Download AED Canadian Ski Patrol System - Canadian Ski Patrol – Calgary

AED
Canadian Ski Patrol System
CSPS AED Instructor Guide
Time
5
Topic
Intro
Content
Objectives
Ref
AED 1
Ch 6
AED 6B-1
AED 6BFig 1
AED 6BFig 1
AED 6B-1
AED 6B-3
AED 6B-4
AED 6B5-6
AED 6B-7
AED 6B-7
Demonstrate AED
Practical session
Written test
Conclusion
Review Adult CPR – Chain of Survival
Role of AED with CPR
A & P Heart
Conduction System
What is an AED
How does an AED work
Shock – No shock Protocols
Special Situations
Legal aspects of AED
Hand over to EMS
Certification
Use, troubleshooting
Scenarios 1 to 4
Closed book test
Review, conclusion, questions
40
10
60
30
5
2:30
AED
1.
LESSON
a)
2.
3.
Objectives
The Patroller will be able to:
• Describe what an AED
• Demonstrate when and how to use the AED
• Describe special situations when using the AED
• Troubleshoot problems with the AED
• Describe the legal aspects regarding AED use
• Describe the hand over of patient to EMS
• Successfully complete testing and qualification
LESSON CONTENT
a)
Must Cover
• Review Adult CPR (if not part of course)
• Chain of Survival
• Role of AED with CPR
• A & P Heart
• Conduction System
• What is an AED
• How does an AED work
• Shock – No shock Protocols
• Special Situations
• Legal aspects of AED
• Hand over to EMS
• Certification
b)
Should Cover
c)
Nice To Cover
RESOURCES
a)
Additional Reading/Instructor Teaching Aids
AED.ppt
b)
Follow-up Activity
AED
c)
Teaching Notes
1. Review Adult CPR (if not part of course)
2.
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−
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Explain the Chain of Survival, and how the AED fits in.
Healthy Choices
Early Recognition
Early Access to EMS
Early CPR
Early Defibrillation
Early Advanced Care
Early Rehabilitation
3. Anatomy and Physiology of the Heart. The heart needs blood and oxygen to
function. The aorta supplies the body with blood and oxygen. The coronary
arteries supply blood and oxygen to the heart itself. If these arteries become
blocked (heart attack) the tissue dies, which can cause the heart to stop.
Explain MI (heart attack), difference between MI and Angina. Explain
difference between heart attack and cardiac arrest.
4. Cardiac Conduction System. Describe the electrical system of the heart and
how it works. The heart has specialized cells that can generate electrical
impulses. The SA node is the natural pacemaker. These impulses travel from
the SA node to the AV node. Explain Myocardial Infarction (MI) – heart attack.
Difference between heart attack and angina. Electrical impulses cannot travel
across dead cardiac tissue (heart attack). Depending on the area of damage
or size of heart attack the heart can be sent into uncoordinated electrical
rhythms. These rhythms can stop the heart from pumping blood to the body.
Most adults go into Ventricular Fibrillation (VF) or Ventricular Tachycardia
(VT) (explain) when breathing and pulse are absent.
5. How does an AED work. Explain and show the AED and the functions.
− It is used to analyze the heart rhythm, only shocks VF and VT.
− Describe the process of using the AED. Turn the AED on, and follow the
voice prompts. The screen will also display the voice prompts (in loud
environments the voice prompts may not be heard). Expose the chest, shave
and dry the chest if needed. Ensure there is no jewellery/clothing in the way.
Check expiry date on pads then open pad package. Peel and stick the pads
on bare chest. Plug pads into AED if needed. Pads should be upper right and
lower left on patient. Follow the picture and directions on the pad package.
The pads must be connected correctly. Explain and show different types of
pads, adult, child, D type.
AED
6. Explain the Shock and No shock Protocols. Use the flow charts from manual.
Explain the difference between witnessed and un-witnessed arrest. Explain
child and adult protocol differences. In a witnessed arrest, perform CPR
ASAP and use the AED as soon as it arrives. For an un-witnessed perform
two minutes of CPR before using the AED. CPR may get the heart into a
shockable rhythm. With a child arrest, perform two minutes on CPR before
using the AED. CPR may get the heart into a shockable rhythm. Explain that
no one can be in contact with the patient during the analyze and shock phase.
Make sure the Patroller verbally states everyone is to be clear of the patient
twice (when analyzing and when delivering shock). Make sure the Patroller
looks at the patient when delivering shock, and not at AED. AED’s cannot be
used on infants.
7. Special Situations when using an AED. Explain each situation from manual
text.
− Hypothermia
− Water - Wet Environments
− Moving Vehicles
− Aircraft or Helicopters
− Trauma Patient
− Pregnant Patient
− Metal surfaces
− Patch medications
− Pacemakers – Internal Implantable Defibrillators
− Children (Using child pads delivers smaller shock. Use adult pads only when
child pads not available)
− Oxygen
− Radio use
8. Legal Aspects of using the AED. Define a Medical Act; it requires a medical
doctor to sign off certification. Use of an AED is under his/her medical licence.
Some provinces have AED use as a Medical Act, while others do not. Medical
Control; A Medical Doctor controls training/certification. The Doctor issues
medical directives to the users. Medical oversight; A Medical Doctor oversees
the AED use/program, but using the AED is not a Medical Act. The Doctor
confirms and reviews all AED use and medical reports. CSPS
rules/policy/procedures may change from Zone to Zone. Explain local CSPS
policies and procedures for AED use. Contact local or provincial office of
Heart and Stroke Foundation Canada for provincial requirements.
9. Hand over to EMS. This must be done smoothly. Explain the verbal (minimum
info to EMS) and written reports (formal written report) to EMS. Some areas
AED
require the information recorded in the AED memory to be downloaded and
sent to Dr/hospital for addition to the patient chart. Some AED’s can be
plugged into a phone jack, so the information can be sent to the medical
control office for processing. They may also be connected to a computer for
information download. Show the medical report form. (Completed sample
report if possible.)
10. Qualification/Certification. Yearly certification is required. CPR is a
prerequisite for AED training. Some zones may require refresher training at
specific times during year; (quarterly/monthly/semi annually). After one year, if
retraining is not done the Patroller may be decertified. The Patroller may be
deactivated if his/her refresher or retraining is not done. When there is a
concern with a Patroller’s AED use (unsafe use of AED or poor or no medical
report done after use), it will be addressed by the AED program
supervisor/manager.
11. Troubleshooting. Show the AED failure procedure (battery or pads). Show
trouble codes on the AED (picture/prompt) for battery/maintenance.
12. Pads. Show a set of real pads (jell/sticky) peel and stick. Point out the Lot
numbers and expiry dates on the packages. Discuss the accessory
equipment with the AED. (gloves, scissors, razor, towel, barrier device and
two sets of pads.) Pads (and packaging) that do not work should be returned
to the manufacturer for investigation (importance of Lot numbers). Explain
the proper process for cleaning of the AED.
13. Have the Patrollers complete a minimum of two (max four) testing scenarios.
Make the scenarios as realistic as possible. Use groups of two or three, one
CPR responder, one AED responder and a third as a bystander/911 caller.
One AED trainer is required per group.
14. Written Test. Once practical testing is complete, do written test.
15. Review, Conclusion and Questions
d)
Lesson Plan Attached?
Yes
No