tag:blogger.com,1999:blog-28817566153469795332024-02-19T23:25:39.568-08:00Team SurgicalTeam Surgicalhttp://www.blogger.com/profile/01686624651218603368noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-2881756615346979533.post-49516279484053021632013-10-09T09:32:00.001-07:002013-10-09T09:32:05.330-07:00School Nurse Saves Life of Coworker!<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEihSgb6lETNiLCfrksi_mFzPBt83gCHtrsSA6At4gPg-tFZFsHvsfGx3HOTTOknCLotD5acsZDb0uONhZ8UpwPDayBw9SCB1AG48iMBph930_5nmNrfX49sAENVYz8o22Oq7cAe6hUGSTyG/s1600/MaritzaAEDSave.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEihSgb6lETNiLCfrksi_mFzPBt83gCHtrsSA6At4gPg-tFZFsHvsfGx3HOTTOknCLotD5acsZDb0uONhZ8UpwPDayBw9SCB1AG48iMBph930_5nmNrfX49sAENVYz8o22Oq7cAe6hUGSTyG/s320/MaritzaAEDSave.JPG" /></a></div>
This is Maritza Cabrera De Granada, LPN standing next to the Philips HeartStart Automatic External Defibrillator (AED) she used to save a life at her school!
Maritza is the school nurse at Memorial Middle School in Orlando Florida. She came to work Monday like every other day. Around 9:00am Maritza became aware of the emergency taking place in the room down the hall from the nurses office where a person had gone into cardiac arrest.
In cardiac arrest, the heart is not effectively pumping blood thru the body. The lack of blood flow causes the person to lose consciousness and their breathing might be irregular or absent altogether. The coworker was unresponsive. The most common cause of cardiac arrest is ventricular fibrillation which is an uncoordinated contraction of the heart. The only effective treatment for this condition is a shock from a defibrillator. Luckily Maritza's school district, Orange County Public Schools had installed an Automatic External Defibrillator (AED) within a few feet of where the emergency was happening.
Maritza removed the AED from the cabinet, brought it to the patient, unzipped the case and listened to the voice prompts. The AED directs the rescuer thru the entire phase of the rescue.
Although Maritza is a trained nurse, the AED she used is designed to be used by ordinary people as well as medical professionals. In fact, the unit Martiza used is so easy to use, sixth grade students demonstrated proficiency with the device after only brief training. CPR classes now teach how to use an AED and the units are being installed in public places like shopping malls, casinos, fitness facilities, airports and anywhere else where large groups of people congregate.
Maritza said she was "just doing her job". She is a true hero.
The unit Maritza saved the coworkers life with is the Philips HeartStart OnSite Automatic External Defibrillator (AED).
For more information visit: http://www.TeamEmergencyResponse.comTeam Surgicalhttp://www.blogger.com/profile/01686624651218603368noreply@blogger.com0tag:blogger.com,1999:blog-2881756615346979533.post-24446811124925247152009-10-27T09:19:00.000-07:002009-10-27T10:27:31.452-07:00Video of actual rescue using Automatic External Defibrillator (AED)This person was resuscitated using an Automatic External Defibrillator (AED).<br /><br />Click on the link below. Under Defibrillation Videos, click the play button of the video to the left.<br /><a href="http://www.teamemergencyresponse.com/Links.html">http://www.teamemergencyresponse.com/Links.html</a>Team Surgicalhttp://www.blogger.com/profile/01686624651218603368noreply@blogger.com0tag:blogger.com,1999:blog-2881756615346979533.post-84389150218372010282009-07-07T08:28:00.000-07:002009-10-27T10:32:11.664-07:00AEDs (Automatic External Defibrillators) Explained.Automatic External <span id="SPELLING_ERROR_0" class="blsp-spelling-error">Defibrillators</span> (<span id="SPELLING_ERROR_1" class="blsp-spelling-error">AEDs</span>) are portable medical devices.