Now let's cover two-rescuer adult AED for the healthcare professional. We're still gonna
check the scene for safety, but not just for the rescuers but also for the usage of the
automated external defibrillator. Our gloves are on. We have a one-way valve rescue mask,
or in this case, we have a bag valve mask that my second rescuer will be using. There
are no combustible gases or liquids, and the patient is not lying in a pool of water that
would connect either of the rescuers, or both, to the patient's body so that when we defibrillate
them we may also be electrocuted. So that's important to understand. If they were, we
would move them to a dry ground, pat off their chest to make sure it's dry enough that the
pads would adhere to the chest. But other than that, we would be ready to go. Now, we're
still going to assess the patient for responsiveness. And the two things I really want you to key
in on here is the orchestrated movements of this team approach with the AED and CPR. We
want to minimize the delay of compressions to any other action, whether that be using
the bag valve mask, setting up the AED, baring the chest, cleaning off the chest. We're minimizing
anything that would stop that heart from being compressed and circulating the oxygenated
blood and oxygen to the parts of the brain and the heart and important organs. So we're
gonna go ahead and assess our patient now. Sir, can you hear us? Can you hear me? There's
no response. Tap and shout on the collarbone. Sir, can you hear me? There's no response.
Now, of course, we already have our AED. But if we didn't, we could send somebody to get
an AED and bring it back to us, or a crash cart. In this case, we're gonna tell somebody
to go activate EMS or call a code, and we're gonna back into our work here. So 9-1-1 has
been activated. The code has been called. And now, we're going to assess this person
for normal breathing and a carotid pulse. I check for no more than 10 seconds, the patient,
Jody, is not breathing, and they do not have a pulse. I'm going into CPR now. Three
and four and five and six and seven and eight, seven, eight, nine and 10, 11 and 12 and 13
and 14 and 15, 16, 17, 18, 19, 20. I stop only long enough for him to put that pad on,
and then I'm right back on to my compressions. Continuous chest compressions until we get
that put on. AED: Check connector and pads. Analyzing rhythm. Everyone stand clear.
Speaker 1: Clear. AED: Shock advised. Charging. Everyone stand clear. Everyone stand
clear. Push the shock button. Speaker 2: Clear. Speaker 1: Clear. AED: Shock delivered.
Speaker 1: Back onto the compressions right away. Now we're gonna do five cycles and we're
gonna incorporate the rescue breaths after 30 compressions. 10 and 11, 12, 13, 14,
15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 26, 27, 28, 29, 30. Speaker 2: Breath. Breath.
Speaker 1: One and two and three and... ...28, 29, 30. Speaker 2: Breath.
Speaker 1: Now keep in mind that by the time the AED reanalyzes, it'll be approximately
2 minutes, which is the ideal time for the compressor to switch with the person who's
been giving rescue breaths so that we can have a fresh compressor on the chest. 25,
26, 27, 28, 29, 30. Speaker 2: Breath. Breath. Speaker 1: Good breaths. Two and three
and four, 22, 23, 24, 25, 26, 27, 28. AED: Analyzing rhythm. Everyone stand clear.
Speaker 1: During this analyzation of the heart rhythm is a perfect time for me to switch
to the bag valve mask. My partner is going to go ahead and control the shock.
AED: Everyone stand clear. Speaker 2: Clear. Speaker 1: Clear. AED: Push the shock
button. Shock delivered. Speaker 1: And he goes right into compressions. Speaker 2: One,
two, three, four. Speaker 1: And I take over with rescue breaths. Speaker 2: Seven, eight,
nine, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 22, 23, 24, 25, 26, 27, 28, 29, 30.
Speaker 1: Breath goes in. Speaker 2: Good breath. Speaker 1: Breath goes in.
Speaker 2: Good breath. One, two, three, four, five, six. Speaker 1: And we're gonna continue this
30:2 CPR every 2 minutes, switching and coordinating this whole shock CPR rescue breath orchestration
of care. It's in minimizing the delay between any action and the next compression that's
gonna give this circulation of oxygenation the best percentage so that this person has
the best chance of survival.