FES LESSON PLANS
ZOLL AED-Plus Training
ESAMS ID: 1011, 1175, 1788, 1236, 3368
Objective
BLS Refresher AED Cardiac Arrest Management (3368)
CPR Automated External Defibrillator (AED) (1236)
CPR Heart Saver AED AHA Heart Saver – 2yr. (1011)
CPR MTN Resuscitative Program Adult, Child and Infant with
AED (1175)
CPR, First Aid, and AED for Security Personnel (Initial and
Refresher) (1788)
2
How Heart Works
generating
resulting in
O22
producing
3
Heart Attack
The “S-A” Node
The heart’s own
“pacemaker”
Blocked
Heartbeat Coronary
Continues Artery
to Beat
Damaged
Heart
Muscle
Signs/Symptom Heart Attack
Patient may have one or more
Chest Pain/Discomfort
Radiation to Arm, Neck or Jaw
Profuse Sweating
Difficulty Breathing
Fearful, Confused or Irritable
Denial of Symptoms
Continues to Have Heartbeat & Breathing
5
Sudden Death
Ventricular Fibrillation
Chaotic Quivering
NO Heartbeat
NO Breathing
f ib
V -
Signs/Symptoms V-Fib
Unconscious
No Effective Heart Action
No Breathing
Looks Sick & Discolored
Resulting in…
No Oxygen to the Brain or Body Organs
Life or Death is now a matter of TIME 7
Sudden Brain Death
Some Oxygen No Oxygen!
00 Minutes
Minutes 10-12 Minutes
Chain of Survival
Early Early Early Early
Access CPR Defibrillation
Advanced
Care
© American Heart Association
ZOLL AED Plus Use
ZOLL AED Plus Use
Recognize Emergency
Check Responsiveness
Are you
okay?
Log Roll To Back
Stay Calm!
Take a deep breath
and focus your
emotional energy
Send someone for Help
Make Call
Someone should
IMMEDIATELY
Call for
EMS/Medical Help
If you are alone…
Call EMS/911 yourself
Get AED
Send someone for
the AED…
…or if alone, go yourself!
Before AED Arrives
Begin CPR
at a
Rate of
100/bpm
and a Ratio of
30 2
Compressions Breaths
Open Airway
Head Tilt/Chin Lift
Check Breathing
• Look
• Listen
• Feel
Provide Breaths (if needed)
Place CPR Face Shield ???
Pinch Patient’s Nostrils
Take a Deep Breath
Place Your Mouth Over
Patient’s (Make a Firm Seal)
Give 2 Slow Breaths
Take a Fresh Breath In Between
Signs Circulation
Check for Pulse
Normal Skin Color??
Open the lid
Follow visual & voice prompts
Once AED Arrives
Push the
“ ON”
Button
Prepare Chest
Bare the Chest
Electrodes
If necessary
Shave hair at pad sites
Wipe/dry pad site area
ZOLL AED Plus units come with
potentially needed accessories:
Scissors
Razor
Towel
Gloves
Hand Wipes
CPR Face Shield
CPR-D Padz
Right side electrode
CPR Compression Site
Gives Compression Feedback
(Depth & Rate)
Left side electrode
Pull “Red Pin” to extend
apex electrode
on large patient
One Piece CPR-D Padz
Simplifies proper positioning
Eliminates potential delay
Integrates CPR skills
Easily remembered placement
guide
Virtually impossible to get
confused
Rapid “Release and Press”
Liners
Packaged with all accessories
Open CPR-D Padz
Unfold CPR-D Padz
Remove CPR-D Padz
Attach Electrode Pads
CPR-D Padz Placement
Position center “puck”
Larger Patients
Note: Left Apex Pad • Pull “Pin”
can be extended
on large patients • Extend Pad
Warning
Do not touch patient
during “Analyze”
Stand clear during shocks
Verbal warning
Visual Check
Push Button
Push Treatment Button
Treatment
AED Plus
AED Plus
ONLY Advises
ONLY Advises Treatment
Treatment
Deliver one
Deliver one shock
shock If
If there
there is
is aa
Shockable Rhythm
Shockable Rhythm
If “Shock is Advised” Clear If “No Shock Needed”
patient and Shock continue CPR
Push Shock Button No Shock Needed
Shocks Delivered/Not Advised
Open Airway
Check for Breathing
Signs of Circulation
If No Signs Circulation
Resume CPR 2 mins
Kneel next to patient
Locate hand position
(on compression depth sensor)
Position your body
Give CPR at rate of 30:2
You will hear:
“Good compressions” or “Push harder”
Adaptive metronome will help pace you
2 30
If CPR or Shocks aren’t needed
Maintain Airway
Chin Lift
Empty Mouth?
“Recovery Position” ?
Place PASS ??
Assist Breathing
Give Emotional Support
Passive Airway Support System
The ZOLL AED Plus offers the unique option of a
Passive Airway Support System (PASS). The
AED lid can be removed, inverted and used as a
“wedge” placed under the patient’s shoulders
If Breathing & No Return Pulse
Continue CPR
Follow Voice Prompts
Rhythm Re-analysis
Repeat Shock(s)
…Until EMS Arrives
If Breathing & Pulse Return
Support Life
Airway
Breathing
Circulation
Be as Efficient & Effective as Possible
…Until EMS Arrives
Until EMS Arrives
Provide Life Support
as needed until EMS
Unit Arrives!
Once EMS Arrives
Verbal Report
Initial Condition
Care Delivered (including # of shocks)
Estimated “Down Time”
Any Changes in Patient’s Condition
Any available Medical History
Cooperate and Assist
(as necessary & requested)
Precautions & Concerns
Avoid Placing the Electrode Over
Implanted Heart Devices
R
Pacemaker
Precautions & Concerns
Implanted Heart Devices
Pacemaker
Defibrillator
If scar or “bulge” on
right side of chest
Don’t put pad over
device
Slightly “Rotate” Padz
Medication Patches
Remove Patch – Wipe Chest Clean
Additional Factors
Sensitivity to Family
Crowd Control
Periods of “Inactivity”
Talk to the Patient
When Not AED
Patient is less than 8 yrs of age
Patient is under 80 pounds
Explosive environment
Patient is immersed in water
Following serious trauma
Returning AED
Clean Area
Clean AED Plus
Replace Batteries (if necessary)
Replace CPR-D Padz
Repack & Restore Unit
Changing Batteries
Repacking AED
Precautions & Concerns
Assures constant readiness
Both audible and visual alerts
Unit monitors its self every week
Status indicator shows a green
to clearly indicate ready
When unit requires new batteries, it sounds an
audible alarm and displays the red X
X
X
For problems contact the ZOLL Technical Services
800-348-9011
AED’s & The Law
Physician’s Prescription/Order
“Good Samaritan Law”
Protection
Current Case Law ?
Medical Control
Medical
Director
Questions
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