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Rev. Dec 121 Loudoun County AED Program AED AED Teamwork* Integrity* Professionalism* Service*
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Transcript of Rev. Dec 121 Loudoun County AED Program AED AED Teamwork* Integrity* Professionalism* Service*
Rev. Dec 12Rev. Dec 12 11
Loudoun County AED Loudoun County AED ProgramProgram
AEDAED AEDAEDTeamwork* Integrity* Professionalism* Service*
ObjectivesObjectives
Rev. Dec 12Rev. Dec 12 22Teamwork* Integrity* Professionalism* Service*
•Identify the function and anatomy of the heart
•Properly operate the AED
•Integrate AED into CPR/scene management
•Identify any special circumstances that impact AED use
•Maintaining and identifying problems associated with the
AED
Rev. Dec 12Rev. Dec 12 33
DefinitionDefinition
““Defibrillation is the delivery of an Defibrillation is the delivery of an electric current through the chest electric current through the chest wall and heart for the purpose of wall and heart for the purpose of terminating ventricular fibrillation or terminating ventricular fibrillation or pulseless ventricular tachycardia and pulseless ventricular tachycardia and restoring a perfusing rhythm.”restoring a perfusing rhythm.”
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A & P of the HeartA & P of the Heart
A network of specialized tissue, capable of A network of specialized tissue, capable of conducting electrical current, runs conducting electrical current, runs throughout the heart muscle.throughout the heart muscle.
As electrical impulses travel through this As electrical impulses travel through this network, coordinated contractions of the network, coordinated contractions of the heart muscle occur.heart muscle occur.
Rev. Dec 12Rev. Dec 12 Teamwork* Integrity* Professionalism* Service*
Rev. Dec 12Rev. Dec 12 55
Electrical PathwayElectrical Pathway
Sinoatrial Node (SA)Sinoatrial Node (SA) Atrioventricular Node Atrioventricular Node
(AV)(AV) Bundle of His Bundle of His Bundle BranchesBundle Branches Purkinje FibersPurkinje Fibers
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Rev. Dec 12Rev. Dec 12 66
Heart FunctionHeart Function Electrical
Electrical impulses through the heart.
Evaluated with ECG monitor.
An electrical rhythm does not mean there is a pulse!
MechanicalMechanical Actual pumping of Actual pumping of
the heart.the heart.
Evaluated by Evaluated by checking pulse.checking pulse.
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Rev. Dec 12Rev. Dec 12 77
Shockable RhythmsShockable Rhythms Pulseless Ventricular Tachycardia (VT) may be the
initial rhythm for a patient in cardiac arrest.
Ventricular Fibrillation (VFib) is the most frequent rhythm present when a patient is found in cardiac arrest.
Ventricular Fibrillation is a useless quivering of the heart that results in no blood flow, therefore no pulse.
Early Defibrillation is the only effective treatment for Ventricular Fibrillation.
AEDs shock Pulseless Ventricular Tachycardia (VT) and Ventricular Fibrillation (VFib).
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Rev. Dec 12Rev. Dec 12 88
Shockable RhythmsShockable Rhythms
Ventricular Fibrillation
Pulseless Ventricular Tachycardia
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Rev. Dec 12Rev. Dec 12 99
The absence of any electrical impulse is The absence of any electrical impulse is
called called AsystoleAsystole
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Rev. Dec 12Rev. Dec 12 1010
AEDs and Ventricular Fibrillation/AEDs and Ventricular Fibrillation/Pulseless Ventricular TachycardiaPulseless Ventricular Tachycardia
Defibrillation “shocks” the heart in an effort to Defibrillation “shocks” the heart in an effort to
restore normal electrical activity of the heart.restore normal electrical activity of the heart.
Defibrillation is the only effective treatment for Defibrillation is the only effective treatment for
VF/Pulseless VT, once the patient’s pump has been VF/Pulseless VT, once the patient’s pump has been
primedprimed
The ability to successfully defibrillate a patient into
a normal rhythm diminishes rapidly over time.
