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Heartsaver AED for the Lay Rescuer and First Responder

Heartsaver AED for the Lay Rescuer and First Responder. 1998 American Heart Association. Extent of the Problem. 1.1 million heart attacks 480,000 deaths due to coronary heart disease 250,000 prehospital cardiac arrests. Chain of Survival.

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Heartsaver AED for the Lay Rescuer and First Responder

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  1. Heartsaver AEDfor the Lay Rescuer andFirst Responder • 1998 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. Chain of Survival Early Early Early Early Access CPR Defibrillation Advanced Care

  4. 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

  5. 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

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

  7. 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

  8. 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

  9. Priorities and the AED A – Airway B – Breathing C – Circulation D – Defibrillation

  10. 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

  11. 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?

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

  13. 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

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

  15. 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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