Automated External Defibrillator (AED) Saves Lives!

The three major life-breathing concerns for a patient is a disruption of the airway, breathing, and circulation. When a patient goes into cardiac arrest due to pre-existing conditions or trauma, an EMT will initiate the steps of cardiopulmonary resuscitation (CPR) and hopefully using an available automated external defibrillator (AED). However, some patients due to having a terminal illness, age, or personal choice does not want to be resuscitated or have

| Lesson Outline: Allocated teacher-NExplaining legal requirements : Duty of care: A duty of care is implied when the person who is requiring your assistance is in your workplace. E.g. patient, co-worker or visitor. Consent of an unresponsive patient is assumed in an emergency situation. (Crouchman, 2009; Milne & Mellman-Jones, 2010).Cultural awareness/sensitivity: We need to mindful of varying cultures when assisting patients, as different cultures prefer to be unexposed which is necessary when defibrillation is required. Eg, Muslims (Hattersley & Keogh, 2009). Confidentiality: Following an emergency situation it is vital to refrain from speaking to others outside the workplace about the patient to ensure the patient’s privacy and dignity. Think about how you would feel if you where in the patient’s situation. (Maeder, Martin-Sanchez, Croll, & Ambrosoli, 2012)?Limitations: Remember that once you start you can’t stop until you’re physically unable to or help arrivesDebriefing: Participating in the debriefing process is vital due to the enormity of the situation, enabling the nurse to express

Attention Catcher / Listener Relevance: Are you ready to save someone’s life. Just imagine you’re walking down a street or park and you see a person just collapse. You probably run up to the person to check for breathing or a heartbeat. Then call 9-1-1. People who suffered from cardiac arrest are most likely not surrounded by doctors, or nurses, or EMT personnel.

On Monday, November 11, 2015, a 79-year-old female was brought to the emergency department (ED) of Fairview Southdale via ambulance for myocardial infarction (MI). A few hours prior to the ambulance arriving, the patient was experiencing chest discomfort, shortness of breath, and upper abdominal pain. At that time, she called her son who then went to her house to check on her. Her son made the decision to call 911. Minutes after the paramedics arrived, the patient went into cardiac arrest. The patient had previously expressed to her family that she wanted to be “do not resuscitate” (DNR) to her family, however, upon cardiac arrest her son told the paramedics that he wanted all measured taken to resuscitate her. Cardiopulmonary resuscitation (CPR) was initiated with a Lucas device and the patient was deemed rapid transport. In route to the ED, the patient was in ventricular tachycardia and ventricular fibrillation. An automated external defibrillators (AED) was used to shock her 3 times in route and 1 dose of epinephrine was given. She was intubated with a 7.0mm endotracheal tube (ETT) to protect her

Use of ECPR is indicated in patients failing to respond to conventional cardiopulmonary resuscitation (CCPR) with a variety of disease states including CA due to refractory shock, overdose, hypothermia with arrhythmias, and as a bridge to therapies including percutaneous coronary intervention (PCI), heart transplant, or placement of a left ventricular assist device (LVAD). While there are two methods to implement the ECPR circuit, venous-arterial access is the modality that is most commonly utilized in the emergent

If there are no signs of life, place a breathing barrier (if available) over the victim's mouth.I would usually use an air mask that EMT's carry with them in the ambulance or in their side pocket. Give two rescue breaths and make sure to keep the air way open. Breathe slowly, as this will air go in the lungs not the stomach.Every time you give rescue breathe, keep your eye on the victim's chest.If the rescue breath goes in, you should see the chest slightly rise and also feel it go in.Then give a second rescue breath.If the breath does not go in, re-position the head and try again.After you successfully gave two rescue breaths, prepare for the hardest physical part of CPR.

