Cardiac Arrest - AED Authority (2024)

Cardiac Arrest - AED Authority (1)

Sudden Cardiac Arrest & Early Defibrillation

The only effective treatment is to deliver an electrical shock using a device called a defibrillator (to de-fibrillate the heart), which stops the chaotic rhythm of a heart in VF, giving it the chance to restart beating with a normal rhythm.

Cardiac Arrest - AED Authority (2)

Sudden Cardiac Death is Survivable!

Sudden cardiac arrest (SCA) is a condition in which suddenly and unexpectedly the heart stops beating due to a malfunction in the heart’s electrical system. The malfunction that causes SCA is a life-threatening abnormal rhythm, or arrhythmia. The most common arrhythmia is ventricular fibrillation (VF). When in VF, the heart’s rhythm is so chaotic (called “fibrillating”) that the heart merely quivers, and is unable to pump blood to the body and brain. Once a heart has entered VF, sudden cardiac arrest occurs. A victim in SCA first loses his or her pulse, then consciousness, and finally the ability to breathe. But all of this happens quickly – in a matter of seconds. Without immediate treatment from a defibrillator, 90-95 percent of SCA victims will die.
The only effective treatment for SCA is to deliver an electrical shock using a device called a defibrillator (to de-fibrillate the heart), which stops the chaotic rhythm of a heart in VF, giving it the chance to restart beating with a normal rhythm.

  • The American Heart Association (AHA) states that 350,000 Americans die each year from sudden cardiac arrest (SCA), of those approximately 7,000 are children.
  • When SCA occurs, the AHA recommends defibrillation within 3-5 minutes, or sooner. On average, EMS teams take 6-12 minutes to arrive.
  • Survival rates drop 10% as each minute passes without defibrillation. While the national SCA survival rate is 5-10%, studies have shown that defibrillation within 3 minutes raises the survival rate to 74%. Timing is everything.
  • An Advisory Statement from the Pediatric Advanced Life Support Task Force (PALS), International Liaison Committee on Resuscitation (ILCOR) states: Automated external defibrillators (AEDs) may be used for children 0 to 8 years of age who have no signs of circulation.

An AED is a small, portable device that analyzes the heart’s rhythm and prompts the user to deliver a defibrillation shock if it determines one is needed. Once turned on, the AED guides the user through each step of the defibrillation process by providing voice and/or visual prompts. AEDs are specially designed for easy use by any “first responder” who arrives on the scene of a medical emergency. A “first responder” can be an emergency medical services worker, a firefighter or police officer, or it can be a layperson with minimal AED training.

Once an AED is turned on, it provides prompts to guide the user through the process. One of the first prompts instructs the user to connect the AED to the victim via the adhesive electrodes (pads) placed on the chest. The AED then analyzes the victim’s heart rhythm through the electrodes using a built-in software program. It then determines if a shock is necessary. More specifically:

  • The electrodes (pads) placed on the victim’s body send the heart rhythm information (ECGs) to the AED.
  • The AED “reads” short segments of the heart’s rhythm. It checks characteristics such as frequency, shape, slope, amplitude and heart rate.
  • Based on these characteristics, the AED determines whether or not a shock is needed and activates the appropriate user prompts.

If a shock is needed, the AED will prompt the user to press the button that delivers the shock (some AEDs automatically deliver the shock). The responder will then be prompted to administer CPR for approximately 2 minutes. The AED will then re-analyze the heart rhythm to determine if more shocks or additional CPR is needed.

The AED Concierge ® Program Has Saved Countless Lives In The Past Year.

October 13, 2019 – Denver, CO • April 27, 2019 – Parker, CO

Cardiac Arrest - AED Authority (2024)

FAQs

Can you use AED on cardiac arrest? ›

If cardiac arrest does occur, rapid treatment with a medical device called an automated external defibrillator (AED) can be lifesaving. An AED is a type of computerized defibrillator that automatically analyzes the heart rhythm in people who are experiencing cardiac arrest.

What is the 3-minute rule for AED? ›

With a good implementation plan and proper training, one can help save more lives. The goal of every AED program is to deliver defibrillation to a cardiac arrest victim within three to five minutes after collapse. Companies and organizations are concerned about their liability for getting and using AEDs.

When a cardiac arrest occurs and an AED becomes available, it should be used as soon as possible.? ›

When cardiac arrest occurs, use an AED as soon as it is ready to use. If CPR is in progress, continue until the AED is turned on, the AED pads are applied and the AED is ready to analyze the heart rhythm.

