1. Resuscitation & AED
By Bradley Anton
Brighton and Sussex Medical School

2. Session Contents
 Objectives
 Introduction – Resus Council 2010
 Primary Survey & CPR (BLS)
 Chain of Survival
 AED Statistics & Findings
 Definitions
 AED Procedures
 Using an AED for observation
 Questions

3. Objectives
To be able to:
1. Perform a primary survey & CPR in line
with the current Resuscitation Council
guidelines.
2. Use or be familiar with the use of an AED
in an effectively managed resuscitation
scenario.

4. BLS
 Get AED when getting help.
 Chest Compression depth 5-6cm.
 Chest Compression rate 100-120/min.
HARDER – DEEPER – FASTER
 Rescue breaths delivered over 1 second, do not
take more than 5 seconds for 2 breaths.
 DO NOT stop CPR unless signs of life present
AND breathing normally.
 AED training encouraged but not restrictive.

5. Primary Survey
 Danger – to?
 Response – establish AVPU
Shout for HELP
 Airway – head tilt/chin lift unless?
 Breathing – Look, Listen, Feel up to 10
seconds
Send or go for help – 999/112 and AED
 Circulation – major bleed check

6. Resuscitation - adult
• 999/112/AED
• 30 chest compressions
• two rescue breaths
• continue 30:2.

7. Chain of Survival

8. What increases survival?
 Witnessed cardiac arrest.
 Casualty in shockable rhythm.
 Effective CPR started within 4 minutes.
 AED used within 8 minutes.
Hospital discharge of 1676 patients in Scotland
43% shocked within 4 minutes
30% shocked within 5-9 minutes
5% shocked within 10-14 minutes

9. Early Defibrillation
The scientific evidence to support early defibrillation is
overwhelming; the delay from collapse to delivery of
the first shock is the single most important determinant
of survival. If defibrillation is delivered promptly,
survival rates as high as 75% have been reported. The
chances of successful defibrillation decline at a rate of
about 10% with each minute of delay; basic life support
will help to maintain a shockable rhythm but is not a
definitive treatment.
Taken from the Resusatation Council Guide - Use of AEDs

10. Definition of terms
 What is the heart?
 What energy powers the heart?
 Cardiac Arrest
 Heart Attack (Myocardial Infarction)
 Normal heart rhythm
 Shockable/Non Shockable rhythms
 Fibrillation (VF)/Defibrillation

11. Heart Rhythms

12. Heart Rhythms

13. Group Work
1. Contents of AED
2. Safety Considerations/Cautions for use
3. Preparing the Chest/Applying Pads

14. AED Protocols
 Primary Survey/Begin continued CPR
 Establish history
 Turn on AED
 Prepare Chest/Attach Pads
 Follow instruction prompts
- Only stop CPR when shocking/analysing
 Handover

15. Pad placement

16. AED Monitoring
 Why monitor/what does it mean?
 Which AEDs can monitor?
 What are they looking for?
 What assistance might be required?

17. AED Monitoring

18. Thanks for listening!
Any questions?
If anyone thinks of any more
questions then feel free to see me
afterwards or email me at
bsms1442@uni.bsms.ac.uk