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Heartsaver AEDHeartsaver AEDfor the Lay Rescuer andfor the Lay Rescuer and
First ResponderFirst Responder
©American Heart AssociationAmerican Heart Association
Extent of the ProblemExtent of the Problem
1.1 million heart attacks1.1 million heart attacks 480,000 deaths due to480,000 deaths due to
coronary heart diseasecoronary heart disease 250,000 prehospital 250,000 prehospital
cardiac arrestscardiac arrests
Recognize Emergency Recognize Emergency and Call 911and Call 911
Airway obstructionAirway obstruction– Universal distress signal, blue skinUniversal distress signal, blue skin
Respiratory arrestRespiratory arrest– Not breathing but has pulseNot breathing but has pulse
Cardiac arrestCardiac arrest– Not breathing and no pulseNot breathing and no pulse
Activate EMSActivate EMS
Know your local EMS numberKnow your local EMS number Give the location of callGive the location of call Telephone number Telephone number The nature of the emergencyThe nature of the emergency Advise that AED is on the sceneAdvise that AED is on the scene Don’t hang up until dispatcher Don’t hang up until dispatcher
advisesadvises
Signs of Cardiac ArrestSigns of Cardiac Arrest
UnresponsiveUnresponsive Not breathingNot breathing No pulseNo pulse
AEDs and AEDs and Ventricular FibrillationVentricular Fibrillation
VF is the most frequent initial rhythm in sudden VF is the most frequent initial rhythm in sudden cardiac arrestcardiac arrest
VF is a useless quivering of the heart that results VF is a useless quivering of the heart that results in no blood flowin no blood flow
Defibrillation is the only Defibrillation is the only effective treatment for VFeffective treatment for VF
Successful electrical Successful electrical defibrillation diminishes defibrillation diminishes rapidly over timerapidly over time
Time and AEDsTime and AEDs
Approximately 50% survival after 5 minutesApproximately 50% survival after 5 minutes Survival reduced by 7% to 10% each minuteSurvival reduced by 7% to 10% each minute Rapid defibrillation Rapid defibrillation
is keyis key CPR helps extend CPR helps extend
survival timesurvival time
0
20
40
60
80
100
1 3 6 10
Survival
minutes
Priorities and the AEDPriorities and the AED
C - CirculationC - Circulation
A - AirwayA - Airway
B - BreathingB - Breathing
D - DefibrillationD - Defibrillation
AEDs and PersonnelAEDs and Personnel One rescuerOne rescuer
– Unresponsiveness – Unresponsiveness – Call 911 – Get the AEDCall 911 – Get the AED
– Assess Breathing/PulseAssess Breathing/Pulse– Attach AEDAttach AED
Two rescuersTwo rescuers– #1 – Call 911/Perform CPR#1 – Call 911/Perform CPR– #2 – Attach AED#2 – Attach AED
More than two rescuersMore than two rescuers– #1 – Call 911 #1 – Call 911 – #2 – Attach AED#2 – Attach AED– #3 – Perform CPR#3 – Perform CPR
Special ConsiderationsSpecial Considerations Is victim lying in water?Is victim lying in water? Is victim less than Is victim less than
8 years old? 8 years old? Is victim wearing a Is victim wearing a
transdermal medication transdermal medication patch on his or her chest?patch on his or her chest?
Does victim have a Does victim have a pacemaker or implanted pacemaker or implanted defibrillator? defibrillator?
Operation of AEDOperation of AED
POWER ON POWER ON the AEDthe AED
ATTACH padsATTACH pads ANALYZE rhythmANALYZE rhythm SHOCK (if advised)SHOCK (if advised)
Electrode Pad Electrode Pad PlacementPlacement
Right electrode padRight electrode pad– To the right of the To the right of the
breastbonebreastbone
– Below the collarboneBelow the collarboneabove the right nippleabove the right nipple
Left electrode padLeft electrode pad– Outside the left nipple, Outside the left nipple,
upper edge of the pad upper edge of the pad several inches below several inches below the left armpitthe left armpit
Effective Adherence of Effective Adherence of PadsPads
Sweaty chestSweaty chest– Dry with a towelDry with a towel– Do not use alcoholDo not use alcohol
Hairy chestHairy chest– Shaving may be Shaving may be
neededneeded
AED SafetyAED Safety No patient contact during No patient contact during
analysis and shockanalysis and shock Warn bystanders:Warn bystanders:
– ““I’m clear” I’m clear” – ““You’re clear” You’re clear” – ““Everybody’s clear”Everybody’s clear”
Perform a visual Perform a visual inspectioninspection
Press to shockPress to shock