Automated External Defibrillator On-line Training

1. Automated External DefibrillatorOn-line Training Training for Automated External Defibrillator

2. Automated External Defibrillator Course Objective Training for Automated External Defibrillator

3. Automated External Defibrillator • After the completion of this on-line training module, participants will be able to identify the purpose of an Automated External Defibrillator (AED) and to list the steps in its safe and effective use. Training for Automated External Defibrillator

4. What is AED? • Automated External Defibrillator • Device that analyzes the heart’s rhythm for abnormalities • Directs rescuer to deliver electrical shock to victim • This shock (defibrillation) may help the heart reestablish its rhythm Training for Automated External Defibrillator

5. Purpose of AED • Designed to shock a victim during: • Ventricular Fibrillation- occurs when the ventricles flutter instead of beat • Ventricular Tachycardia- extremely rapid heartbeat Training for Automated External Defibrillator

6. Used in Cases of Cardiac Arrest • Symptoms of Cardiac Arrest • Victim has collapsed • Victim is unresponsive • Victim has stopped breathing • Victim does not have a pulse Press button for death rate chart Training for Automated External Defibrillator

7. Training for Automated External Defibrillator

8. When to Use AED • Within the first three to five minutes of the individual collapsing • Should not be used when the heart does not have an electrical rhythm Training for Automated External Defibrillator

9. When to Use AED • To learn more about why early defibrillation is important, click here. Training for Automated External Defibrillator

10. Taken from the American Red Cross Web site. Training for Automated External Defibrillator

11. Parameters for using an AED • Individual must be at least 8 years old • Weigh more than 55 pounds • Unresponsive • Absent respirations • Absent pulses Training for Automated External Defibrillator

12. Models and Pricing • There are several models available • The average price is $2,300.00 Click here to see models Training for Automated External Defibrillator

13. Portable AED Training for Automated External Defibrillator

14. Survival Rate – Know your Chain of Command Early Access Early CPR Early Defib Advanced Care Weakest Link Training for Automated External Defibrillator

15. Sudden Cardiac Arrest (SCA) • More than 350,000 Americans experience out-of-hospital SCA, and it’s the leading cause of death nation wide • More than 95% of them die, and 100,000 of them can be prevented each year if early defibrillation Training for Automated External Defibrillator

16. Sudden Cardiac Arrest (SCA) • Published studies prove that early defibrillation, within the first few minutes of SCA, can save up to 30% of victims • To learn more about what sudden cardiac arrest is, click here. Training for Automated External Defibrillator

17. Sudden Cardiac Arrest As the graph indicates, Sudden Cardiac Arrest (SCA) is more common than any other cause of death. Press this button to view Cause of Death graph. Training for Automated External Defibrillator

18. Training for Automated External Defibrillator

19. Sudden Cardiac Arrest • Along with CPR techniques (cardio-pulmonary resuscitation) defibrillators in high-human-traffic areas such as airports and shopping malls are saving lives. • First scene rescuer such as police or ambulance equipment with AED can cut defibrillator response time to SCA victims by three minutes Training for Automated External Defibrillator

20. Sudden Cardiac Arrest • Thirteen percent or workplace fatalities reported in 1999 and 2000 were due to cardiac arrest • An estimated 5,000 to 7,000 children in the US succumb to SCA annually many related to sporting events Training for Automated External Defibrillator

21. Sudden Cardiac Arrest • To learn more about what causes sudden cardiac arrest, click here. Training for Automated External Defibrillator

22. Using an AED • There are two main types of AED’s used today: semi-automatic and fully-automatic • Semi-automatic – “prompt the user to stand clear and then to push a shock button to defibrillate” (Wikipedia, 2006) • Fully automatic – “sound a stand clear voice prompt and then deliver the shock automatically” (Wikipedia, 2006) Training for Automated External Defibrillator

23. Using an AED • Automated external defibrillators require very little training, they are semi to fully automated with detailed instructions for use. • Many units are now available in public places. • Some units are equipped with visual prompts as well for the hearing impaired • “All AED’s approved for use in the United States use a synthesized voice to prompt users through each step”. (Wikipedia, 2006) Training for Automated External Defibrillator

