KURSUS KOMPREHENSIF BLS

12-13 NOVEMBER 2013

portable device that checks

the heart rhythm and can send
an electric shock to the heart to
try to restore a normal rhythm
AEDs are used to treat sudden
cardiac arrest (SCA).

EARLY DEFIBRILATOR

 The

electrodes send information about

the person's heart rhythm to a
computer in the AED.
The computer analyzes the heart
rhythm to find out whether an electric
shock is needed.
If a shock is needed, the AED uses
voice prompts to tell you when to give
the shock, and the electrodes deliver it.

 When

the person is having

sudden cardiac arrest (SCA)

Most common cause of SCA is an

arrhythmia called ventricular
fibrillation (v-fib) and ventricular
tachycardia.
In arrhythmia, the ventricles don't
beat normally.

Ventricular fibrillation is the most

common ECG finding when an adult
suffers cardiac arrest.

999 & AED

Place one pad on the right center of the

person's chest above the nipple

Place the other pad slightly below the other

nipple and to the left of the ribcage

It is important that this pad is placed

sufficiently and that it is clear of any breast
tissue.

 Follow

the adult BLS sequence as

described in the basic life
support chapter

Do

not delay starting CPR unless

the AED is available immediately.

As soon as the AED arrives:

check for puddles or water near the person who is
unconscious.
Move him or her to a dry area, and stay away from
wetness when delivering shocks (water conducts
electricity).

Turn on the AED's power.

The device will give you step-by-step instructions.
You'll hear voice prompts and see prompts on a screen.

Expose the person's chest.

If the person's chest is wet, dry it. AEDs have sticky
pads with sensors called electrodes. Apply the pads to
the person's chest..

 Make sure the sticky pads have good

connection with the skin..
clean the skin before applying the sticky pads e.g
chest hair, medication patch, metal necklaces,
body piercings

Move the defibrillator pads at least 8cm away

from implanted devices (pacemaker or
implantable cardioveter defibrillator
If more than one rescuer is present, continue
CPR while the AED is switched on.
If you are alone, stop CPR and switch on the AED.

Follow the voice / visual prompts.

If a shock is indicated:
Ensure that nobody touches the victim while the
AED is analysing the rhythm.
Stay clear while the machine checks the person's
heart rhythm.
the AED will let you know when to deliver the shock.
Stand clear of the person and make sure others are
clear before you push the AED's "shock" button.
Push the shock button as directed
Continue as directed by the voice / visual prompts.
Minimise, as far as possible, interruptions in chest
compression.

 If

no shock is indicated:

Resume CPR immediately using a ratio of

30 compressions to 2 rescue breaths.
Continue as directed by the voice / visual
prompts.

Continue CPR & the AED prompts until:

1. Emergency medical help arrives and
takes over OR
2. the victim starts to show signs of
regaining consciousness, such as
coughing, opening his eyes, speaking,
or moving purposefully AND starts to
breathe normally OR
3. you become exhausted.

AEDs are safe to use.

There are no reports of AEDs harming bystanders
or users.
Also, there are no reports of AEDs delivering
inappropriate shocks.

If someone is having sudden cardiac arrest,

using an AED and giving CPR can improve
the person's chance of survival.