Now let's cover the use of an AED on an infant for the health care professional for one rescuer.
The scene has already been deemed safe, our gloves are on, our rescue mask with the one-way
valve is available, but in, on top of that, because now we're looking at using an AED,
we should be checking to make sure that the scene is AED safe, as well, which means there
are no combustible gases or liquids in the area, and the babies not lying in standing
water or a puddle that connects them to us. As we don't want to become accidentally electrocuted.
So, if they're in a standing puddle of water, we would pick them up and move them safely
to a dryer area, dab them off enough that the actual electors would stick to their skin
on their chest and back. Now we assess for responsiveness. Baby, baby, are you alright?
Are you okay? The baby does not respond, and so we activate EMS, call 911, or call a code.
If we were sending somebody to go call 911, we might say, "Hey you in the plaid shirt,
go call 911 and come back. I might need your help, and bring an AED with you if you can
find one." But in this case, we actually have an AED available, so we don't have to worry
about that. I'm going to assess the baby for breathing, normal breathing, and I'm going
to check for a pulse. For no more than 10 seconds on the artery. The baby does not have
a pulse and the baby is not breathing normally. So, because I have an AED here, I'm going
to go ahead and use it immediately, by turning it on. AED: Remove clothing from person's
chest. Speaker 1: I strip the clothing down over the chest and back so I can reveal the
chest and back, dry it off if needed, and now it's prepared for the AED pads. It's prompted
me to attach the electrodes, so I reach to the back and I grab the infant size electrodes.
AED: Plug in connector. Speaker 1: If I didn't have infant size electrodes, I can
use adult-sized electrodes. But if there are infant pads available and it is an infant
sized patient, which is one year or younger, I'm going to use the infant pads. And now
attach one of the pads to the front of the chest, while I attach the second pad to the
back of the baby. Now, remember in a real baby we're going to be rolling them to their
side, attaching the pad, rolling them back, and making sure they're both firmly pressed
to their skin. AED: Check connector and pads. Speaker 1: Now I'm going to plug
in my connector. AED: Analyzing rhythm. Everybody stand clear. Speaker 1: We're going
to stand clear and not touch the patient. AED: Shock advised. Charging. Everyone
stand clear. Everyone stand clear. Push the shock button. Speaker 1: I'm being prompted
to push the flashing yellow button. AED: Shock delivered. Begin 5 cycles of CPR.
Speaker 1: Now I go into my 30 compressions. Followed by 2 rescue breaths. 8,9, 10, 11,
13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30. 30 more compressions.
I do this right over the AED pads. I will not remove the AED pads. AED: 30 seconds
of CPR remain. Speaker 1: 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22,
23, 24, 25, 26, 27, 28, 29, 30. Followed by 2 more rescue breaths. AED: Analyzing
rhythm. Everyone stand clear. Speaker 1: Stop touching the patient. Let the AED analyze.
AED: Shock advised. Charging. Everyone stand clear. Everyone stand clear. Push the
shock button. Shock delivered. Begin 5 cycles of CPR. Speaker 1: And I'm going to go right
back into my CPR compressions and I'm going to continue to do this until EMS arrives.
The rest of the help comes, and we find definitive treatment for this infant or until the baby
starts to respond and breath normally.