1. Emergency Response for the Home, Community and Workplace
AED Safety Training
Emergency Response for the Home, Community and Workplace

2. Activate EMS (Call 9-1-1) Use cell phone or land line
Recognize cardiac arrest
Not responding
Chest not moving, no breathing
Don’t delay: early linked to increased survival
Send bystander if possible
If unsure, go call!
CPR/AED for Community Rescuers
Chain of Survival

3. Early Defibrillation Use AED when it arrives Early Defibrillation
Defibrillators can restart the heart of a victim
Calling gets a defibrillator to the scene
An Automated External Defibrillator (AED) is used by citizen rescuers
Some public places like airports have AEDs accessible to all rescuers
CPR/AED for Community Rescuers
Chain of Survival

4. Advanced & Post-Arrest Care
Advanced Care
Post-Arrest Care
AKA: Advanced Life Support
Provided by paramedics, continued at hospital
Adds advanced airway management, drug therapy, cardiac monitoring to CPR
Goal: restart heart and stabilize for post-arrest care
Comprehensive care once person is stabilized
Begins at hospital and continues through discharge
Provided by doctors, nurses, therapists and many others
Goal: Improve chances of continued survival with least disability
CPR/AED for Community Rescuers
Chain of Survival

5. What is an AED What it does… Uses voice and visual prompts
Automated External Defibrillator (AED)
What it does…
Uses voice and visual prompts
Easily guides rescuers
Analyzes heart rhythm
Determines if shock is needed
Restores normal rhythm
Provides CPR reminders
CPR/AED for Community Rescuers
CPR Overview

6. Ventricular Fibrillation (V-fib) SCA=Sudden Cardiac Arrest
V-fib to Shock to Normal
V-fib is common in SCA
Heart overwhelmed by electrical activity
Can be related to lack of oxygen
Quickly lethal
Victim unresponsive
CPR won’t stop V-fib
“Defib” is only treatment for “V-fib”
V-fib present in 90% of SCA cases
CPR/AED for Community Rescuers
CPR Overview

7. How an AED Works AED detects V-fib
Power on & Attach pads
AED detects V-fib
Sends powerful current through heart
Shock resets heart’s electrical activity
Heart may start beating normally
Like a ‘control-alt-delete’ for the heart
CPR/AED for Community Rescuers
CPR Overview

8. Sum it Up CPR restores flow of oxygen to the brain
CPR can extend time for successful AED use
The sooner an AED is used, the more likely it will work
CPR/AED for Community Rescuers
CPR Overview

9. When to Use the AED If 2nd Rescuer Present Rescuer 1 continues CPR
Use AED when it’s available
If 2nd Rescuer Present
Rescuer 1 continues CPR
Rescuer 2 operates AED
Switch roles when the AED prompts to stop CPR
If no AED, switch performing CPR about every 2 minutes
Observe CPR provider & give feedback
Pushing hard/fast enough?
CPR/AED for Community Rescuers
C-A-B

10. Using an AED
CPR/AED for Community Rescuers

11. Key Concepts AEDs can be used on adults, children and infants
An AED has a status indicator to show if it is ready for use
Follow local protocols for age-specific AED guidelines if they differ from this course
Basic AED Sequence:
Power on the AED
Apply pads
Follow AED prompts
CPR/AED for Community Rescuers
Using an AED

12. Power the AED Place AED near head Power on AED AED guides actions
CPR/AED for Community Rescuers
Using an AED

13. Apply AED Pads Expose chest Apply pads (follow pictures) If 2 rescuers
Cut clothing
Wipe dry
Apply pads (follow pictures)
Right upper chest, just below collarbone
Lower left side of the chest
If 2 rescuers
Rescuer 1 continues CPR
Rescuer 2 operates AED
CPR/AED for Community Rescuers
Using an AED

