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VF/VT AED only

ACLS VF/VT Treated with AED and CPR

Your patient appears to be unconscious. The scene is safe. What do you do? 1 Check responsiveness – Tap and shout “Are you alright?” Check breathing by scanning chest for movement 5- 10 seconds
The patient is not breathing. What do you do? Activate the emergency response system. Get an AED. Tell them the patient is nonresponsive and not breathing
Someone has gone to get an AED and call 911. What do you do? Check circulation. Check carotid pulse for 5-10 seconds if no pulse or questionable pulse begin CPR with compressions. If pulse is present provide rescue breathing at a rate of one breath each 5-6 seconds (10-12) and check pulse q 2 min.s
The AED has arrived. The patient has no pulse. What do you do? attach AED. Analyze rhythm. Resume CPR while AED charges. Administer shock if shock is advised. If not, continue CPR. Check rhythm q 2 minutes continue until ALS takes over or victim begins to move.
What is the rational for resuming CPR with chest compressions after a shock? defibrillation does not restart the heart. It stops nonproductive rhythms such as VF and VT. If the heart is still viable, the pacemaker may resume activity, however it takes several minutes for the heart to create perfusion. Compressions fill in the gap.
What are the three clinical findings that justify the use of an AED? No response, Absent or abnormal breathing, No pulse
What is the best placement for the AED when it arrives? Why? At the patient’s side next to the rescuer who will operate it allowing for ease of access for the person using the AED and clear path on the other side of the patient for the rescuer providing compressions
What are the four universal steps for operation of an AED? Power on – open the case/power on; Attach pads – one on the upper right just below the clavicle, one on the left to the left of the nipple top margin a few inches below the armpit; Analyze Rhythm – don’t touch patient; Shock – Clear patient
What if the patient has an implanted defibrillator? Don’t put defibrillator pads over the implanted device. If the device is deliver a shock wait 30 to 60 seconds before delivering a shock with the AED.
What if the chest is wet or the patient is in water? Quickly dry the chest. Move the patient out of water. Small puddle is okay.
What if the patient has a medication patch? Remove the patch wipe the area quickly and apply electrodes.