What are the interactive features of the dae?

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Question from: Dr. Maruska Palumbo | Last updated: December 31, 2021

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The defibrillator, in addition to carrying out an electric discharge by means of adhesive electrodes that goes to re-establish a regular heartbeat, in the event of a cardio-respiratory arrest, automatically carries out the cardiac examination of the victim looking for his pulse, and in case of arrest acts on the possible …

In which case, if immediately available, can the AED be used immediately?

People often hesitate to give help for fear of making a mistake …

Where should the plates be placed?

Position AED Pads

The standard position of the electrodes, called anterolateral, provides: The first electrode applied under the right clavicle to the side of the sternum. The second electrode in the center of the middle axillary line at the height of the fifth intercostal space, to the left of the nipple.

When can the rescuer deliver the defibrillator shock?

If the arrest is due to ventricular fibrillation and there is a defibrillator, it is enough to deliver an electric shock to cause a shock that stops the fibrillation, so the electrical system is reset and the muscle fibers start to contract regularly.

What is the law governing who can use the AED?

Law 116/2021 specifies that: “the use of the semi-automatic or automatic defibrillator is also allowed to non-medical health personnel, as well as to non-health personnel who have received specific training in cardiopulmonary resuscitation activities.

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What is the primary law for defibrillation by non-healthcare professionals?

It all started with the law that regulates the use of Semiautomatic External Defibrillators (AEDs) by non-healthcare personnel in Italy: n. 120 of April 3, 2001 published in the Official Gazette No. 88 of April 14, 2001: “Use of Semiautomatic Defibrillators in an out-of-hospital setting” Art.

When can’t the defibrillator be used?

Who Can’t Use the Defibrillator On?

  • The children. For the use of the defibrillator in children from 1 to 8 years of age (or up to 25 kg in weight), the pediatric paddles or the pediatric key supplied are used. …
  • Pregnant women. …
  • Patients with implantable medical devices.

What to do after defibrillator discharge?

After an effective defibrillation, the patient may feel well, but it is still useful to contact the Center to check the modality of the intervention of the ICD on the arrhythmic event. This control can be carried out in the hospital or directly from home through Remote Monitoring.

What to do after the AED is discharged?

After each shock, the defibrillator goes into “hold” and after two minutes (corresponding to approximately 6 cycles of CPR) re-analyzes the heart rhythm, and if necessary performs a new shock.

Who is authorized to use a defibrillator?

Specifically, the automatic defibrillator can be used among adults who are qualified and include: Nurses and rescuers who work in the out-of-hospital emergency health system.

When the ACI is witnessed and an AED is readily available is it necessary?

In case of ACC TESTIMONED by the rescue team, the indication is to apply the AED immediately if immediately available, otherwise proceed with CPR until the AED is ready. Then initiate rhythm analysis, deliver shock if indicated, and then proceed with CPR for two minutes.

How many consecutive shocks can be delivered when the AED communicates the indicated shock?

HOW MANY CONSECUTIVE SHOCKS CAN BE DELIVERED WHEN THE AED COMMUNICATES “SHOCK INDICATED”? Up to three, then alternate CPR until the next analysis. None if you have not yet had at least 1 min of CPR.

When is it best to perform the change maneuver between rescuers performing CPR?

CHANGE OF ROLES

Rescuers must ensure the change every 2 minutes to avoid the appearance of fatigue. It is essential to ensure the shortest possible downtime during changes. Rescuers must ensure approximately 5 cycles every 2 minutes.

How long do you live with a defibrillator?

The more than 300,000 subjects had an average age of 64 years, were 73.5% male and 70.6% had an implantable defibrillator. Survival at 10 years turned out to be in favor of women, affecting 66.9% of women compared to 61.7% of men.

How much does a defibrillator discharge?

A 200 joule discharge is applied, with successive discharges between 300 and 360 joules: after a third discharge, pharmacological support means are also used and 360 joule discharges are repeated.

What is the difference between a pacemaker and a defibrillator?

Implantation of an ICD is exactly like that of a normal pacemaker. The only difference is that at the end of the implant the patient can be asleep for a few minutes to test if the device is working correctly: the arrhythmia is induced and it is evaluated if the ICD is able to recognize it and stop it.

What are non-shockable rhythms?

Rhythms associated with cardiac arrest are divided into two groups: shockable rhythms (ventricular fibrillation / pulseless ventricular tachycardia: VF / VT) and non-shockable rhythms (asystole and pulseless electrical activity [PEA]).

Why do you wear the defibrillator?

The implantable heart defibrillator is an electrical device, about the size of a pocket watch, which is implanted under the skin in patients suffering from heart diseases that expose them to the risk of dangerous heart rates – because they are too fast – with possible consequent cardiac death …

What is the legislation that regulates the use of AED semi-automatic external defibrillators by non-healthcare personnel in Italy?

The semi-automatic defibrillator (AED)

Who can it be used by? Law 120/2001 has allowed the use of the AED also to non-medical personnel, as long as they are trained.

Who is required by regulation 24 04 13 to have an AED on their premises?

THE OBLIGATION TO GET THE AED EXTENDS TO:

State Police, Carabinieri, Guardia di Finanza, Fire Brigade, Forestry Corps, Port Authorities, National Corps of Alpine and Speleological Rescue, etc; Health structures (clinics) and territorial structures (medical offices, dental clinics, etc.).

What does the State-Region agreement of 27.2 2003 establish in article 2 paragraph b1?

Agreement between the Minister of Health, the regions and the autonomous provinces of Trento and Bolzano on the document bearing: “Guidelines for the issue of authorization for the extra-hospital use of semi-automatic defibrillators”.

How is the BLS performed?

BLS-D in the adult, the procedure

  1. Safety. …
  2. Check for a victim’s response. …
  3. Open the airways. …
  4. Look, Listen and Feel to see if your breathing is normal (GAS) …
  5. Alert the emergency service. …
  6. Send someone to retrieve an Automated External Defibrillator (AED) …
  7. Chest compressions begin.

What are the stages of the BLS?

The chain of survival

Early access to the emergency system (emergency call). Early onset of BLS procedures. Early defibrillation. Early onset of intensive healthcare treatment.

Why is it necessary to stop CPR and not touch the victim during the AED analysis?

Nobody should touch the victim during the analysis phase (suspension of CPR maneuvers) in order not to alter the correct recognition of the present rhythm and therefore not to delay the delivery of the shock (the device recognizes movement artifacts and begins a new phase analysis).

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