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Rev. Dec 12Rev. Dec 12 1111
AEDs used by Loudoun County AEDs used by Loudoun County Fire & Rescue CompaniesFire & Rescue Companies
Lifepak 1000 Lifepak 12
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Lifepak 15
Rev. Dec 12Rev. Dec 12 1212
AEDAED Components/AccessoriesComponents/Accessories
AED with BatteryAED with Battery Pediatric and Adult Pediatric and Adult
PadsPads Razor Wash cloth Spare batteries &
Paper (for LP 12 only)
Teamwork* Integrity* Professionalism* Service*
Rev. Dec 12Rev. Dec 12 1313
Authorized Use of AEDAuthorized Use of AED
Granted to locally authorized FR, EMT, Granted to locally authorized FR, EMT, Advanced EMT, I/PAdvanced EMT, I/P
Active member of OEMS EMS Licensed Agency Active member of OEMS EMS Licensed Agency authorized to operate in Loudoun Countyauthorized to operate in Loudoun County
Current BLS – AHA Healthcare ProviderCurrent BLS – AHA Healthcare Provider
Recertification every 12 monthsRecertification every 12 months
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Rev. Oct 09Rev. Oct 09 1414
Indications for UseIndications for Use
Standing Order – Cardiac Standing Order – Cardiac Arrest Arrest Pulseless and Apneic of any Pulseless and Apneic of any age age
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Presumptive Death (DOA)Presumptive Death (DOA) CriteriaCriteria
DecompositionDecomposition Lividity or dependent pooling of bloodLividity or dependent pooling of blood Obvious mortal injury that is inconsistent with lifeObvious mortal injury that is inconsistent with life Rigor mortisRigor mortis Presence of a Virginia Durable Do Not Presence of a Virginia Durable Do Not
Resuscitate (DDNR) orderResuscitate (DDNR) order If in doubt, begin resuscitation and contact If in doubt, begin resuscitation and contact
medical control for guidancemedical control for guidance
Rev. Dec 12 Teamwork* Integrity* Professionalism* Service* 15
Rev. Decd 12Rev. Decd 121616
Scene Safety/BSIScene Safety/BSI
Make sure that the environment is Make sure that the environment is safe.safe.
Is the patient laying in water?Is the patient laying in water?
Do you need to move the patient Do you need to move the patient before starting care?before starting care?
It is not safe to defibrillate in a It is not safe to defibrillate in a moving ambulance!moving ambulance!
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Rev. Dec 12Rev. Dec 12 1717
CPR ProcedureCPR Procedure Patient is found pulseless and apneic Patient is found pulseless and apneic
or unresponsive:or unresponsive: Procedures:Procedures:
Look for signs of breathing…if none Look for signs of breathing…if none perform a pulse check for 5-10 seconds, if perform a pulse check for 5-10 seconds, if no pulse start CPR w/ compressionsno pulse start CPR w/ compressions
Perform CPR while attaching AED patchesPerform CPR while attaching AED patches Turn on AED and analyze rhythm Turn on AED and analyze rhythm
immediatelyimmediately
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Two Possible ScenariosTwo Possible Scenarios
Shockable RhythmShockable Rhythm After shock, immediately resume CPRAfter shock, immediately resume CPR Switch providers for compressions along Switch providers for compressions along
with analyzingwith analyzing Must have 3 consecutive prior to transportMust have 3 consecutive prior to transport
Non-shockable RhythmNon-shockable Rhythm Must have 3 consecutive prior to transportMust have 3 consecutive prior to transport
Rev. June 08Rev. June 08 1818
Rev. Dec 12Rev. Dec 12 1919
“I’m Clear”
“You’re Clear”
“Everybody is Clear”
“Shocking Now”
While visually checking to make sure that no one
is touching patient!
