Aed Training


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Rollout for AED Program in building with 300 occupants

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Aed Training

  1. 1. Automatic Electronic Defibrillator (AED) Training: 101 Grove Emergency Evacuation Teams Shawn Holle Safety Analyst DPH Occupational Safety & Health
  2. 2. 101 Grove Street AED Program Don’t Worry…This One is EASY! <ul><li>Medical Director </li></ul><ul><li>AED Program Coordinator </li></ul><ul><li>CPR Trained & Certified Emergency Evacuation Teams </li></ul><ul><li>Institutional Police Officers (IPOs) </li></ul><ul><li>Voluntary Responders </li></ul>Yes…You Are That Cool
  3. 3. Chain of Survival Where Do We Fit? Early Access Early CPR Early Defibrillation Early Advanced Cardiac Life Support ACLS
  4. 4. 101 Grove Street Procedures <ul><li>Call 911 & Send for AED </li></ul><ul><li>Check For Responsiveness </li></ul><ul><li>Check Airway, Breathing, Circulation (ABC) </li></ul><ul><li>Start Cardiopulmonary Resuscitation (CPR) </li></ul><ul><li>Apply AED if Required </li></ul>
  5. 5. W hy CPR? Lets Buy Some Time <ul><li>CPR Provides Circulation of Oxygenated Blood to Heart & Brain </li></ul><ul><li>Delays Brain & Heart Muscle Death </li></ul><ul><li>Primes Heart for Defibrillation (AED) </li></ul>
  6. 6. Checking Victim Status <ul><li>Assess Responsiveness: Shake & Shout </li></ul><ul><li>Get Helper to Call 911 & Get AED </li></ul><ul><li>Open Airway by Head Tilt & Chin Lift </li></ul><ul><li>Look, Listen, & Feel For 10 Seconds (ABC) </li></ul><ul><li>If Unconscious & Breathing Normally, Turn Person Into Recovery Position </li></ul><ul><li>Check for Continued Breathing & Circulation </li></ul><ul><li>If Circulation Detected Continue Rescue Breathing & Recheck Every Minute </li></ul>
  7. 7. Unconscious & Not Breathing <ul><li>2 Rescue Breaths ( 2 Sec ond s) </li></ul><ul><li>Look…Listen…Feel (ABC) ( 10 Seconds) </li></ul><ul><li>No Circulation: Use Ratio 2 Breaths / 15 Compressions </li></ul><ul><li>Continue CPR Until: </li></ul><ul><li>Circulation & Breathing Resume </li></ul><ul><li>Doctor or Qualified Healthcare Professional Takes Over </li></ul><ul><li>Another Rescuer Takes Over </li></ul><ul><li>Unable to Continue </li></ul>
  8. 8. What is an AED? <ul><li>Automatic Electronic Defibrillator Delivers Electric Shock to Heart </li></ul><ul><li>AED Analyzes Heart Rhythm </li></ul><ul><li>IF VF Detected, Advises Shock! </li></ul><ul><li>Audio & Visual Prompts Guide User </li></ul>
  9. 9. IS IT SAFE? <ul><li>Safe If Used Correctly </li></ul><ul><li>Trained Rescuers Have Saved Lives </li></ul><ul><li>Works When Irregular Heartbeat is Detected </li></ul><ul><li>Timing is Everything </li></ul>
  10. 10. AED Defibrillation You Want it When & Only When? <ul><li>Unresponsive </li></ul><ul><li>N ot Breathing </li></ul><ul><li>No Circulation </li></ul><ul><li>No Pulse </li></ul>
  11. 11. Heart Problems: Sudden Cardiac Arrest (SCA) <ul><li>Heart Unexpectedly & Abruptly Stops Pumping Blood </li></ul><ul><li>Usually Caused by Abnormal Heart Rhythm Called Ventricular Fibrillation (VF) </li></ul><ul><li>Heart Muscle Begins to Die </li></ul>
  12. 12. Ventricular Fibrillation (VF) What Is It? <ul><li>Abnormal Heart Rhythm Associated With SCA </li></ul><ul><li>Caused by Abnormal & Rapid Electrical Activity in Heart </li></ul><ul><li>Heart Quivers & Does Not Pump Blood </li></ul><ul><li>Short Duration & Degrades to Asystole (Flat Line) if Not Treated Quickly </li></ul><ul><li>Every Minute of VF Decreases Chance of Bringing Someone Back by 10% </li></ul>
  13. 13. AED Walkthrough NO Recovery Position YES Check Responsiveness Shake & Shout Open Airway Head Tilt/Chin Lift Check Breathing Look/Listen/Feel
  14. 14. AED Walkthrough Attach AED Cardiac Arrest NO PULSE PULSE Circulation Present Continue Rescue Breathing Check Circulation 10 Seconds Check Circulation Every Minute Chest Compressions 100/min. ratio 15:2 Compressions to Rescue Breaths
  15. 15. AED Walkthrough Stop CPR Press Analyse +/- Check Pulse CPR for 1 minute Shock x3 as necessary Shock Advised (VF, VT) No Shock Advised CPR for 3 minutes 1 Minute CPR Post Defibrillation
  16. 16. General Considerations <ul><li>Wet Patients </li></ul><ul><li>Medication Patches </li></ul><ul><li>Implanted Pacemakers </li></ul><ul><li>Young Patients (Under 8) </li></ul><ul><li>Chest Hair: May Have to Shave It!—Glove UP! </li></ul><ul><li>Remove Victim Clothing: May Have to Cut Them Off </li></ul><ul><li>Always Ensure that No One is Touching Patient During AED Use </li></ul>
  17. 17. AED Location: Room # 100, Facilities
  18. 18. Floor Team & IPO AED Responsibilities: Recap <ul><li>Call 911 & Send for AED </li></ul><ul><li>Check For Responsiveness </li></ul><ul><li>Airway, Breathing, Circulation, (ABC) </li></ul><ul><li>Start CPR </li></ul><ul><li>Apply AED if Required </li></ul><ul><li>Notify AED Program Coordinator Right Away! </li></ul>
  19. 19. Liability <ul><li>Training: CPR & AED Every 2 Years </li></ul><ul><li>Written Program </li></ul><ul><li>Good Samaritan Laws </li></ul>
  20. 20. Why AED? Time Matters 80% chance of success 60% chance of success 20% chance of success Virtually 0% chance of success 1 2 3 4 5 6 7 8 9 10 11 MINUTES
  21. 21. Hands On AED Application