24. Using an AED • Defibrillation is an important part of CPR • If a patient is defibrillated immediately, their chances of survival are 90%, from here, the chances decrease by 10% by every minute (Wikipedia, 2006) Training for Automated External Defibrillator

25. Procedural Steps for Use of AED Training for Automated External Defibrillator

26. Procedural Steps for Use of AED • Remove all metallic items on the patient – i.e. jewelry • Shave patients breast if hairy • Place defibrillation patches on patient • One on the left side under the heart, the other over the right breast Training for Automated External Defibrillator

27. Procedural Steps for Use of AED • The defibrillator will then monitor the patient to see if shock is required • If shock is required, the user/operator will then be given voice prompts as to what to do from here (refer to automatic and semi-automatic defibrillators) Training for Automated External Defibrillator

28. Procedural Steps for Use of AED • CPR must be stopped while patient is being examined in this process • Defibrillation takes priority over CPR (Wikipedia, 2006) Training for Automated External Defibrillator

29. Use of AED • “Defibrillators can also be used for monitoring and recording purpose only; a different set of patches is available (two or three small round patches). Should fibrillation occur when the monitoring patches are on, the defibrillator will ask the operator to change patches.” (Wikipedia, 2006) Training for Automated External Defibrillator

30. Safety Considerations • Do not shock the patient if • There is explosive or inflammable material close to the patient • The patient is wet (Wikipedia, 2006) • If the area is wet, you must move the patient or use some mechanism to ensure that they are dry prior to administering defibrillation • If the patient has a Pacemaker, the patch needs to go below it, not on top of it, otherwise you can cause damage to the individual and cause the AED unit to malfunction. Training for Automated External Defibrillator

31. Safety Considerations • Do not touch a patient when shock is being delivered, this is dangerous for the operator • Liability: • Many states cover people and protect operators from liability through “good faith use of an AED…under the Good Samaritan Laws”. (Wikipedia, 2006) • In most cases this protects operators from being “held civilly liable for the harm or death of a victim by providing improper or inadequate care, given that the harm or death was not intentional (and other circumstances) (Wikipedia, 2006) • As of 2004, it is mandatory that all basic Life Support/CPR courses include operation of AED’s in their curriculum Training for Automated External Defibrillator

32. Summary • An AED is used to shock the heart back into normal rhythm by means of an electric current. • These are the steps for safe and effective use of an AED: • Remove all metallic items on the patient – i.e. jewelry • Shave patients breast if hairy • Place defibrillation patches on patient • One on the left side under the heart, the other over the right breast Training for Automated External Defibrillator

33. Summary • The defibrillator will then monitor the patient to see if shock is required • If shock is required, the user/operator will then be given voice prompts as to what to do from here (refer to automatic and semi-automatic defibrillators) Training for Automated External Defibrillator

34. References • American Heart Association, (2005). Chain of Survival. Retrieved from Microsoft Internet Explorer on February 2nd, 2006 from: http://www.americanheart.org/presenter.jhtml?identifier=3011804 • Automatic External Defibrillators, (2005). Chapter 30c. Retrieved from Microsoft Internet Explorer on February 2nd, 2006 from: http://www.delcode.state.de.us/title16/c030c/ Training for Automated External Defibrillator

35. References • Sudden Cardiac Arrest from Survivalink,(2002). Retrieved from Microsoft Internet Explorer on February 2nd, 2006 from: http://www.skyaid.org/Skyaid%20Org/Medical/sca_survivalink.htm • Saving a Life Is as Easy as A-E-D, Retrieved on February 4, 2006 from: http://www.redcross.org/services/hss/courses/aed.html Training for Automated External Defibrillator

36. References • Wikipedia, The free encyclopedia. (2006) Automated external defibrillators. Retrieved from the WWW at http://en.wikipedia.org/wiki/Automated_external_defibrillator, February 1, 2006. Training for Automated External Defibrillator

37. End of Training • Please go to the e-assessment for this training module. Training for Automated External Defibrillator