14. Shock or No Shock? After pads are applied:
AED prompts rescuer to stop CPR
AED analyzes the heart’s electrical rhythm
Do not touch or move the person
AED will state ‘shock advised’ or ‘no shock advised’
If no shock advised, AED will prompt rescuer to resume chest compressions
If shock advised, rescuer must clear victim first
CPR/AED for Community Rescuers
Using an AED

15. Clear Victim and Shock Do not touch victim or clothing during a shock
Clear victim first
Loudly state, “Clear!”
Look up and down entire victim
Ensure no one touching person or clothing
Press shock button
Some AEDs shock automatically (no button)
AEDs announce when safe to resume compressions
CPR/AED for Community Rescuers
Using an AED

16. Resume CPR Immediately resume CPR Start with chest compressions
AED will analyze heart rhythm every 2 minutes
If 2nd rescuer present
Switch roles when AED prompts to stop CPR
One rescuer rests
Other rescuer gets in position for CPR
Rescuer 2 will continue to operate AED
Immediately resume CPR
CPR/AED for Community Rescuers
Using an AED

17. AED Use on Children For AED use:
A child is 1-8 years old, or less than 55 lbs.
An infant is < 1 year old
Children & infants require less electrical current
Special equipment reduces amount of energy delivered
Child/Infant Pads
Energy reducer or attenuator
Pediatric key or switch
If pediatric equipment is not available, use standard equipment
CPR/AED for Community Rescuers
Using an AED

18. For Smaller Children or Infants
Use front-to-back AED pad placement if needed
Pads should not touch or overlap
Do not cut or fold pads to fit
CPR/AED for Community Rescuers
Using an AED

19. Defibrillation Use when available Place near victim’s head
Power on AED
Follow prompts
Apply pads
Press shock button
Resume compressions after shock
CPR/AED for Community Rescuers
Adult CPR

20. Special considerations - AED

21. Special Considerations - AED
Key Concepts
There are 3 situations to consider when applying AED pads that may alter rescuer’s actions:
A very hairy chest
An implanted device (e.g. pacemaker)
A medication patch
CPR/AED for Community Rescuers
Special Considerations - AED

22. Special Considerations - AED
Implanted Devices
Device may appear as a small raised lump under skin
Devices may include
Pacemaker
Automated Implantable Cardioverter-Defibrillator (AICD)
Medication administration port
Most implanted devices do not affect AED pad placement.
Do not place pad directly over implanted device
Adjust pad placement at least 1” from device
CPR/AED for Community Rescuers
Special Considerations - AED

23. Special Considerations - AED
Medication Patches
Medication can be embedded in an adhesive patch applied to skin
Do not place an AED pad over a medication patch
Use a gloved hand to remove the patch
Quickly wipe chest clean with a towel or cloth
Apply pads after area is wiped clean
CPR/AED for Community Rescuers
Special Considerations - AED

24. Special Considerations - AED
Storage & Maintenance
Close to trained rescuers
Near most of people, most of the time
Visible signage; easy access
Common areas easy to describe
With accessories
Spare adult pads
Pediatric pads or adaptor
CPR barrier, gloves
Safety razor
Absorbent towel
Inspection
Status indicator shows ‘Ready’
Pads & battery not expired
No visible damage
No missing accessories
CPR/AED for Community Rescuers
Special Considerations - AED

25. Special Considerations - AED
Troubleshooting
An AED performs self checks regularly and every time it is powered on.
The AED will notify operator if problem detected
“Check pads”
Press down firmly, or replace pads w/ back up set
Check pad connection to AED
“Low Battery”
Replace battery
Even in low battery state, AED may provide several shocks
Refer to AED manufacturer for more information
Movement
Disrupts analysis of heart rhythm
When AED is analyzing, do not touch or move victim
CPR/AED for Community Rescuers
Special Considerations - AED

26. Special Considerations - AED
Sum It Up
Avoid placing pads over implanted device
Remove medication patches
Store AED near trained rescuers and a phone
If a problem with AED cannot be quickly solved, discontinue AED use and resume CPR
CPR/AED for Community Rescuers
Special Considerations - AED