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Now let's cover adult CPR for the lay rescuer, with an AED.
We're still going to be checking for scene safety, making sure there isn't any hazards that's going to effect us, the rescuer.
But we also want to include a couple more things.
Is the scene safe enough to use an AED?
This is going to include whether or not there is standing water, or liquids, that the patient is laying in, that might actually connect with our knees
as the rescuer.
This could electocute us as we defibrilate, so that's going to be a reason not to use the AED in that condition.
If we can move the patient out of that environment, like from beside a pool, or from standing water, or even in melted snow,
and we can move them to a dry surface, dry them off enough that the pads will stick.
That puts us back into a situation where we can use the AED.
The other condition would be if we had combustible liquids.
If we had gasses that would be combustible, those would be other reasons not to use the AED either.
So we're going to say that the scene is safe, our gloves are on, our CPR shield is available.
And we're going to now *** the patient for responsiveness.
And while we're doing so, we're going to be looking visually at the patient to see if they're breathing or not.
So we yell out to the patient "are you alright, are you okay, can you hear me?"
They do not appear to be breathing, and they do not respond to my taps and shouts.
I'm going to call for help or activate EMS by sending a responder to go call 911 and return, let me know EMS is on the way.
If they're not breathing, and not responding, we're gonna go straight into chest compressions if we don't have an AED.
But now, remember, if I brought an AED on scene with me right away, we're not going to delay the use of the AED by giving CPR.
We're going to go ahead and quickly turn the AED on.
(This is a training device only. No shock will be delivered.)
It's going to prompt me to bare the chest.
(Remove clothing from person's chest.)
(Attach pads firmly to person's chest as shown.)
I'm going to grab the adult pads, and attach them as the diagram shows on the pads.
One in the top, right, pectoralis area.
(Plug in connector.)
The next one is mid-axillary, underneath the left arm-pit.
And then, I'm going to go ahead and plug in the connector.
As you can see, there's really only one way that it can go in.
(Analyzing rhythm, everyone stand clear.)
Making sure as to not touch the patient while it's analyzing.
(Shock advised, charging, everyone stand clear.)
(Beeeep)
(Shock delivered, begin five cycles of CPR.)
Following the prompts of the AED, we'll go right in to CPR.
30 compressions, followed by 2 breaths, using my CPR shield barrier, followed by 30 more compressions, followed by 2 rescue breaths.
And we're going to do that until the AED interrupts, or advanced life support or another emergency medical responder arrives and takes over.
Hey, are you okay, are you alright?
The scene is safe, my gloves are on, shield is available.
Sir, can you hear me?
Help! Somebody help me in here!
Sir, can you hear me?
They're not responsive, they don't seem to be breathing.
You in the plaid shirt, go call 911 or emergency medical services and come back, I might need your help!
I've got the AED right here.
(Remove clothing from person's chest.)
(Attach pads firmly to person's chest, as shown.)
(Plug in connector.)
(Check connector and pads.)
(Analyzing rhythm, everyone stand clear.)
(Shock advised, charging, everyone stand clear.)
(Beeeep)
(Everyone stand clear.)
(Push the shock button.)
(Shock delivered.)
(Begin five cycles of CPR.)
1 and 2 and 3 and 4 and 5 and 6 and 7 and 8 and 9 and 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21,
22, 23, 24, 25, 26, 27, 28, 29, 30.
1 and 2 and 3 and 4, and I'd go up to 30.
Give 30 compressions and 2 rescue breaths.
Continue to do this until the AED interrupts me, or until emergency medical services arrive.