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Pemakaian aed
- 1. Dr. Hardi Cahyanta Belida 1 September 2012 Safe Simple Use High Success Rate
- 2. Kenyataan Hidup … …Suatu saat setiap orang akan mati!
- 3. Kematian dini Peter Safar, MD
- 4. Walaupun ilmu kedokteran telah maju … Kematian/tahun (U.S.) PENYEBAB2 KEMATIAN 350,000 300,000 250,000 200,000 150,000 100,000 50,000 Sudden Stroke Lung Breast Traffic AIDS/ Murder Cardiac Cancer Cancer Accidents HIV Arrest Penyakit atau kecelakaan Kematian mendadak tetap meningkat
- 5. menimbulkan sehingga Menghasilkan O2
- 6. Serangan Jantung The “S-A” Node The heart’s own “pacemaker” Blocked Heartbeat Coronary Continues Artery to Beat Damaged Heart Muscle
- 7. Serangan Jantung Tanda & Gejala (Patient may have one or more…) • Nyeri dada/ tak nyaman • Merambat ke lengan, leher, rahang • Banyak keringat • Susah bernafas • Ketakutan, bingung, marah • Membantah gejala tetap bernafas dan nadinya berdenyut …
- 8. Kematian Mendadak Ventricular Fibrillation Chaotic V-fib Quivering but NO Heartbeat NO Breathing
- 9. Gejala Pasien yang mengalami Ventricular Fibrillation Tidak Sadar Tidak ada denyut jantung Tidak bernafas Tampak sakit parah dan pucat Sehingga … Tak ada oksigen ke otak dan tubuh Hidup dan mati -> masalah WAKTU
- 10. Kematian Mendadak Sedikit oksigen 0 Minutes 0 Minutes
- 11. Kematian Otak No Oxygen 10-12 Minutes
- 12. 80-90% Kematian mendadak Disebabkan oleh: V-fib
- 13. Satu-satunya koreksi untuk V-fib De-fib
- 14. Chain of Survival Early Early Early Early Early Access CPR Defibrillation Advanced Care © American Heart Association
- 15. Untuk setiap menit penundaan defibrillasi Peluang hidup berkurang 10% 100 80 Survival Rate (percent) 60 40 20 0 5 10 15 20 25 30 Time to Defibrillation (minutes)
- 16. • CPR (saja) ……………………… 0-2% • EMS/ER …………………… 5-15% • CPR+AED…….. 30-75%
- 17. Bagaimana jika Seseorang tiba-tiba Mengalami gejala Serangan jantung?
- 18. Berikan bantuan awal Hubungi bantuan medis 1 Adult Or 4 Baby ASA
- 19. Jika anda melihat seseorang tak sadarkan diri … … anda tidak tahu apakah itu Kematian Mendadak Atau sebuah Serangan Jantung
- 20. ANDA MEMERLUKAN AED • Visual (Graphical Operator Interface) • Audible
- 21. Apakah perlu pertolongan? • Kenali bahwa seseorang memerlukan bantuan medis • Check The Area for personal dangers
- 22. • Apakah orangnya tak sadar? Are you okay?
- 23. …if not already there, • “Log-roll” patient onto his back on a firm surface
- 24. Tetap tenang Ambil nafas dalam2, dan pusatkan perhatian kepada energi emosional anda minta bantuan
- 25. Make the Right Call Someone should IMMEDIATELY Call for EMS/Medical Help
- 26. • Send someone for the AED… …or if alone, go yourself!
- 27. Sementara ada yg mengambilkan AED, bila tidak ada nafas dan denyut nadi … Mulailah CPR 2 30 Compressio Breaths
- 28. JIKA AED SUDAH ADA Push the “ ON” Button
- 29. Periksa daya tanggap pasien Are you okay? Tetap tenang • Pastikan lagi bahwa pasiennya tak sadar
- 30. Apakah bantuan sudah menuju lokasi? • Be sure someone has called for EMS/Medical Help
- 31. Buka Jalan Nafas • Head Tilt/Chin Lift • Empty the mouth?
- 32. Check Breathing • Look • Listen • Feel
- 33. ...if none is found Provide Breathing • Give 2 Slow Breaths (Take a Fresh Breath In Between)
- 34. Examine for Signs of Circulation • Check for Neck Pulse (If skilled to do so) • Normal Skin Color ??? • Coughing or Obvious Breathing
- 35. • Don’t Touch Patient During Analysis
- 36. • Stay Clear of Patient During Shocks Verbal Command to Clear Visually Confirm All Are Clear
- 37. AED ONLY Advises Treatment Deliver one shock If there is a Shockable Rhythm Push Shock Button No Shock Needed
- 38. Whether shocks are delivered or not advised… Open Airway Check for Breathing Signs of Circulation
- 39. If No Signs of Circulation … Resume CPR 2 Mins • Kneel next to patient • Locate hand position (on compression depth sensor) • Position your body • Give CPR at rate of 30:2 You will hear: “Good compressions” or “Push harder” Adaptive metronome will help pace you 2 30
- 40. If CPR or Shocks aren’t needed… • Maintain Airway Chin Lift Empty Mouth? “Recovery Position” ? Place PASS ?? • Assist Breathing • Give Emotional Support
- 41. When Breathing & Pulse Do Not Return • Continue CPR • Follow Voice Prompts Rhythm Re-analysis Repeat Shock(s)
- 42. When Breathing & Pulse Return Support Life • Airway • Breathing • Circulation Be as Efficient & Effective as Possible … Until EMS Arrives
- 43. Transfer of Care • Verbal Report Initial Condition Care Delivered (including # of shocks) Estimated “Down Time” Any Changes in Patient’s Condition Any available Medical History • Cooperate and Assist (as necessary & requested)
- 44. Additional Factors When using an AED Sensitivity to Family Crowd Control Periods of “Inactivity” Talk to the Patient
- 45. When Not to Use an AED Patient is less than 8 yrs of age Patient is under 80 pounds Explosive environment Patient is immersed in water Following serious trauma
- 46. Returning to AED Readiness Logistics Clean Area Clean AED Plus Replace Batteries (if necessary) Replace CPR-D Padz Repack & Restore Unit
Editor's Notes
- These battery powered, computer guided technological marvels of modern medicine have been proven to be safe, simple to use and highly successful.
