1. Cardiac Resuscitation (CR) Automatic External Defibrillator (AED)
Course CR - AED
Cardiac Resuscitation (CR) +
Automatic External Defibrillator (AED)
LRC

2. Objectives
At the end of this course participants should be able to demonstrate:
- How to assess the collapsed victim
How to call the emergency services
How to perform chest compression (CR)
How to operate an automated external defibrillator safely
LRC

3. Backgroud In Europe every 45 seconds a cardiac arrest takes place
Bystander CPR is a vital intervention before arrival of emergency services
Early resuscitation and prompt defibrillation (within 1-2 minutes) can result in >60% survival
LRC

4. Chain of survival
LRC

5. No Response No Breathing Approach safely Check response Shout for help
Open airway
Check breathing
Call 112
chest compressions
LRC

6. Approach safely For : Approach safely Check response Yourself
Other people helping
Patient
Check response
Shout for help
Open airway
Check breathing
Call 112
chest compressions
LRC

7. Check Response Approach safely Check response Shout for help
Open airway
Check breathing
Call 112
chest compressions
LRC

8. Check Response Shake shoulders gently Ask “Are you all right?”
If he responds :
Leave as you find him.
Find out what is wrong.
Reassess regularly.
LRC

9. Check Response Shake shoulders gently Ask “Are you all right?”
If he doesn’t respond …
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10. Shout for Help Approach safely Check response Shout for help
Open airway
Check breathing
Call 112
chest compressions
LRC

11. Open Airway Open airway Approach safely Check response Shout for help
Check breathing
Appeler le 112
chest compressions
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12. Check breathing Check breathing Approach safely Check response
Shout for help
Open airway
Check breathing
Appeler le 112
chest compressions
LRC

13. Check Breathing Search for a normal respiration Look Listen Feel
Maximum 10 sec
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14. Abnormal Breathing – Gasp
Occurs shortly after the heart stops in up to 40% of cardiac arrests
Described as barely, heavy, noisy or gasping breathing
Recognise as a sign of cardiac arrest
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15. Call 112 Approach safely Check response Shout for help Open airway
Check breathing
Call 112
chest compressions
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16. 100 Chest Compressions Approach safely Check response Shout for help
Open airway
Check breathing
Call 112
chest compressions
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17. 100 – 120 Chest Compressions
Place the heel of one hand in the centre of the chest
Place other hand on top
Interlock fingers or avoid putting pressure on the side of the chest
Compress the chest
Rate 100 – 120 min-1
Depth 5 – 6 cm
Equal compression : relaxation
When possible change CPR operator every 2 min
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18. No Response No Breathing Approach safely Check response Shout for help
Open airway
Check breathing
Call 112
chest compressions
LRC

19. Defibrillation
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20. No Response No Breathing Approcher en sécurité Check response
Shout for help
Open airway
Check breathing
Call 112
chest compressions
Attach AED
Follow voice
LRC

21. No Response No Breathing Approcher en sécurité Check response
Shout for help
Open airway
Check breathing
Call 112
chest compressions
Attach AED
Follow voice
LRC

22. Swith on AED
Some AEDs will automatically switch themselves on when the lid is opened
LRC

23. Attach pads to victims bare chest
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24. Analysing Rhythm
Do not touch the victim
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25. Shock indicated
Stand clear
Deliver shock
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26. Shock delivered: Follow AED instructions
100 – 120 / minute
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27. No shock advised: Follow ED instructions
100 – 120 / minute
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28. If victim starts to breathe normally place in recovery position
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29. If victim starts to breathe normally place in recovery position
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30. CPR in children Adult CPR techniques can be used in children
+ mouth to mouth breathing
Compressions : at least 1/3 of the depth of the chest
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31. AED in children > 8 years use adult AED
1- 8 ans use pediatric pads / settings if available
(otherwise use adult mode)
< 1 year use only if manufacturer instructions indicate it is safe
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32. No Response No Breathing Open luchtweg Approach safely Check response
Shout for help
Open luchtweg
Open airway
Check breathing
Call 112
Attach AED
chest compressions
Follow voice
LRC