Pro First Aid

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Okay, now let's talk about one rescuer CPR with an AED.

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First things first, before we even consider using an AED, we need to be sure our environment

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is in such a state that we can use an AED.

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In other words, there are no combustible gases or liquids and no standing water that

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the body of the patient is laying in.

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If indeed we are by combustibles or we are in standing water

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we would move the victim to a place of safety, dry them off

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so that we could literally use the AED on them.

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This is specifically important around drowning patients.

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The body doesn't have to be completely dry, it's just that we have to make sure we're not kneeling

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in a pool of water that the body of the patient is touching

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we might suffer electrocution through that or have a shock.

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So, we're in a safe environment, the scene is safe, gloves are on,

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our CPR shield is available. We start the same way.

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Sir, are you okay? There's no response.

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He does not look like he is breathing. I am immediately going call

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for emergency medical services.

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You in the plaid shirt, go call 911 and return, I might need your help.

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Now that emergency medical services or a code has been called

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we're going to go right into a pulse check.

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I check for a carated pulse for no more than 10 seconds, I do not feel a pulse.

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The patient is not breathing. Now we are going to move right to the AED.

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Turn it on.

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AED prompt- [This is a training device only, no shock will be delivered]

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I like to take the pads out and the scissors.

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AED prompt- [Remove clothing from person's chest]

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If it wasn't already cut we'd have to cut it, or rip it open.

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AED prompt- [Attach pads firmly to person's chest, as shown]

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There are diagrams on the pads, it's a nice idea to have a towel

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to wipe off extra sweat, remove nitro glycerin pads or nicotine patches.

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AED prompt- [Check connector and pads]

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Keep in mind that the pads will show you right on them with a diagram

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as to where they go on the chest of the patient, so it's pretty simple.

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This one is going to go up here on the right top pectoralis region.

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The second goes mid-axillary right underneath the arm pit on the left side.

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Make sure the pads are sealed well.

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The connector only fits one way on most AEDs.

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AED prompt- [Analyzing rhythm, everyone stand clear]

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I'm not touching the patient, I'm not kneeling on the patient.

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AED prompt- [Shock advised, charging, everyone stand clear]

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Make sure everyone's clear.

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AED prompt- [Long Beep]

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AED prompt- [Shock delivered, begin 5 cycles of CPR]

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Now I'm just going to do what the prompt tells me to do on the AED.

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Start my 30 compression, 2 inches deep or more, at least 100 a minute.

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And then give 2 rescue breaths with the head tilt chin lift

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Using my one way valve with the mask and then 30 more compressions.

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Doing this, 30 to 2. Until the AED interrupts me and then it will

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tell me whether it is going to shock again.

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I simply follow the prompts as we continue this rescue

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and wait for emergency response to arrive.

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AED prompt- [One minute and thirty seconds of CPR remain]

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If for any reason the pads won't stick to the chest any more

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you can remove them and try a new set of pads.

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However, if there working. We do not disconnect the AED until

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advanced life support or the next level of care comes and takes over.

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That's an important piece to remember as we continue this rescue episode.

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[Begin simulation]

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Sir, sir are you okay? The scene is safe, my gloves are on, my shield is available.

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Sir can you hear me? There's no response and he doesn't seem to be breathing or breathing normally.

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You in the plaid shirt go call 911, please come back and let me know that they're on the way

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I don't easily feel a pulse.

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AED prompt- [This is a training device only, no shock will be delivered]

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AED prompt- [Remove clothing from person's chest]

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AED prompt- [Attach pads firmly to person's chest, as shown]

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AED prompt- [Plug in connector]

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AED prompt- [Check connector and pads]

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AED prompt- [Analyzing rhythm, everyone stand clear]

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AED prompt- [Shock advised.... Charging]

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AED prompt- [Everyone stand clear]

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AED prompt- [Long Beep]

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[Shock delivered. Begin 5 cycles of CPR]

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1 , 2 and, 3 and, 4 and, 5 and, 6 and,

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7 and, 8 and, 9 and, 10 and, 11 and, 12 and,

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13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23

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24, 25, 26, 27, 28, 29, 30.

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1 , 2 and, 3 and, 4 and, 5 and, 6 and,

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AED - [ one minute and thirty seconds of CPR remain....... ] 7 and, 8 and, 9 and, 10 and, 11 and, 12 and,

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13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23

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24, 25, 26, 27, 28, 29, 30.

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1 , 2 and, 3 and, 4 and, 5 and, 6 and,

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7 and, 8 and, 9 and, 10 and, 11 and, 12 and,

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13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23

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24, 25, 26, 27, 28, 29, 30.

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AED Prompt- [One minute of CPR remain]

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1 , 2 and, 3 and, 4 and, 5 and, 6 and,

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7 and, 8 and, 9 and, 10 and, 11 and, 12 and,

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13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23

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24, 25, 26, 27, 28, 29, 30.

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AED prompt- [30 seconds of CPR remain......] 1 , 2 and, 3 and, 4 and, 5 and, 6 and,

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7 and, 8 and, 9 and, 10 and, 11 and, 12 and,

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13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23

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24, 25, 26, 27, 28, 29, 30.

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1 , 2 and, 3 and, 4 and, 5 and, 6 and,

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7 and, 8 and, 9 and, 10 and, 11 and, 12 and,

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13, 14, 15, 16, 17, 18, 19, 20, 21

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AED prompt- [Analyzing Rhythm]

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AED prompt- [Everyone stand clear]

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Do not touch patient.

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AED prompt- [No shock advised, begin 5 cycles of CPR]

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1 and, 2 and....