resus and aed
TRANSCRIPT
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Resuscitation & AED
By Bradley Anton Brighton and Sussex Medical School
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Session Contents
Objectives Introduction – Resus Council 2010 Primary Survey & CPR (BLS) Chain of Survival AED Statistics & Findings Definitions AED Procedures Using an AED for observation Questions
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Objectives
To be able to:
1. Perform a primary survey & CPR in line with the current Resuscitation Council guidelines.
2. Use or be familiar with the use of an AED in an effectively managed resuscitation scenario.
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BLS Get AED when getting help. Chest Compression depth 5-6cm. Chest Compression rate 100-120/min.
HARDER – DEEPER – FASTER Rescue breaths delivered over 1 second, do not take
more than 5 seconds for 2 breaths. DO NOT stop CPR unless signs of life present AND
breathing normally. AED training encouraged but not restrictive.
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Primary Survey Danger – to? Response – establish AVPU
Shout for HELP Airway – head tilt/chin lift unless? Breathing – Look, Listen, Feel up to 10
secondsSend or go for help – 999/112 and AED
Circulation – major bleed check
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Resuscitation - adult
• 999/112/AED
• 30 chest compressions
• two rescue breaths
• continue 30:2.
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Chain of Survival
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What increases survival? Witnessed cardiac arrest. Casualty in shockable rhythm. Effective CPR started within 4 minutes. AED used within 8 minutes.
Hospital discharge of 1676 patients in Scotland43% shocked within 4 minutes30% shocked within 5-9 minutes5% shocked within 10-14 minutes
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Early DefibrillationThe scientific evidence to support early defibrillation is overwhelming; the delay from collapse to delivery of the first shock is the single most important determinant of survival. If defibrillation is delivered promptly, survival rates as high as 75% have been reported. The chances of successful defibrillation decline at a rate of about 10% with each minute of delay; basic life support will help to maintain a shockable rhythm but is not a definitive treatment.
Taken from the Resusatation Council Guide - Use of AEDs
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Definition of terms What is the heart? What energy powers the heart? Cardiac Arrest Heart Attack (Myocardial Infarction) Normal heart rhythm Shockable/Non Shockable rhythms Fibrillation (VF)/Defibrillation
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Heart Rhythms
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Heart Rhythms
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Group Work1. Contents of AED
2. Safety Considerations/Cautions for use
3. Preparing the Chest/Applying Pads
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AED Protocols Primary Survey/Begin continued CPR Establish history Turn on AED Prepare Chest/Attach Pads Follow instruction prompts - Only stop CPR when shocking/analysing Handover
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Pad placement
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AED Monitoring Why monitor/what does it mean? Which AEDs can monitor? What are they looking for? What assistance might be required?
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AED Monitoring
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Thanks for listening!
Any questions?
If anyone thinks of any more questions then feel free to see me afterwards or email me [email protected]