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Rev. Dec 12Rev. Dec 12 2020
Attaching AED to PatientAttaching AED to Patient
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Rev. Dec 12Rev. Dec 12 2121
Effective Adherence of PadsEffective Adherence of Pads
Sweaty chest Dry with a towel Do not use alcohol
Hairy chest Shaving may be needed Ultimate goal is to have
complete skin contact.
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Rev. Dec 12Rev. Dec 12 2222
Sternum-Apex PositionSternum-Apex PositionSternum:
Right Pad is placed below the right clavicle and to the right of the Sternum above the nipple.
Apex:
Left Pad is placed on the lower left ribs in the midaxillary line.
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Electrode PlacementElectrode Placement Correct electrode position optimizes the Correct electrode position optimizes the
amount amount of current flowing through the ventriclesof current flowing through the ventricles
Correct electrode position Incorrect electrode position
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Pediatric PatientPediatric Patient
Use the AED1000 with adult pads on children older than 8 years old or more than 55 lbs (25kg)
Use the AED 1000 with Pediatric Reduced Energy Defibrillation Pads on children 1 to 8 years old or 55 lbs (25kg) or less.
Rev. Dec 12Rev. Dec 12 Teamwork* Integrity* Professionalism* Service* 24
Pediatric PatientPediatric Patient With Pediatric Pads, energy from the
AED 1000 is reduced by a factor of 4 Approximately 50-75-86 Joules is
delivered if the AED1000 is set at 200-300-360 Joules
Rev. Dec 12Rev. Dec 12 Teamwork* Integrity* Professionalism* Service*
Attenuated (reduced energy) Pediatric Pads
25
Pediatric PatientPediatric Patient Pediatric pads supplied for the LP1000
are not compatible with the LP12 or 15.
Rev. Dec 12Rev. Dec 12 Teamwork* Integrity* Professionalism* Service* 26
Pediatric PatientPediatric Patient
Place the Pediatric pads in the anterior-lateral position (same locations has adult pads)
Rev. Oct 09Rev. Oct 09 Teamwork* Integrity* Professionalism* Service* 27
Anterior/Posterior PositionAnterior/Posterior Position May be used if: May be used if:
Adult pads on a pediatric patient if no Adult pads on a pediatric patient if no pediatric pads are avail pediatric pads are avail
Child is small and pads will be within 1” of Child is small and pads will be within 1” of each othereach other
Rev. Dec 12Rev. Dec 12 Teamwork* Integrity* Professionalism* Service* 28
Medtronic Medtronic
LifePak 12 or 15LifePak 12 or 15
Rev. Oct 09 Teamwork* Integrity* Professionalism* Service* 29
Rev. Dec 12Rev. Dec 12 3030
CONNECT ELECTRODES message and voice prompt occur until the patient is connected to the therapy cables
Clear patient than push analyze button
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After confirming a After confirming a Cardiac Arrest turn AED Cardiac Arrest turn AED onon
Rev. Dec 12Rev. Dec 12 3131
Do not touch or move the patient or therapy cables during analysis.The AED requires 6-9 seconds to fully analyze the patient’s rhythm
Allow machine to complete the analysisNever override the machine
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Rev. Dec 12Rev. Dec 12 3232
Allow machine to charge Do not over ride system
Say “I’m clear”
“Your clear”
“Everyone’s clear”
“Shocking now”
Prior to pushing the shock button
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Rev. Oct 09Rev. Oct 09 3333
Lifepak has identifies an non-shockable rhythm
Check carotid artery
AED will count down 2 minutes of CPRDo not override the countdownPush Analyze when prompted
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MedtronicMedtronic
Lifepak 1000Lifepak 1000
34Teamwork* Integrity* Professionalism* Service*Rev. Dec 12
Lifepak 1000 OperationsLifepak 1000 Operations Confirm Cardiac Arrest Turn on AED Attach Pads AED will immediately began to analyze If AED detects a shockable rhythm machine will
ask “If you witnessed the arrest push cancel” If AED has detected a non-shockable rhythm no
prompt will be given start CPR for 2 minutes Follow prompts of the machine
Rev. Dec 12 Teamwork* Integrity* Professionalism* Service* 35
Check for PulseCheck for Pulse You may be prompted to check for a
pulse after a no shock advised decision.
