Now, let's cover child AED. We're gonna say that this child is already in cardiac arrest,
911 has been activated, an AED was brought to us, and CPR has been in progress. So, we're
still gonna make sure that the scene is safe now to be able to use an automated external
defibrillator, which means no combustible gases or fluids, and the child is not laying
and staying in water. If they were we would drag them to a place of dryness, dab them
off, so they're not dripping wet, and then we'll prepare to use the AED. When AED arrives
on scene, the very first thing that we do is we turn it on. There is one thing that
we need to know though, and that is they're sometimes two different sized pads in the
AED's. One's for adults and one's for infants or children. The differentiation point is
whether they're under or over 55 pounds. Now, I know what you're thinking. You're thinking
the same thing I am. I don't have a scale, how do I know? We're just guessing. If you're
asked to estimate they're less than 55 pounds, use the pediatric pads, if they're greater
than that, the adult pads. If all you have is the adult pads, you're gonna use the adult
pads on an infant, a child or an adult, it's just fine. So, here we go. So, the first thing
we're gonna do is we're gonna place the AED by our patient, and we're gonna turn it on.
If I have scissors, I'd like to cut it, because we don't know if there is a spinal cord injury.
I grab the pads, I open them up. This child is about 65 pounds, so I am gonna place it
like I would on an adult. Make sure they're firmly on the chest, if there's any jewelry
I am gonna move the jewelry out of the way, and now I am gonna put the actual electrodes
attached to the AED. I make sure that I am not touching the patient, and no one else
is either. If it's a large child, I am gonna go with two hands, and do my third of a depth
of the chest compressions. One hundred to a hundred and twenty times in a minute. After
my 30 compressions, twenty-eight, twenty-nine, thirty, I am gonna go and get my CPR shield,
give my two rescue breaths, go right into the chest compressions, seven, eight, nine,
ten, eleven, twelve, thirteen, fourteen, fifteen, sixteen, seventeen, eighteen, nineteen, twenty,
twenty-one, twenty-two, twenty-three, twenty- four, twenty-five, twenty-six, twenty-seven,
twenty-eight, twenty-nine, thirty. One, and two, and three, and four, and five, and six,
and seven, and eight, and nine, and ten, and eleven, and twelve, and thirteen, and fourteen,
and fifteen, and sixteen, and seventeen, eighteen, nineteen, twenty, twenty-one, twenty-two,
twenty-three, twenty-four, twenty-five, twenty- six, twenty-seven, twenty-eight, twenty-nine,
thirty. One, and two, and three, and four, and five, and six, and seven, and eight, and
nine, and ten, and eleven, and twelve, and thirteen, and fourteen, and fifteen, and sixteen,
and seventeen, eighteen, nineteen, twenty, twenty-one, twenty-two, twenty-three, twenty-
four, twenty-five, twenty-six, twenty-seven, twenty-eight, twenty-nine, thirty. One, and
two, and three, and four, and five, and six, and seven, and eight, and nine, and ten, and
eleven, and twelve, and thirteen, and fourteen, and fifteen, and sixteen, and seventeen, eighteen,
nineteen, twenty, twenty-one, twenty-two, twenty-three, twenty-four, twenty-five, twenty-
six, twenty-seven, twenty-eight, twenty-nine, thirty. Now, that the AED is interrupted,
it tells me to stand clear, I stop touching the patient. Go right back into the CPR, and
start doing my CPR the same way that we did before, we're gonna do the 30 compressions
a third of the depth of the chest followed by two rescue breaths until the AED interrupts
us, tells us to stand clear while it analyzes. If a pad begins to loosen up, you can re-tighten
it back down, so that it's affixed to the chest. But, at no point are we gonna remove the AED
pads or turn this off. We're gonna allow it to stay on while we do the CPR. One special
note, we're not going to interrupt compressions any longer than we have to even after the
shock is delivered with AED. We wanna go right back into the compressions, and minimize those
interruptions until EMS arrives and takes over or the patient begins to respond and
starts breathing normally again.