- Someday all of us will cease to continue life on this planet.
- The problem is that far too many people will die prematurely, with “hearts and brains too good to die.”
- Advances in modern medical science (including Emergency Medical Services) have helped to prolong life and reduce the number of deaths from many “killer” health problems. But the problem of sudden cardiac death has continued to go virtually unchecked.
- To understand Sudden Death and how to counter it, we must first of all examine how the heart works and what causes Sudden Death. (Read the slide.)
- A heart attack occurs when an artery serving the heart becomes blocked or constructed resulting in damaged heart muscle. But generally, the victim’s heart – although impaired – continues to beat.
- If someone is having a heart attack, generally the indications will be… (read the signs & symptoms.)
- Although it is sometimes related to a heart attack, Sudden Death is different and far more serious. Due to an electrical malfunction known as “ventricular fibrillation” the heart quivers chaotically but is not able to produce blood flow.
- This person is what we call “suddenly dead.” (Read the slide.)
- At the point of Sudden Death, even though there is no heartbeat nor additional oxygen entering the lungs, the patient’s brain is still viable.
- But generally, if the lack of oxygen continues for 10-12 minutes, permanent brain death will occur.
- It is estimated that 80-90% of all Sudden Deaths are a direct result of ventricular fibrillation.
- Although it should be started as soon as possible, CPR alone will be of little value for the victim of Sudden Death. (Read the Slide.)
- If the person in cardiac arrest is to have a 2 nd Chance at Life, a series of critical events depicted by the “Chain of Survival” needs to occur. (Refer to the Slide.)
- Read the slide.
- The numbers speak for themselves. (Read the Slide.)
- The plan works like this…(Read the slide.)
- If the patient is conscious, support his airway, breathing and circulation and call for EMS or other professional medical help as soon as possible.
- If you see the patient collapse or if you find him down…
- (Read or paraphrase the slide.)
- The first step in any resuscitation effort is to recognize that someone is in distress. The next vitally important step is to survey the area for potential hazards and to avoid becoming a victim yourself.
- Next determine if the patient is responsive.
- If an unresponsive person is not already on his or her back you will have to gently roll them over so you can assess and support airway, breathing & circulation.
- This will be a very emotional time. Take a deep breath and try to stay calm by focusing your emotional energy on the ABC’s process. If someone else is available, have him or her go call for help.
- The sooner EMS help is on the way to you, the better. If you are alone, make the call yourself before doing anything else.
- Likewise send someone for an available AED or go yourself if alone.
- (Read the slide.)
- Continue CPR until the AED has arrived. Then turn the AED on by pushing & holding in the purple “ON” button.
- After confirming that the unit is okay, the first AED Plus voice prompt will remind you to stay calm and to check responsiveness.
- If you or someone else has not already done so, the unit will next remind you to “call for help.”
- The next step in the rescue sequence is to open the patient’s airway as illustrated. (Refer to the slide.)
- Next you will be reminded to “check breathing.” This is done by using the look, listen and feel method as illustrated.
- If there is no breathing…(read the slide)…while someone else is preparing the unit and opening the PADZ. If you are alone you may elect to proceed to the next step.
- (Read the slide.)
- As soon as the PADZ are in place the AED Plus will begin to analyze the patient’s heart rhythm. Be careful that no one is touching the patient during this analysis.
- If treatment is indicated, the AED Plus will voice prompt you to “push the treatment button”. Tell everyone to stand clear and visually confirm that no one is making contact with the patient.
- You should know that AED units will only direct you to “shock” ventricular fibrillation, or a very fast, potentially lethal heart rhythm referred to as tachycardia. If the rhythm is “flat line,” shocking the heart will be of no value. Actually the goal is to “shock” v-fib into “flat line” with the hope that the hearts own pacemaker will begin to have the heart re-beat normally.
- Read the slide.
- Read the slide.
- Read the slide.
- Read the slide.
- Read the slide.
- Once EMS or other medical professionals take over…Read the slide.
- Read and comment on the slide.
- Read and comment on the slide.
- Read and comment on the slide.
- Read the slide.