YES and NO soft keys appear on the screen
If patient does not have a pulse, press the NO soft key and CPR time begins
If patient has pulse, press the YES soft key The 1000 will prompt the user to provide rescue breaths, if needed
The 1000 enters continuous monitoring state
Rev. Dec 12Rev. Dec 12 Teamwork* Integrity* Professionalism* Service* 36
Rev. Dec 12Rev. Dec 12 3737
If you do get a pulse, If you do get a pulse, Assess the quality of the pulse. Assess the quality of the pulse.
Assess and/or support breathing.Assess and/or support breathing.
Check the patient’s blood pressure.Check the patient’s blood pressure.
Do not turn off the AED or remove
pads.
Contact medical control.Contact medical control.
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Rev. Dec 12Rev. Dec 12 3838
Call Medical Control & Call Medical Control & Prepare to Transport …..Prepare to Transport …..
Maximum of 3 shocks Maximum of 3 shocks with 2 minutes of CPR with 2 minutes of CPR between shocks are between shocks are delivered*.delivered*.
Three (3) “No Shock Three (3) “No Shock Advised” scenariosAdvised” scenarios
Patient regains a Pulse!Patient regains a Pulse!
Teamwork* Integrity* Professionalism* Service*
Rev. Dec 12Rev. Dec 12 3939
While enroute ...While enroute ...If patient loses a pulse enroute…If patient loses a pulse enroute…
STOP AMBULANCESTOP AMBULANCE ReanalyzeReanalyze Continue with procedures as usualContinue with procedures as usual Contact receiving hospital with updated Contact receiving hospital with updated
informationinformation
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Rev. Dec 12Rev. Dec 124040
DocumentationDocumentation
Electronic PPCR – Report assessment findings Complete AED usage section
Code summary (LP12).
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Special Special
SituationsSituations
Rev. June 08Rev. June 08 4141Teamwork* Integrity* Professionalism* Service*
Special SituationsSpecial Situations
Medication patchesMedication patches Artificial pacemakersArtificial pacemakers Automated internal cardiac Automated internal cardiac
defibrillators (AICDs)defibrillators (AICDs) Traumatic arrestsTraumatic arrests
Rev. Oct 09 Teamwork* Integrity* Professionalism* Service* 42
Rev. Dec 12Rev. Dec 12 4343
Medication PatchesMedication Patches
Aluminum backing or Aluminum backing or the medium is the medium is reactive.reactive.
Patch either heats up Patch either heats up or ignites.or ignites.
Expose the patient and Expose the patient and remove remove ALLALL patches patches before defibrillation.before defibrillation.
Wipe any medication Wipe any medication off the chest.off the chest.
Use gloves when you remove it.
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Rev. Oct 09Rev. Oct 09 4444
Automated Internal Cardiac Automated Internal Cardiac Defibrillator (AICD)Defibrillator (AICD)
In patients with In patients with recurrent recurrent arrhythmias.arrhythmias.
If found on the right If found on the right Do not place the pad Do not place the pad on the AICD.on the AICD.
It’s presence does It’s presence does not preclude not preclude attaching and using attaching and using an AED.an AED.
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Rev. Dec 12Rev. Dec 12 4545
Artificial PacemakersArtificial Pacemakers
Pulse generator and Pulse generator and wires to the heart.wires to the heart.
Usually found on the Usually found on the left side of the cheat.left side of the cheat.
If found on the right If found on the right Do not place the pad Do not place the pad over the pacemaker.over the pacemaker.
A direct shock to the A direct shock to the pacemaker could pacemaker could cause it to reprogram.cause it to reprogram.
