Automated External Defibrillation Flashcards
What is the difference between automated and semi-automated defibrillators?
an automated defibrillator is attached to the patient and does not need any further intervention.
A semi-automated defibrillator is much the same, but an operator (EMR/Paramedic) must push a button on the AED to deliver the shock, making it safer to use.
What role does medical direction play in the use of an AED?
- A medical director must issue standing orders for EMRs to use an AED
- Follow local protocols and procedures
- Contact medical director for any questions
- call review for continuing quality and care
Why is it so important to make sure no one is touching the patient while the AED analyzes or shocks the patient?
This may cause interference in the analysis and or result in the person touching the patient being shocked.
Given the choice between performing CPR and using an AED, which should you do first and why?
Use the AED as rapid defibrillation has higher success rates and CPR is to prolong life until defibrillation can be performed.
For what age of patient should child defibrillation pads be used?
Patients to age 7. Patients 8 and up use adult pads.
Where on the patient are the AED pads placed?
White to right Red to ribs
What are 4 special situations that may require special consideration before applying AED pads?
- patient has nitro patches on their skin
remove and clean area prior to application - patient has a pacemaker
place adhesive pads at least 1 inch away from the
implanted device - ensure patients chest is dry
- always remove patient from water
- if patient’s implanted defibrillator has discharged, wait 20 - 30 seconds before using the AED
When should the patients pulse be checked? Before or after the first shock? What might you do for the patient between subsequent shocks?
Before. Resume compressions and continue CPR until prompted by the AED to analyze again.
