Okay, now let's talk about one rescuer CPR with an AED.
First things first, before we even consider using an AED, we need to be sure our environment
is in such a state that we can use an AED.
In other words, there are no combustible gases or liquids and no standing water that
the body of the patient is laying in.
If indeed we are by combustibles or we are in standing water
we would move the victim to a place of safety, dry them off
so that we could literally use the AED on them.
This is specifically important around drowning patients.
The body doesn't have to be completely dry, it's just that we have to make sure we're not kneeling
in a pool of water that the body of the patient is touching
we might suffer electrocution through that or have a shock.
So, we're in a safe environment, the scene is safe, gloves are on,
our CPR shield is available. We start the same way.
Sir, are you okay? There's no response.
He does not look like he is breathing. I am immediately going call
for emergency medical services.
You in the plaid shirt, go call 911 and return, I might need your help.
Now that emergency medical services or a code has been called
we're going to go right into a pulse check.
I check for a carotid pulse for no more than 10 seconds, I do not feel a pulse.
The patient is not breathing. Now we are going to move right to the AED.
Turn it on.
AED prompt- [This is a training device only, no shock will be delivered]
I like to take the pads out and the scissors.
AED prompt- [Remove clothing from person's chest]
If it wasn't already cut we'd have to cut it, or rip it open.
AED prompt- [Attach pads firmly to person's chest, as shown]
There are diagrams on the pads, it's a nice idea to have a towel
to wipe off extra sweat, remove nitro glycerin pads or nicotine patches.
AED prompt- [Check connector and pads]
Keep in mind that the pads will show you right on them with a diagram
as to where they go on the chest of the patient, so it's pretty simple.
This one is going to go up here on the right top pectoralis region.
The second goes mid-axillary right underneath the arm pit on the left side.
Make sure the pads are sealed well.
The connector only fits one way on most AEDs.
AED prompt- [Analyzing rhythm, everyone stand clear]
I'm not touching the patient, I'm not kneeling on the patient.
AED prompt- [Shock advised, charging, everyone stand clear]
Make sure everyone's clear.
AED prompt- [Long Beep]
AED prompt- [Shock delivered, begin 5 cycles of CPR]
Now I'm just going to do what the prompt tells me to do on the AED.
Start my 30 compression, 2 inches deep or more, at least 100 a minute.
And then give 2 rescue breaths with the head tilt chin lift
Using my one way valve with the mask and then 30 more compressions.
Doing this, 30 to 2. Until the AED interrupts me and then it will
tell me whether it is going to shock again.
I simply follow the prompts as we continue this rescue
and wait for emergency response to arrive.
AED prompt- [One minute and thirty seconds of CPR remain]
If for any reason the pads won't stick to the chest any more
you can remove them and try a new set of pads.
However, if there working. We do not disconnect the AED until
advanced life support or the next level of care comes and takes over.
That's an important piece to remember as we continue this rescue episode.
[Begin simulation]
Sir, sir are you okay? The scene is safe, my gloves are on, my shield is available.
Sir can you hear me? There's no response and he doesn't seem to be breathing or breathing normally.
You in the plaid shirt go call 911, please come back and let me know that they're on the way
I don't easily feel a pulse.
AED prompt- [This is a training device only, no shock will be delivered]
AED prompt- [Remove clothing from person's chest]
AED prompt- [Attach pads firmly to person's chest, as shown]
AED prompt- [Plug in connector]
AED prompt- [Check connector and pads]
AED prompt- [Analyzing rhythm, everyone stand clear]
AED prompt- [Shock advised.... Charging]
AED prompt- [Everyone stand clear]
AED prompt- [Long Beep]
[Shock delivered. Begin 5 cycles of CPR]
1 , 2 and, 3 and, 4 and, 5 and, 6 and,
7 and, 8 and, 9 and, 10 and, 11 and, 12 and,
13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23
24, 25, 26, 27, 28, 29, 30.
1 , 2 and, 3 and, 4 and, 5 and, 6 and,
AED - [ one minute and thirty seconds of CPR remain....... ] 7 and, 8 and, 9 and, 10 and, 11 and, 12 and,
13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23
24, 25, 26, 27, 28, 29, 30.
1 , 2 and, 3 and, 4 and, 5 and, 6 and,
7 and, 8 and, 9 and, 10 and, 11 and, 12 and,
13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23
24, 25, 26, 27, 28, 29, 30.
AED Prompt- [One minute of CPR remain]
1 , 2 and, 3 and, 4 and, 5 and, 6 and,
7 and, 8 and, 9 and, 10 and, 11 and, 12 and,
13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23
24, 25, 26, 27, 28, 29, 30.
AED prompt- [30 seconds of CPR remain......] 1 , 2 and, 3 and, 4 and, 5 and, 6 and,
7 and, 8 and, 9 and, 10 and, 11 and, 12 and,
13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23
24, 25, 26, 27, 28, 29, 30.
1 , 2 and, 3 and, 4 and, 5 and, 6 and,
7 and, 8 and, 9 and, 10 and, 11 and, 12 and,
13, 14, 15, 16, 17, 18, 19, 20, 21
AED prompt- [Analyzing Rhythm]
AED prompt- [Everyone stand clear]
Do not touch patient.
AED prompt- [No shock advised, begin 5 cycles of CPR]
1 and, 2 and....