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Rev. Dec 12Rev. Dec 12 4646
Trauma & Obvious DeathTrauma & Obvious Death AED should not be attached to a patient AED should not be attached to a patient
that is obviously dead.that is obviously dead.
Signs of incompatible with life, e.g., rigor
mortis, etc.
Signs of injuries incompatible with life
AED may be attached to a trauma patient AED may be attached to a trauma patient
in cardiac arrest since the cardiac arrest in cardiac arrest since the cardiac arrest
may have caused the trauma.may have caused the trauma.
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Batteries of the AEDBatteries of the AED
Rev. Dec 12Rev. Dec 12 4747Teamwork* Integrity* Professionalism* Service
LP 1000 BatteryLP 1000 Battery The 1000 is powered by a
nonrechargeable lithium manganese dioxide battery pak
Battery pak fuel gauge indicates battery’s charge level
Fully charged battery: all green lights illuminated
Rev. Dec 12Rev. Dec 12 Teamwork* Integrity* Professionalism* Service* 48
LP 1000 BatteryLP 1000 Battery
Low battery: single steady green light
Empty battery: single flashing green light
Rev. Dec 12Rev. Dec 12 Teamwork* Integrity* Professionalism* Service* 49
LP 1000 BatteryLP 1000 Battery The approximate level of charge in the
battery appears on the readiness display when the 1000 is off
Battery low: battery symbol has one bar Battery empty: battery symbol has no bars When low it cannot be replaced on the scene
Rev. Dec 12Rev. Dec 12 Teamwork* Integrity* Professionalism* Service* 50
LP 12 and 15 BatteriesLP 12 and 15 Batteries
Rev. Dec 12Rev. Dec 12 5151
The LP 12 and 15 Batteries are powered by lithium ion battery pak and are rechargeable
Battery pak fuel gauge indicates battery’s charge
level
Fully charged battery: all green lights illuminatedCan be replaced when low and will not interrupt the operation of the AED
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Troubleshooting and Troubleshooting and
Maintenance Maintenance
of the AEDof the AED
Rev. Dec 12Rev. Dec 12 5252Teamwork* Integrity* Professionalism* Service*
““Connect Electrodes” Connect Electrodes” MessageMessage
Possible causes: Electrodes are not adhered to the patient’s skin Electrodes are disconnected
What to do Firmly press electrode onto the skin Check to be sure connector is
completely inserted into the AED Clean, shave and dry the skin Replace the electrode pads If prompt continues, perform CPR until ALS arrives
Rev. Dec 12Rev. Dec 12 Teamwork* Integrity* Professionalism* Service* 53
Motion detected, stop Motion detected, stop motion”motion”
Possible causes: Patient movement due to: breathing, CPR being
performed during analysis, some internal pacemakers, vehicle motion, or electrical/radio frequency interference
What to do: Check patient for normal breathing Stop CPR during analysis Stop vehicle during analysis Move communication or other suspected
devices away from AED when possible
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““Replace Battery”Replace Battery”
Possible causes: Battery pak has exceeded specified
“on time” and/or energy discharges What to do:
LP 1000 Continue to use during resuscitation
LP 12/15 Obtain a replacement battery
Rev. Dec 12Rev. Dec 12 Teamwork* Integrity* Professionalism* Service* 55
Maintenance SymbolMaintenance Symbol
If the 1000 requires service, the wrench symbol appears
If the wrench is visible, remove the
1000 from service and contact authorized service personnel
Rev. Oct 09Rev. Oct 09 Teamwork* Integrity* Professionalism* Service* 56
MaintenanceMaintenance Daily Auto Test (LP 1000 only)
The 1000 performs automatic tests daily at 3:00 AM
OK symbol visible: AED is ready for use Daily Auto Test will test for low or replace
battery conditions Battery gauge on the readiness display
updates every day
Rev. Oct 09Rev. Oct 09 Teamwork* Integrity* Professionalism* Service* 57
MaintenanceMaintenance
Self-test Each time the 1000 is manually turned on, it
performs internal self-tests to check that the internal electrical components and circuits work properly
Also indicates a low or replace battery condition
LP 12/15 does not provide this option
Rev. Oct 09Rev. Oct 09 Teamwork* Integrity* Professionalism* Service* 58
Routine MaintenanceRoutine Maintenance On a periodic basis check the
following: OK symbol is visible on LP1000 Battery gauge level on LP 12/15 Use-by date on electrode pads has not
passed Other emergency supplies stored with
the unit are present (e.g., face masks, gloves, razors, etc.)
