if emergency sa labas wala na to)
Open airways:
➔ Head tilt-chin lift – no trauma
➔ Jaw thrust – cervical trauma is suspected
Tignan kung may nakabarang object or yung tongue kung nag bablock ng airways
BREATHING
(SKIP for hospital to under ng breathing)
Attempt to ventilate patient with slow breaths using one of these methods. Slow breaths deliver air at low pressure to
reduce risk of gastric distention.
➔ Mouth-to-mouth using barrier device.
o Forms airtight seal to prevent air from escaping through nose.
➔ Mouth-to-mask using pocket mask
o Provides secure seal and permits use of supplemental oxygen.
➔ Bag-mask device
o Gives breaths with enough force to make the chest rise
o
DEFIBRILLATION (pag available lang na may dala ka pero pag wala CPR na agad)
If pulse is absent and AED is available, apply AED immediately as appropriate
➔ After one shock, resume CPR for 5 cycles and begin rhythm analysis and shock sequence again
If pulse is absent and an AED is unavailable, immediately initiate chest compressions
Ensure that fingers are off the ribs and lowermost part of the xiphoid process. This minimizes the chance of rib fracture
that could result in punctured lung or liver laceration, which further compromises cardiopulmonary status. Continue chest compressions,
ventilation, and AED use.
Demonstrates correct compression rate (100-120/min) and depth (2 in.) → adult
Demonstrates correct compression rate (100-120/min) and depth (1.5 in. or 4cm.)→ infant
PUSH HARD AND FAST
• 30:2 – 30 chest compression 2 breaths: 1 or 2 rescuers
• 30:2 – 1 rescuer →infant/child
• 15:2 – 2 rescuers →infant/child
Allows for complete chest recoil between compressions
AED arrived → attach while performing CPR → do not touch → CLEAR! → continue CPR (see AED notes)
Perform second round of CPR after shock delivered and continue for 2 minutes. Do NOT remove the pads
Deliver two breaths using mouth-to-mouth with barrier device or mouth-to-mask device or bag-mask device. Watch for
chest rise and fall. Deliver 10-to-12 breaths/min.
After 2 minutes of CPR, the AED will prompt you not to touch patient again and will resume analysis of patient’s rhythm.
This cycle will continue until patient regains a pulse or physician determines death
-Ulit ulit lang-
EVALUATE
o Palpate carotid pulse at least every 5 minutes after first minute of CPR
o Observe for spontaneous return of respirations or heart rate every 2 minutes
o Ensure that interruptions in CPR are minimized
