1. FIRST AID
CPR
AED

2. Follow us!
@lubasmedical
/lubasmedicalltd

3. LUBAS MEDICAL Established in 1998 Training Event Cover Sports
Family Business
Film/TV

4. Sports
Cardiff City FC
Football Association of Wales
England Cricket
Glamorgan Cricket
Cardiff Met University

5. TV/Film
Davinci’s Demons
Sherlock
Casualty
Doctor Who
A Discovery of Witches
Jerusalem

6. Events
Champions League Festival 2017

7. Training
Sports Trauma Management
FASE
GP/Dental Practice CPR Updates
Medical Emergencies
Emergency Gases
Hygiene and Clinical Waste

8. Qualsafe Training
First Aid at Work
Emergency First Aid Work
Paediatric First Aid
CPR & AED use
First Response Emergency Care (FREC)
Refresher Training

9. Qualsafe Training Coming soon
Level 3 Education and Training
First Response Emergency Care (FREC) Level 4

10. Our Training Team Paul Lubas - Paramedic
Chris Lubas – Advanced First Aid
Jamie Ralph - Paramedic
Ceri Smale - Nurse
Matthew Smale – Nurse
Rebecca Boyce – Sports Therapist

11. What is Cardiac Arrest?
Cardiac arrest is a sudden loss of blood flow resulting from the failure of the heart to effectively pump.
Caused by an electrical fault.
It’s not a heart attack.
The casualty will lose consciousness and stop breathing.
If untreated it WILL lead to DEATH.
What can WE do?

12. Chain of Survival
Early defibrillation forms the third link as defibrillation within 3–5 min can produce survival rates as high as 50%–70% (Emergency Medical Journal, 2015)

13. Public Education!!! Why CPR?
Between April 2016 and March 2017, the Welsh Ambulance Service responded to 5,800 OHCA of which 2,832 resulted in a resuscitation attempt.
25-30% achieved ROSC
8% survive to go home from hospital
In Switzerland 55% go home from hospital. Why?
Public Education!!!

14. Basic Life Support (Danger)
Safe approach
What has happened?
Weather
Floor surface
Other people/vehicles
Blood/vomit

15. Basic Life Support (Response)
Is the person Responding? A V P U
Talking
Shouting/screaming
Groaning
Quiet
SHOUT FOR HELP!

16. Basic Life Support (Airway)
Is the airway blocked?
Struggling to breathe
Noisy breathing
Injured/swollen face
Very quiet
OPEN THE AIRWAY

17. Basic Life Support (Breathing)
Is the player breathing?
Chest moving
Sounds of breathing
Agonal breathing?
NOT BREATHING NORMALLY CALL 999 & START CPR!

18. Basic Life Support Give 30 chest compressions, then 2 rescue breaths.
Only stop to recheck the patient if they start breathing normally.
If there is more than one rescuer, change over every 2 minutes to prevent fatigue.

19. Automated External Defibrillation (AED)
AED SAFETY CONSIDERATIONS
Electric Shock!
Jewellery
Medication Patches
Implanted Devices
Highly Flammable Atmosphere
Inappropriate Shock

20. Automated External Defibrillation (AED)
AED: Prepare the patient’s chest
REMOVE CLOTHING
HAIR
SWEAT/FLUID
JEWELLERY

21. Position of the AED pads for Adults

22. Position of the AED pads for Children
Antero-posterior electrode placement is suitable for children under the age of 8 years and/or <25kgs.

23. Normal Heart Rhythm
Sinus rhythm -

24. Shockable Rhythms – ‘SHOCK ADVISED’
Ventricular fibrillation (VF)

25. Non-shockable rhythms – ‘NO SHOCK ADVISED’
Asystole/Flat Line

26. AED
STAND CLEAR!!!!

27. CPR & AED When to stop/not perform CPR Clinician tells you to stop
You become exhausted
The situation becomes dangerous
The casualty recovers!

28. Chris Soloman

29. Where can I find an AED Call 999 – they will tell you
NHS website - fibrillatorLocations

30. Obtaining an AED
Purchase from manufacturer: usually between £800 - £1500
Part funded through charity:
My Cariad (Wales)                                               
Welsh Hearts (Wales)                                               

31. Maintaining an AED
Daily checks (recommended) of unit status indicator (showing that the AED is in an operable state).
Ensuring electrode pads are in date and therefore suitable for use (typically years shelf life).
Replacement of battery or batteries when they are discharged (typically 4 – 5 years).
For PAD schemes help with maintenance cost can be obtained from WAST
Responsibilities
The responsibility for the AED usually lies with the purchaser and/or receiver of the unit. These include:
Daily checks (recommended) of unit status indicator (showing that the AED is in an operable state).
Ensuring electrode pads are in date and therefore suitable for use (typically years shelf life). Electrode pads for the Zoll AEDPlus are provided free of cost by WAST
Replacement of battery or batteries when they are discharged (typically 4 – 5 years). Batteries for the Zoll AEDPlus are provided free of cost by WAST.
Notifying WAST when the AED has been used (as soon as possible following an incident).
Although WAST are not responsible for the AED, we are available for advice and support.

32. Does my workplace need an AED?
There is no current legislation to say that you must have an AED.
There is legislation which states all First Aid trained staff should have AED training.
Your responsible for your RISK ASSESSMENT.
QA Risk Assessment Calculator uses HSE guidelines.
Approximately 100 Cardiac Arrests occur in the workplace every WEEK in the UK.

33. Any Questions?