Pediatric Basic Life Support(BLS) AED (Automated External Defibrillator)

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AED (Automated external defibrillator

  • AED is a device that is useful in as it delivers shock and does not require the bystander or lay rescuer to recognize different types of heart rhythm.
  • If you want to be trained in AED access this website by REDCROSS https://www.redcross.org/take-a-class/aed
  • If a manual defibrillator is not available an AED automated external defibrillator is used.
  • A study published by Ecker R et al[1] concluded that older bystanders previously trained in AED are successfully able to deliver shock for ventricular fibrillation with dispatcher assistance.
  • 2 minutes compression and ventilation cycle should be done before using the AED.
  • If there are 2 bystanders send one person to get the AED and one person should start CPR immediately.
  • A study by Dianne L.Atkinsa et all[2] found the AED used in children less than 8 years of age is able to find both shockable rhythm with high sensitivity and high specificity.

Steps to use AED[3]

  • Follow the AED Prompt.
  • Stop CPR when the AED is analyzing the rhythm and giving a shock.
  • Resume compressions immediately after giving shock and minimize interruptions during compressions.
  • Place the right pad of the AED on right below the clavicle.
  • Place the left pad of the AED on the left chest lateral to the left breast.
  • Other positions - Left pad is placed at the apex 5th Intercoastal space and the right pad placed on the left upper back.
  • Keep the one-inch distance between the pads and the implantable device.
  • Don't put the pads on a transdermal patch as it can burn the skin where the patch is placed.
  1. ↑ Ecker R, Rea TD, Meischke H, Schaeffer SM, Kudenchuk P, Eisenberg MS (2001). "Dispatcher assistance and automated external defibrillator performance among elders". Acad Emerg Med. 8 (10): 968–73. doi:10.1111/j.1553-2712.2001.tb01096.x. PMID 11581083.
  2. ↑ Atkins DL, Scott WA, Blaufox AD, Law IH, Dick M, Geheb F; et al. (2008). "Sensitivity and specificity of an automated external defibrillator algorithm designed for pediatric patients". Resuscitation. 76 (2): 168–74. doi:10.1016/j.resuscitation.2007.06.032. PMID 17765384.
  3. ↑ Field JM, Hazinski MF, Sayre MR, Chameides L, Schexnayder SM, Hemphill R; et al. (2010). "Part 1: executive summary: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care". Circulation. 122 (18 Suppl 3): S640–56. doi:10.1161/CIRCULATIONAHA.110.970889. PMID 20956217.
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