Damage to or foreign substancesTeamwork* Integrity* Professionalism* Service*Dev. Oct 09 59
Recommended Corrective Recommended Corrective ActionsActions
Wrench symbol visible: contact authorized service personnel
Battery symbol visible: replace if low battery indicated
Use-by date passed: replace electrode packet Supplies missing: replenish as needed Damage noted: contact authorized
service personnel Foreign substance visible: clean with damp
sponge or cloth with recommended cleaning agents
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Service*Rev. Oct 09 60
After-use CareAfter-use Care
After the AED has been used: Clean off foreign substances Replace electrodes Replenish supplies as needed Check battery symbol for battery
status and replace battery if low
Rev. Dec 12Rev. Dec 12 Teamwork* Integrity* Professionalism* Service* 61
Rev. Dec 12Rev. Dec 12 6262
Review QuestionsReview Questions
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Rev. Dec 12Rev. Dec 12 6363
Disorganized twitching of Disorganized twitching of the ventricle in which no the ventricle in which no blood goes to the body is blood goes to the body is
called:called:
Ventricular Fibrillation
Teamwork* Integrity* Professionalism* Service*
Rev. Dec 12Rev. Dec 12 6464
What age range does the What age range does the Semi-Automated External Semi-Automated External
Defibrillation (AED) Defibrillation (AED) protocol allow the cardiac protocol allow the cardiac
arrest patient to be arrest patient to be treated with an AED?treated with an AED?Patients who appear to be one (1) year of age
or olderTeamwork* Integrity* Professionalism* Service*
Rev. Dec 12Rev. Dec 12 6565
Prior to ceasing resuscitation Prior to ceasing resuscitation methods all providers will methods all providers will
contact the appropriate LHC-contact the appropriate LHC-Med Control.Med Control.
What are the two instances What are the two instances
when immediate contact should when immediate contact should be made?be made? • Valid DNR is discovered after CPR has begun
• Injuries/circumstances preclude the safe continuation of CPR efforts
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Rev. Dec 12Rev. Dec 12 6666
When using the LP 1000, When using the LP 1000, after one shock with the after one shock with the AED, your next step is to AED, your next step is to
__________.__________.
Start CPR/2 minutes of CPR
Teamwork* Integrity* Professionalism* Service*
Rev. Dec 12Rev. Dec 12 6767
Before delivering a shock, Before delivering a shock, you must say, “________” you must say, “________” while looking around the while looking around the
patient.patient.I’m clear, your clear, we are all clear…
Shocking now.
Teamwork* Integrity* Professionalism* Service*
Rev. Dec 12Rev. Dec 12 6868
When Should the Anterior-When Should the Anterior-Posterior Pad Placement Site Posterior Pad Placement Site
be Utilized?be Utilized?
If the electrodes touch in the sternum-apex
position
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Rev. Dec 12Rev. Dec 12 6969
The absence of any The absence of any electrical rhythm in the electrical rhythm in the
heart is called ___________.heart is called ___________.
Asystole
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Rev. Dec 12Rev. Dec 12 7070
As a First Responder, As a First Responder, EMT/AET/I/P in Loudoun EMT/AET/I/P in Loudoun County, you are granted County, you are granted STANDING ORDERS to STANDING ORDERS to
deliver ______ total shocks.deliver ______ total shocks.
