Now we're gonna cover one rescuer adult AED for the health care professional. A scene
is safe, not only for me the rescuer with my gloves and my one way valve rescue mask,
but when using an automated external defibrillator, I think it's vitally important that we're
also thinking about the surroundings. Is there combustible gases? Are there liquids that
are gonna connect the patient with me and I might become electrocuted when I use the
AED? These are all considerations that should be thought about as we're preparing to defibrillate
our patient. Now, there's a couple of other things I want to make note of here as we're
talking about defibrillation and the adult patient. We get lots of questions from our
students about well what if they. What is they are a female and they have an underwire
bra? Is that going to cause a problem with the AED? You know the technologies are getting
so much better now that we tend not to see those complications as often. But if you're
thinking about it and you believe that it might be in the pathway, disconnect it so
the pathway is clear for the two electrodes to defibrillate the heart. If there's a necklace
in the way, we're gonna move it to the side. If there's a nicotine patch or an analgesic
patch or a nitro gel patch, we're gonna take that off and wipe it clear if it's in the
way of the pad. But other than that, other piercings, things like that, there's no problem
just putting your pads in place. Some people have asked, what if they're a drowning victim?
Is it OK for them to be in wet clothing as long as the chest is dry? Yes, it is. They
can stay in their wet clothes as long as they're not lying in a pool of water or in the water
submerged so that we're not connected to each other when I defibrillate we should be OK.
If it's a pregnant female, there should be no complication other than the fact that understanding
that when you're saving your primary patient the mother, we're also saving the baby in
most cases. So we do have two patients here but we have to take care of Mom if we want
to take care of baby. So we're gonna be just as aggressive and we do not have to worry
about hurting the baby and putting them in any more jeopardy than we already know them
to be in with the fact that Mom is in cardiac arrest. So keep those things in mind as we
go through this step by step. We check our patient for responsiveness. Are you alright?
Are you OK? They don't respond to my verbals. So I place a hand on the forehead and I tap
on the collarbone. Can you hear me? Sir, can you hear me? There's no response from this
patient on my taps and shouts. It's at this time, if I didn't have an AED already with
me, I would say, you in the plaid shirt, go call 911 and come back. Bring an AED with
you if you find one or I would call 911 myself and activate a code. But now we have 911 on
the way so I'm able to access my patient for normal breathing and I'm going to check for
a carotid pulse for no more than 10 seconds. I do not see any normal breathing and this
patient is unresponsive and does not have a pulse. Because I have my automated external
defibrillator here with me now, I'm gonna turn it on first thing. Speaker 2: Remove
clothing from person's chest. Speaker 1: I remove the clothing so I have a bare chest
to work with. Speaker 2: Attach pads firmly to person's chest. Speaker 1: The pads have
a diagram to remind me how to put them on appropriately. I put one up here in the top
right side of the chest, the second on the bottom left side, mid axillary just under
the left breast. Now I'm gonna plug in the cable. There's only one direction
this cable will go. Speaker 2: Analyzing rhythm. Everyone stand clear. Speaker 1: Do not touch
the patient so that the AED can analyze the underlying rhythm of the heart. Speaker 2:
Charging. Everyone stand clear. [high pitch] Everyone stand clear. Speaker 1: Make sure
that no one's touching the patient as I push the flashing button. Speaker 2: Shock delivered.
Begin five cycles of CPR. Speaker 1: I'm going to go right into my 30 compressions now. Remember
I'm compressing right over the pads. I'm not moving the pads. I'm going to compress at
a rate of between a 100 and 120 times per minute and I'm going to compress the chest
two to two point four inches deep. I'm going to give 30 total compressions, then with my
one way valve mask I'm going to give two rescue breaths. Speaker 2: One minutes and thiry
seconds of CPR remain. Speaker 1: two and three and four and five and six and seven
and eight and nine and 10 and 11 and 12 and 13, 14, 15, 16, 17, 18, 19, 20, 27, 28, 29,
30. Speaker 2: Analyzing rhythm. Everyone stand clear. Speaker 1: I let the AED analyze
again. Speaker 2: Shock advised. Charging. Everyone stand clear. [high pitch] Everyone
stand clear. Speaker 1: Clear. Speaker 2: Push the shock button. Shock delivered. Speaker
1: Right back into my compressions. We're gonna continue this whole cycle of CPR, reanalyzation,
charging if it's gonna charge, shock, back into CPR and we're gonna continue this until
help arrives, until this person becomes responsive and the next level of care can take over.