Now let's talk about the skills required for use of an AED, but the patient is a 17-year-old
teenager, they're gonna fit in with our adult level protocol when we use an AED, but this
is very common. In fact, we've heard about it in the news a lot where you've got these
kids, they're somewhere between 14, 18 years old, they're on the court, they're on the
field, and they are healthy individuals, seemingly, and then go down in cardiac arrest. So this
is the kind of scenario that we're setting up for you, then we wanna show how easy it
is to get them the help they need in a rapid form. So here we go: the scene is already
safe, CPR has already been in progress and whether we brought the AED or someone else
brought it in, the point is it's here and it's ready to use. So let's go ahead and begin,
when we have the AED here, the very first thing we're gonna do is turn it on. [AED begins
instructions] So it tells us to remove the clothing. Many times they have scissors right
in the back. It tells me to attach the pads and plug in the connectors, so I'm gonna work
on that. if I open this up, I can see exactly the way these are supposed to go, one goes
here and one goes here, just like it shows right on the pads. Now, special note: if they're
sweaty, dry them off. If there's any kind of gel, dry it off. If there's jewelry, it
doesn't matter if they have piercings, but if they have a necklace and it's in between
these two pads, we're gonna move that jewelry just to the side so it's not in the way of
the electrical pathway. These are actually sticking quite well so now I'm gonna go to
the last step which is plugging in the connector. Make sure not to touch the patient, don't
bump them. OK, we allow the AED to charge. Nobody's touching the patient, I discharge.
Now, it's important that we go straight into chest compressions, the same way we did CPR,
that 2- to 2.4-inch depth, 100 to 120 compressions per minute. We go right over the cable, we
go right over the AED pads. We don't remove them, we don't disconnect them, we just do
our compressions right over them. We could follow the metronome but it's not necessary;
we know how to do these CPR compressions, but we're gonna do the normal CPR. So we're
doing our 30 compressions. After the 30 compressions, just like before, we do the head tilt, chin
lift, and we give two rescue breaths. Going right back into the chest compressions [counts
to 30], followed by 30 more compressions [counts to 30], followed by two more breaths. We're
doing 30 more compressions [counts to 30], followed by two more breaths, followed by
30 more compressions. When it interrupts, we stand clear and let it analyze for a rhythm.
So whether it says a shock is advised, it recharges so that you can shock, or whether
it says no shock advised, we're gonna follow its promptings and go right back into whatever
it tells us to do. We are going to continue to do this without taking anything off or
turning anything off until EMS arrives until the person revives and starts breathing normally,
or somebody equally trained or higher comes and relieves us.