Automatic Electronic Defibrillator (AED) Training:101 Grove Emergency Evacuation Teams

Shawn Holle

Safety Analyst

DPH Occupational Safety & Health

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101 Grove Street AED ProgramDon’t Worry…This One is EASY!

Medical Director AED Program Coordinator CPR Trained & Certified Emergency Evacuation Teams Institutional Police Officers (IPOs) Voluntary Responders

Yes…You Are That Cool

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Chain of SurvivalWhere Do We Fit?

EarlyAccess

EarlyCPR

EarlyDefibrillation

EarlyAdvanced

Cardiac Life Support

ACLS

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101 Grove Street Procedures

Call 911 & Send for AED Check For Responsiveness Check Airway, Breathing, Circulation

(ABC) Start Cardiopulmonary Resuscitation

(CPR) Apply AED if Required

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Why CPR?Lets Buy Some Time

CPR Provides Circulation of Oxygenated Blood to Heart & Brain

Delays Brain & Heart Muscle Death Primes Heart for Defibrillation (AED)

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Checking Victim Status

Assess Responsiveness: Shake & Shout Get Helper to Call 911 & Get AED Open Airway by Head Tilt & Chin Lift Look, Listen, & Feel For 10 Seconds (ABC) If Unconscious & Breathing Normally, Turn

Person Into Recovery Position Check for Continued Breathing & Circulation If Circulation Detected Continue Rescue

Breathing & Recheck Every Minute

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Unconscious & Not Breathing

2 Rescue Breaths (2 Seconds) Look…Listen…Feel (ABC) (10 Seconds) No Circulation: Use Ratio 2 Breaths / 15 Compressions Continue CPR Until:

Circulation & Breathing Resume

Doctor or Qualified Healthcare Professional Takes Over

Another Rescuer Takes Over

Unable to Continue

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What is an AED?

Automatic Electronic Defibrillator Delivers Electric Shock to Heart

AED Analyzes Heart Rhythm IF VF Detected, Advises Shock! Audio & Visual Prompts Guide User

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IS IT SAFE?

Safe If Used Correctly Trained Rescuers Have Saved Lives Works When Irregular Heartbeat is Detected Timing is Everything

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AED DefibrillationYou Want it When & Only When?

UnresponsiveNot BreathingNo CirculationNo Pulse

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Heart Problems:Sudden Cardiac Arrest (SCA)

Heart Unexpectedly & Abruptly Stops Pumping Blood

Usually Caused by Abnormal Heart Rhythm Called Ventricular Fibrillation (VF)

Heart Muscle Begins to Die

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Ventricular Fibrillation (VF)What Is It?

Abnormal Heart Rhythm Associated With SCA Caused by Abnormal & Rapid Electrical Activity in Heart Heart Quivers & Does Not Pump Blood Short Duration & Degrades to Asystole (Flat Line) if Not

Treated Quickly Every Minute of VF Decreases Chance of Bringing

Someone Back by 10%

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AED Walkthrough

NO

RecoveryPosition

RecoveryPosition

YES

CheckResponsivenessShake & Shout

CheckResponsivenessShake & Shout

Open AirwayHead Tilt/Chin Lift

Open AirwayHead Tilt/Chin Lift

Check BreathingLook/Listen/FeelCheck BreathingLook/Listen/Feel

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AttachAttachAEDAED

AttachAttachAEDAED

CardiacCardiacArrestArrest

CardiacCardiacArrestArrest

NO PULSEPULSE

Circulation PresentContinue Rescue

Breathing

Circulation PresentContinue Rescue

Breathing

Check Circulation10 Seconds

Check Circulation10 Seconds

Check CirculationEvery Minute

Check CirculationEvery Minute

Chest Compressions100/min. ratio 15:2Compressions toRescue Breaths

Chest Compressions100/min. ratio 15:2Compressions toRescue Breaths

AED Walkthrough

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Stop CPRPress Analyse

Stop CPRPress Analyse

+/- Check Pulse+/- Check Pulse

CPR for 1 minuteCPR for 1 minute

Shock x3 as necessaryShock x3 as necessary

ShockAdvised(VF, VT)

ShockAdvised(VF, VT)

No ShockAdvised

No ShockAdvised

CPR for 3 minutes1 Minute CPR

Post Defibrillation

CPR for 3 minutes1 Minute CPR

Post Defibrillation

AED Walkthrough

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General Considerations

Wet Patients Medication Patches Implanted Pacemakers Young Patients (Under 8) Chest Hair: May Have to Shave It!—Glove UP! Remove Victim Clothing: May Have to Cut Them Off Always Ensure that No One is Touching Patient During AED Use

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AED Location:Room # 100, Facilities

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Floor Team & IPO AED Responsibilities:Recap

Call 911 & Send for AED Check For Responsiveness Airway, Breathing, Circulation, (ABC) Start CPR Apply AED if Required Notify AED Program Coordinator Right

Away!

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Liability

Training: CPR & AED Every 2 Years Written Program Good Samaritan Laws

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Why AED?Time Matters

80%chance

of success

80%chance

of success

60%chance

of success

60%chance

of success

20%chance

of success

20%chance

of success

Virtually0% chanceof success

Virtually0% chanceof success

1 2 3 4 5 6 7 8 9 10 11

MINUTES

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Hands On AED Application