CPR & AED UPDATE

PERHIMPUNAN DOKTER AHLI EMERGENSI INDONESIA

Patients who are unresponsive and not
breathing normally have a high
likelihood of being in cardiac arrest
Bystanders shouldcall emergency number to
iniBate a responseany ,me they find an
unresponsive adult vicBm

• Healthcare providers should call for

nearby help upon finding the vicBm
unresponsive, and con,nue to
assess for breathing and pulse
simultaneously before fully
acBvaBng the emergency response
system.
 Pulse Check

• limiBng the Bme to no more than 10

seconds
• Simultaneously with the check for no
breathing or only gasping
 Early CPRBLS
• Chest compressions as Quickly as
possible
• Begin the CPR seQuence with
chest compressions rather than
breaths
• (C-‐A-‐B versus A-‐B-‐C) to minimize
the ,me to ini,a,on of chest
compression
 high-‐Quality CPR
1. AdeQuate rate
2. AdeQuate depth
3. Allowing full chest recoil
4. Minimizing interrupBons
5. Avoiding eXcessive venBlaBon
Basic Life Support Sequence
Pediatric Cardiac Arrest Algorithm for the Single Rescuer
Pediatric Cardiac Arrest Algorithm for 2 or More Rescuers
Neonatal ResuscitaBon Algorithm
 Early Defibrilla,on With an AED

• AHer ac,va,ng the emergency response system,

the lone rescuer retrieves an AED (if nearby and
easily accessible)
• Then returns to the vic,m to aKach and use the
AED and provide CPR
 Early Defibrilla,on With an AED
• When 2 or more trained rescuers are present
– 1st rescuer begins CPR, star,ng with chest
compressions
– 2nd rescuer ac,vates the emergency response system
and gets the AED (or a manual defibrillator in most
hospitals) and other emergency equipment
• The AED or manual defibrillator is used as
rapidly as possible
• Both rescuers are expected to provide CPR with
chest compressions and ven,la,on
 AED
• A rescue device that delivers a controlled, precise
shock to the heart
• Its aim is to increase the survival rate of vic,ms
suffering from sudden cardiac arrest caused by VF.
• The func,on of the AED is to interpret the heart
rhythm and advise the operator whether or not a
shock is needed.
• A computer algorithm in the AED iden,fies a
shockable rhythm.
• It will then advise the operator “SHOCK” or “NO
SHOCK” through a voice prompt and text message.
Step 1: Before using an AED, check for the presence of water
near the unconscious person. Move him or her away from
wetness when delivering shocks
Step 2: Turn on the AED’s power. The device will give you step
by step instrucBons. You will hear voice prompts and see
prompts on a screen.
Step 3: EXpose the person’s chest. If the person’s chest is wet,
dry it.
Step 4: Place the pads on the person’s chest as illustrated
Step 5: Check that the wires from the electrodes are connected to
the AED. Make sure that no one is touching the person, and then
press the “analyze” bu^on. Stay clear while the machine checks the
person’s heart rhythm.
Step 6: If shock is needed, the AED will let you know when to deliver
it. Stand clear of the person and make sure others are clear before
you push the AED’s “shock” buKon.
Step 7: Start or resume CPR unBl emergency medical help arrives.
 INDICATIONS FOR USE OF AED

• Unconscious
• No breathing
• No pulse
• When in doubt, apply the AED.
The most important factors affecBng survival in sudden
cardiac arrest are eXternal cardiac massage and Bme to
first electrical defibrillaBon
THANK YOU