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Okay so now in this scenario we're dealing with the adult victim who is in cardiac arrest with an AED. And before we get started, we need to talk about scene safety for a moment. Is the scene safe? We have our gloves on. We have our CPR shield, so we know the rescuer is safe. But are we safe to use an automated external defibrillator? They can give off a spark when it defibrillates and if so we don't want to have to worry about combustible gases or liquids and we don't want the patient lying in a pool of fluids that might connect the rescuer to the patient when we defibrillate. So as long as the scene does not have that in the environment, we're good to go. Now let's get started with the scenario. So as soon as I call out to the patient hey are you all right, can you hear me? They don't respond. I tap and shout, sir can you hear me? They still don't respond. I'm going to activate EMS by calling 911. I can either do that with my cell phone by dialing 911 and keeping it on speakerphone or if I've got a bystander I can tell them, hey you in the plaid shirt, go call 911 and come back and if you can find an AED bring it with you. Now, in this case, I already have my AED with me so that's not as big a deal. Now let's go ahead and continue. So I know that the patient is unresponsive. I assess to see if they are moving and I see that they are not breathing normally. If I didn't have the AED I would go straight into CPR compressions until AED arrives. But because I have an AED available, the first thing I'm going to do is turn it on. AED: Remove clothing from person's chest. Speaker 1: I'm going to remove the clothing and dry off the skin where I need to put the pads. AED: Attach pads firmly to person's chest as shown. Speaker 1: Pull out the adult pads. And I place the pads correctly. One above the right breast. One on the left mid-axillary, below the left breast. And now I plug in the pad connector. AED: Analyzing rhythm. Everyone stand clear. Speaker 1: Not touching the patient. AED: Shock advised. Charging. Everyone stand clear. Speaker 1: Check to make sure no one is touching the patient. Everybody is clear. AED: Everyone stand clear. Push the shock button. Shock delivered. Begin five cycles of CPR. Speaker 1: One and two and three and four and five and six and seven and eight. Nine and ten. 11, 12, 13, 14, 15, 16, 17, 18, 19, 20. 22, 23, 24, 25, 26, 27, 28, 29, 30. I grab my rescue shield with a one way valve. Pinch the nose, tilt the head back and give two breaths. AED: One minute and 30 seconds of CPR remain. Speaker 1: Two breaths go in, go right back into my 30 compressions. 15, 16, 17, 18, 19, 20, 21. AED: Analyzing rhythm. Everyone stand clear. Speaker 1: Stop touching the patient while it analyzes. AED: No shock advised. Begin five cycles of CPR. Speaker 1: Whether it advises the shock or not, we're going to go right back into our CPR as prompted and we're going to continue this until EMS arrives, until further help arrives that's equally trained or higher or my patient begins to move and respond and breathe normally.
If the patient is a witnessed cardiac arrest, first check to assure the scene is safe. Check for patient responsiveness, contact emergency services. Turn on the AED if the patient is not breathing. Attach the AED pads to the patient, and do not touch the patient while the AED analyzes. After a shock is delivered, begin CPR for about 5 cycles or two minutes. The AED will interrupt after two minutes and reanalyze the patient. Continue to follow the AED's instructions until advanced life support arrives.