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Rev. Dec 12Rev. Dec 12 7171
Does Hypothermia, Does Hypothermia, overdose and/or drowning overdose and/or drowning effect how a resuscitation effect how a resuscitation
is performed?is performed?Yes
If may prolong the efforts and should be made identified to Medical Control early in the
resuscitation.
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Rev. Dec 12Rev. Dec 12 7272
In a witnessed cardiac In a witnessed cardiac arrest if you had a choice arrest if you had a choice between initiating CPR or between initiating CPR or
connecting the AED, which connecting the AED, which should you do first?should you do first?Attach the AED and follow the prompts
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Rev. Dec 12Rev. Dec 12 7373
Are the pediatric AED Are the pediatric AED electrodes used in a electrodes used in a
Lifepak 1000 the same as Lifepak 1000 the same as those used by a medic those used by a medic operating a Lifepak 12?operating a Lifepak 12?
NoThey are not compatible, and when an ALS provides arrives they will need to
replace the pads from the Lifepak 1000 with their Lifepak 12 pediatric pads
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Rev. Dec 12Rev. Dec 12 7474
The primary locations for the The primary locations for the placement of the electrodes placement of the electrodes
of the AED on an adult patient of the AED on an adult patient is is
___ and _____.___ and _____.
Apex and Sternum
Teamwork* Integrity* Professionalism* Service*
Rev. Dec 12Rev. Dec 12 7575
What is age range to consider What is age range to consider using pediatric pads?using pediatric pads?
Intended for use on children 1 to 8 years of age or up to 25kg
(55lb).
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Rev. Dec 12Rev. Dec 12 7676
One of three things must One of three things must occur which trigger occur which trigger
contacting Medical Control contacting Medical Control and preparing to transport and preparing to transport the patient connected to the patient connected to
the AED. They are:the AED. They are:3 shocks are given
3 consecutive no-shock advised Return of spontaneous pulse
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Rev. Dec 12Rev. Dec 12 7777
You are transporting a You are transporting a patient in the ambulance patient in the ambulance
when the patient collapses when the patient collapses into cardiac arrest. What into cardiac arrest. What
do you do?do you do? Stop the ambulance, start CPR,
attach the AED, and initiate rhythm analysis
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Rev. Dec 12Rev. Dec 12 7878
A patient for whom A patient for whom resuscitative measures resuscitative measures have been terminated have been terminated
should be transported to should be transported to which facility?which facility?
LHC- Cornwall or
LHC –Lansdowne ER If ALS procedures have been performed the ALS-
AIC shall accompany the body to the ER
Teamwork* Integrity* Professionalism* Service*
Rev.. Dec 12Rev.. Dec 12 7979
You arrive to assist a patient You arrive to assist a patient in cardiac arrest who has an in cardiac arrest who has an
Automatic Implanted Automatic Implanted Cardiac Defibrillator (AICD). Cardiac Defibrillator (AICD).
What should you do?What should you do?
Attach AED and proceed as normal attempting to avoid
the AICD..Teamwork* Integrity* Professionalism* Service*
Rev. Dec 12Rev. Dec 12 8080
The sternum pad is placed The sternum pad is placed just below the right _____just below the right _____
clavicle
Teamwork* Integrity* Professionalism* Service*
Rev. Dec 12Rev. Dec 12 8181
A 25 year old man is found A 25 year old man is found lying in water on the deck of a lying in water on the deck of a
backyard pool. He is backyard pool. He is unresponsive, not breathing, unresponsive, not breathing, and pulseless. CPR is being and pulseless. CPR is being performed as you prepare to performed as you prepare to use an AED. What should be use an AED. What should be
the next steps?the next steps?Remove the patient from the water, wipe the chest dry and then attach the AED pads firmly
to the chest*Remember the provider scene safety, and to assure they are not standing in water nor the
patient lying in a puddle of water.Teamwork* Integrity* Professionalism* Service*
Rev. Dec 12Rev. Dec 12 8282
Questions or Comments?Questions or Comments?
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