Pediatric Basic Life Support(BLS) AED (Automated External Defibrillator): Difference between revisions

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=AED (Automated external defibrillator=
=AED (Automated external defibrillator=
 
*AED is a device that is useful in as it delivers shock and does not require the bystander or lay rescuer to recognize different types of heart rhythm.
*If you want to be trained in AED access this website by REDCROSS https://www.redcross.org/take-a-class/aed
*If a manual defibrillator is not available an AED automated external defibrillator is used.
*A study published by Ecker R et al<ref name="pmid11581083">{{cite journal| author=Ecker R, Rea TD, Meischke H, Schaeffer SM, Kudenchuk P, Eisenberg MS| title=Dispatcher assistance and automated external defibrillator performance among elders. | journal=Acad Emerg Med | year= 2001 | volume= 8 | issue= 10 | pages= 968-73 | pmid=11581083 | doi=10.1111/j.1553-2712.2001.tb01096.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11581083  }} </ref> concluded that older bystanders previously trained in AED are successfully able to deliver shock for ventricular fibrillation with dispatcher assistance.
*2 minutes compression and ventilation cycle should be done before using the AED.
*If there are 2 bystanders send one person to get the AED and one person should start CPR immediately.
*If there are 2 bystanders send one person to get the AED and one person should start CPR immediately.
*A study by Dianne L.Atkinsa et all<ref name="pmid17765384">{{cite journal| author=Atkins DL, Scott WA, Blaufox AD, Law IH, Dick M, Geheb F | display-authors=etal| title=Sensitivity and specificity of an automated external defibrillator algorithm designed for pediatric patients. | journal=Resuscitation | year= 2008 | volume= 76 | issue= 2 | pages= 168-74 | pmid=17765384 | doi=10.1016/j.resuscitation.2007.06.032 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17765384  }} </ref> found the AED used in children less than 8 years of age is able to find both shockable rhythm with high sensitivity and high specificity.   
*A study by Dianne L.Atkinsa et all<ref name="pmid17765384">{{cite journal| author=Atkins DL, Scott WA, Blaufox AD, Law IH, Dick M, Geheb F | display-authors=etal| title=Sensitivity and specificity of an automated external defibrillator algorithm designed for pediatric patients. | journal=Resuscitation | year= 2008 | volume= 76 | issue= 2 | pages= 168-74 | pmid=17765384 | doi=10.1016/j.resuscitation.2007.06.032 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17765384  }} </ref> found the AED used in children less than 8 years of age is able to find both shockable rhythm with high sensitivity and high specificity.   


Steps to use AED  
Steps to use AED<ref name="pmid20956217">{{cite journal| author=Field JM, Hazinski MF, Sayre MR, Chameides L, Schexnayder SM, Hemphill R | display-authors=etal| title=Part 1: executive summary: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. | journal=Circulation | year= 2010 | volume= 122 | issue= 18 Suppl 3 | pages= S640-56 | pmid=20956217 | doi=10.1161/CIRCULATIONAHA.110.970889 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20956217  }} </ref>
*If you find a shockable rhythm use the AED.
 
*Follow the AED Prompt.
*Follow the AED Prompt.
*Stop CPR when the AED is analyzing the rhythm and giving a shock.
*Stop CPR when the AED is analyzing the rhythm and giving a shock.
*Resume compressions immediately after giving shock and minimize interruptions during compressions.
*Resume compressions immediately after giving shock and minimize interruptions during compressions.
*Place the right pad of the AED on right below the clavicle.
*Place the left pad of the AED on the left chest lateral to the left breast.
*Other positions - Left pad is placed at the apex 5th Intercoastal space and the right pad placed on the left upper back.
*Keep the one-inch distance between the pads and the implantable device.
*Don't put the pads on a transdermal patch as it can burn the skin where the patch is placed.

Latest revision as of 13:09, 18 June 2020

AED (Automated external defibrillator

  • AED is a device that is useful in as it delivers shock and does not require the bystander or lay rescuer to recognize different types of heart rhythm.
  • If you want to be trained in AED access this website by REDCROSS https://www.redcross.org/take-a-class/aed
  • If a manual defibrillator is not available an AED automated external defibrillator is used.
  • A study published by Ecker R et al[1] concluded that older bystanders previously trained in AED are successfully able to deliver shock for ventricular fibrillation with dispatcher assistance.
  • 2 minutes compression and ventilation cycle should be done before using the AED.
  • If there are 2 bystanders send one person to get the AED and one person should start CPR immediately.
  • A study by Dianne L.Atkinsa et all[2] found the AED used in children less than 8 years of age is able to find both shockable rhythm with high sensitivity and high specificity.

Steps to use AED[3]

  • Follow the AED Prompt.
  • Stop CPR when the AED is analyzing the rhythm and giving a shock.
  • Resume compressions immediately after giving shock and minimize interruptions during compressions.
  • Place the right pad of the AED on right below the clavicle.
  • Place the left pad of the AED on the left chest lateral to the left breast.
  • Other positions - Left pad is placed at the apex 5th Intercoastal space and the right pad placed on the left upper back.
  • Keep the one-inch distance between the pads and the implantable device.
  • Don't put the pads on a transdermal patch as it can burn the skin where the patch is placed.
  1. ↑ Ecker R, Rea TD, Meischke H, Schaeffer SM, Kudenchuk P, Eisenberg MS (2001). "Dispatcher assistance and automated external defibrillator performance among elders". Acad Emerg Med. 8 (10): 968–73. doi:10.1111/j.1553-2712.2001.tb01096.x. PMID 11581083.
  2. ↑ Atkins DL, Scott WA, Blaufox AD, Law IH, Dick M, Geheb F; et al. (2008). "Sensitivity and specificity of an automated external defibrillator algorithm designed for pediatric patients". Resuscitation. 76 (2): 168–74. doi:10.1016/j.resuscitation.2007.06.032. PMID 17765384.
  3. ↑ Field JM, Hazinski MF, Sayre MR, Chameides L, Schexnayder SM, Hemphill R; et al. (2010). "Part 1: executive summary: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care". Circulation. 122 (18 Suppl 3): S640–56. doi:10.1161/CIRCULATIONAHA.110.970889. PMID 20956217.
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