Transcript Chapter 6

LESSON 6
AUTOMATED EXTERNAL
DEFIBRILLATORS (AED)
© 2011 National Safety Council
6-1
Automated External Defibrillator (AED)
• Many victims who
receive BLS need an
AED
- Often in cardiac arrest
heart has abnormal
rhythm
• Use AED with
unresponsive victim
who is not breathing
normally
- AED may correct
abnormal heart rhythm
© 2011 National Safety Council
6-2
Public Access to AEDs
• Ideally an AED should
reach victim within
minutes
• AEDs available in
many places
• For use by trained
rescuers and first
aiders
© 2011 National Safety Council
6-3
Heart’s Electrical System
continued
• Ventricular fibrillation common abnormal heart rhythm
after heart attack, electrocution, hypothermia and
other causes
- Ventricles of heart are quivering instead of beating
rhythmically
- In about ½ of cases of cardiac arrest, victim’s heart is in
fibrillation
© 2011 National Safety Council
6-4
How AEDs Work
• Automatically checks
victim’s heart rhythm to
detect fibrillation
• Advises whether victim
needs a shock
- The shock (defibrillation)
is an attempt to return
heart to a more normal
rhythm
© 2011 National Safety Council
6-5
Time is Important
• AEDs are easy and simple to use but must be used
right away
• With every minute that goes by, survival drops by
about 10%
© 2011 National Safety Council
6-6
AED Use in Children
• Follow adult guidelines
for children over age 8
• Sudden cardiac arrest
can occur in younger
children and infants
-
SIDS
Poisoning
Drowning
Heart problems
© 2011 National Safety Council
6-7
AED Use in Children
continued
• Give child two minutes of CPR before using AED
- Unless witnessed that child collapsed suddenly
© 2011 National Safety Council
6-8
AED Use in Children
• Use pediatric pads
- Smaller
- Produce lower-energy
shocks
- Follow diagram on pads
for placement
• Pediatric pads should
not be used on adults
• If pediatric pads are
not available, use adult
pads
© 2011 National Safety Council
6-9
continued
Internal Pacemaker/Defibrillator
• May see bulge beneath victim’s skin
• Do not place AED over area—place it at least one or
more inches away
• If victim’s body is jerking
- Implanted defibrillator may be giving shocks
- Wait until jerking ends
© 2011 National Safety Council
6-10