Without early intervention on average 360,000 people out of the hospital succumb to cardiac arrest. “ Cardiac arrest and sudden death account for 60 percent of all deaths from coronary artery disease”,(Bledsoe, Porter, & Cherry, 2011,2007,2004, p. 1229)There are several causes of sudden cardiac arrest. Most are caused by ventricular fibrillation. “During ventricular fibrillation, the ventricles do not beat normally. Instead they quiver rapidly and irregularly.” When this occurs, the heart pumps very little and blood does not get circulated throughout the body. “ Most of the cases found with sudden cardiac death are related to undetected cardiovascular disease.("Sudden Cardiac Death," 2015, para. 2)Sudden cardiac arrest are immediate and drastic that includes sudden collapse, no pulse, not breathing, and loss of consciousness. “Four rhythms produce pulseless cardiac arrest: ventricular fibrillation, rapid ventricular tachycardia, pulseless electrical activity and asystole.”("Circulation ," 2005, p. IV-58)Other signs and symptoms that could occur prior to sudden cardiac arrest, include fatigue,

according to the American Heart Association “about 70 percent of cardiac arrest happens at home and unfortunately only about 46 percent of the people who experience this get immediate help they need before professional help arrives.” So you could be saving a loved

Continue the cycle of 30 compressions and 2 breaths until help arrives, the person responds, or you physically cannot continue any longer

Disaster management results in a holistic approach; perplexing enough a disaster isn't defined by the overhead, rather the viewer becomes the author. Considering this, many disasters, diminutive and extensive, result in the cardiac arrest of victims, complicating the prehospital environment. Therefore, presenting a myriad of issues, such as placing advanced airways, appropriate breathing with a bag valve mask, and fostering an environment to which minimal interruptions to CPR can occur. Throughout the proposed research, the above items will be addressed and taken out of practice — leading to a cohesive emergency environment.

4:30 AM. I jump into my car and drive to Vital EMS in Worcester for a fourteen-hour shift as an EMT. Upon entering the ambulance, my partner and I are quickly dispatched to the residence of a 50-year-old male for an unknown medical complaint. As we rush to the scene with lights and sirens, my partner and I know that we must remain calm and immediately begin to allocate tasks. Upon arrival, I rush out of the ambulance and seize the first in bag, an oxygen tank, and the defibrillator. We head into the residence and encounter the patient who complains of chest pain and presented with inadequate oxygen saturation. I immediately realize that

Additionally, individual with attitudes or beliefs that deter their intent to perform the behavior will most likely not participate in the training. This project utilizes a linear decision-making process, with steps to providing care and early resuscitation well delineated: 1) call EMS, 2) provide Hands-Only CPR, and 3) locate an AED if able. Although one never knows the extent of cardiac damage and lack of perfusion that is occurring during an OHCA, it is essential to provide early resuscitation assistance. Encouragement and positive reinforcement from the EMS staff regarding behavioral performance, augments the individual’s intent to perform the behavior in the future.

Me and Matthew got the A.E.D out and prepared the chest by shaving it, wiping off the sunscreen in the areas where the pads would be applied. Once the A.E.D was prepared Matthew took control and proceed to take out the B.V.M and hooked it up to the O2 tank and the Seal Easy that Kaitlyn was using. I maned the B.V.M for about 30 seconds, when Matthew repeated what the A.E.D said to us “Analyzing heart rhythm do not touch the patient”. 10 seconds late “Shock advised push the orange flashing button” followed by a “I’m clear, you're clear, everyone is clear, pushing the orange button”. Then the body in unison moved sharpy up and fell back down. Matthew then said “It’s now safe to touch the patient”. We then all moved back onto the body to continue our jobs. In the time it took for EMS to arrive on scene we delivered 6 shocks to

Prior to attending the CSL class, I completed the lab preparations which included basic CPR questions and watched the video clip provided. I understood the procedures for CPR outside and within a hospital environment. When given an event of a cardiac arrest in hospital, the emergency alarm is pressed and pillows are removed from behind the patient to allow the head to be tilted backwards to open the airways. Within this time the ratio of 30 compressions to 2 breaths are given while a call is made

The next action for this patient is to defibrillate very soonest to stop the patient from going to cardiac arrest