CPR & AED UPDATE

Tri Yunanto Arliono

PERHIMPUNAN DOKTER AHLI EMERGENSI INDONESIA
Patients who are unresponsive and not
breathing normally have a high
likelihood of being in cardiac arrest
Bystanders should call emergency number to
initiate a response any time they find an
unresponsive adult victim
Healthcare providers should call for
nearby help upon finding the victim
unresponsive, and continue to
assess for breathing and pulse
simultaneously before fully
activating the emergency response
system.
 Pulse Check

limiting the time 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 time to initiation of chest
compression
 high-quality CPR
1. Adequate rate
2. Adequate depth
3. Allowing full chest recoil
4. Minimizing interruptions
5. Avoiding excessive ventilation
Basic Life Support Sequence
Pediatric Cardiac Arrest Algorithm for the Single Rescuer
Pediatric Cardiac Arrest Algorithm for 2 or More Rescuers
Neonatal Resuscitation Algorithm
 Early Defibrillation With an AED

After activating the emergency response system,

the lone rescuer retrieves an AED (if nearby and
easily accessible)
Then returns to the victim to attach and use the
AED and provide CPR
 Early Defibrillation With an AED

When 2 or more trained rescuers are present

1st rescuer begins CPR, starting with chest
compressions
2nd rescuer activates 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 ventilation
 AED
A rescue device that delivers a controlled, precise
shock to the heart
Its aim is to increase the survival rate of victims
suffering from sudden cardiac arrest caused by VF.
The function 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 identifies 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 AEDs power. The device will give you step
by step instructions. You will hear voice prompts and see
prompts on a screen.
Step 3: Expose the persons chest. If the persons chest is wet,
dry it.
Step 4: Place the pads on the persons 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 button. Stay clear while the machine checks the
persons 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 AEDs shock button.
Step 7: Start or resume CPR until emergency medical help arrives.
 INDICATIONS FOR USE OF AED
Unconscious
No breathing
No pulse
When in doubt, apply the AED.
The most important factors affecting survival in sudden
cardiac arrest are external cardiac massage and time to
first electrical defibrillation
THANK YOU