What determines which authority may issue a valid cease resuscitation order? ›

Final answer: A valid "cease resuscitation" or DNR order is typically issued based on a patient's wishes through a living will or advance directive.

Where do you put AED for cardiac arrest? ›

Place one pad on the right side of the chest, just below the right collarbone. Apply the other pad just below and to the side of the left nipple. Once the defibrillation pads have been applied, follow the regular defibrillation procedures.

Can you use an AED on a traumatized person in cardiac arrest? ›

Note: AEDs are NOT for use on trauma patients, children under the age of 1, or victims that HAVE a pulse. Call 911. If you see someone collapse, immediately call 911 and get the medics en route. If there are other people around, choose someone specific and instruct him to call 911 and explain the situation.

What are four things you should not do when using an AED? ›

AED Precautions
  1. Do Not touch the victim while defibrillating. ...
  2. Do Not use alcohol to wipe the victim's chest dry. ...
  3. Do Not use an AED in a moving vehicle. ...
  4. Do Not use an AED on a victim who is in contact with water. ...
  5. Do Not use an AED on a victim lying on a conductive surface.

Do you use an AED if there is no pulse? ›

No. Other abnormal rhythms like a very slow heart rate or no heartbeat at all, can't be treated with an AED. When a user puts the AED's electrodes or adhesive pads on a victim's chest, the device determines whether the patient's heart needs to be shocked or not.

When should you never use AED? ›

Do not use an AED near flammable or combustible materials (e.g. gasoline). It is safe to use an AED when the person is lying on a metal surface, but don't allow the AED pads to contact the metal surface. Do not use an AED if the person is in or near water. Avoid getting the AED wet.

How many minutes after cardiac arrest is an AED most successful? ›

Immediate therapy with defibrillation is the only effective treatment and resuscitation is most successful if defibrillation is performed in about the first 5 min after collapse.

Will an AED automatically start a heart that is in cardiac arrest? ›

If the person has a shockable rhythm, the AED delivers an electrical shock across the person's chest to reset the heart rhythm. AEDs quickly allow for lifesaving support, and speed is key in cases of sudden cardiac arrest.

Should CPR be started before or after AED? ›

If an AED is immediately accessible, get the AED and use it right away. However, in all likelihood, there will not be an AED close enough and CPR should be started first. If there is only one person present, that person should start CPR right away and continue until first responders arrive.

How do paramedics know if you have a DNR? ›

The most accurate form of identification for patients outside of licensed facilities is a medallion or bracelet attached to the patient. Use of such a medallion should never make the patient uncomfortable and should always be optional. Every local EMS system should accept an EMSA approved DNR bracelet or medallion.

In what four circ*mstances you could cease CPR? ›

Once you begin CPR, do not stop except in one of these situations:
  • You see an obvious sign of life, such as breathing.
  • An AED is available and ready to use.
  • Another trained responder or EMS personnel take over.
  • You are too exhausted to continue.
  • The scene becomes unsafe.

How long do you do CPR before calling time of death? ›

[26][27] This recommendation has led to many departments implementing rules for termination of resuscitation that include providing at least 20 minutes of on-scene CPR. [28] Also, EMS agencies must have active physician oversight when making protocols and must consider the providers' training.

Can you use an AED on a stopped heart? ›

Can You Use an AED on Someone with a Stopped Heart? The short answer to this is no. An AED can only be used on someone with a rapid heart rate. You cannot use it on victims with an extremely slow heart rhythm or those whose heart stops beating.

In what situations should an AED not be used? ›

Do Not use an AED on a victim lying on a conductive surface. Conductive surfaces, such as sheet metal or metal bleachers, may transfer the shock to others. Do Not use an AED on a child under age 8 or under 90 pounds. AEDs do not have the capability to adjust to the low-energy settings needed for infants and children.

Can an AED be used instead of doing CPR? ›

CPR is a procedure to keep the blood pumping when the heart stops, while an AED is a machine that will get the heart started again after it stops. The American Heart Association has stated that the survival rate of the victims nearly doubles when AED is administered along with CPR.

Is a defibrillator used to treat sudden cardiac arrest? ›

If the heart rhythm stops due to cardiac arrest, also known as sudden cardiac arrest (SCA), a defibrillator may help it start beating again. A sudden cardiac arrest is fatal unless treated right away with CPR (cardiopulmonary resuscitation) and a defibrillator.

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