<br /><br /><span id="SPELLING_ERROR_2" class="blsp-spelling-error">Professional</span> and lay responders use <span id="SPELLING_ERROR_3" class="blsp-spelling-error">AEDs</span> to resuscitate individuals in cardiac arrest. Cardiac arrest is the sudden, abrupt loss of heart function. Cardiac arrest is a leading cause of death in the US and many countries. Sudden death occurs within minutes. Most cardiac arrest occurrences that lead to sudden death happen when the electrical impulses of the heart become rapid (Ventricular Tachycardia-VT without "perfusion" or flow of blood) or chaotic (Ventricular <span id="SPELLING_ERROR_4" class="blsp-spelling-error">Fibrillation</span>-VF) or both.<br /><br />The most common cause of sudden cardiac arrest is VF. The only effective treatment for VF is a shock from a <span id="SPELLING_ERROR_5" class="blsp-spelling-error">defibrillator</span>.<br /><br />The <span id="SPELLING_ERROR_6" class="blsp-spelling-error">AED</span> uses voice prompts to guide the user <span id="SPELLING_ERROR_7" class="blsp-spelling-error">thru</span> the process. The user places the <span id="SPELLING_ERROR_8" class="blsp-spelling-error">AED</span> pads on the <span id="SPELLING_ERROR_9" class="blsp-spelling-error">patient's</span> body as directed by pictures on the pads. The <span id="SPELLING_ERROR_10" class="blsp-spelling-error">AED</span> then uses a rhythm analysis system to analyze the <span id="SPELLING_ERROR_11" class="blsp-spelling-error">patient's</span> heart. If a shock-able rhythm is present (VT or VF), the <span id="SPELLING_ERROR_12" class="blsp-spelling-error">AED</span> will advise a shock.<br /><br />The following is the correct sequence of events when using an <span id="SPELLING_ERROR_13" class="blsp-spelling-error">AED</span>:<br /><br />Imagine a person has just collapsed.<br /><br />(The person, for the purposes of this <span id="SPELLING_ERROR_14" class="blsp-spelling-error">demonstration</span> is assumed to be in cardiac arrest-<span id="SPELLING_ERROR_15" class="blsp-spelling-error">unresponsive</span>, no pulse and not breathing or gasping for a breath <span id="SPELLING_ERROR_16" class="blsp-spelling-error">intermittently</span>.)<br /><br />We have called 9-1-1 and grabbed the <span id="SPELLING_ERROR_17" class="blsp-spelling-error">AED</span>.<br /><br />1. Place the <span id="SPELLING_ERROR_18" class="blsp-spelling-error">AED</span> next to the patent's head.<br /><br />2. Unzip the <span id="SPELLING_ERROR_19" class="blsp-spelling-error">AED</span> case and turn on the <span id="SPELLING_ERROR_20" class="blsp-spelling-error">AED</span>. This is done by pressing the green button or pulling the green handle (marked PULL) and lifting the protective cover up and away from the machine.<br /><br />3. The <span id="SPELLING_ERROR_21" class="blsp-spelling-error">AED</span> now <span id="SPELLING_ERROR_22" class="blsp-spelling-error">automatically</span> initiates voice prompts.<br /><em><span style="font-size:130%;"><strong></strong></span></em><br /><span style="color:#ff0000;">VOICE PROMPTS SHOWN IN RED</span><br /><br /><em><span style="font-size:130%;color:#ff0000;"><strong>"Begin by removing all clothing from the <span id="SPELLING_ERROR_23" class="blsp-spelling-error">patient's</span> chest"</strong></span></em><br /><strong><em><span style="font-size:130%;color:#ff0000;"></span></em></strong><br /><strong><em><span style="font-size:130%;color:#ff0000;">"Cut clothing if needed"</span></em></strong><br /><strong><em><span style="font-size:130%;color:#ff0000;"></span></em></strong><br /><strong><em><span style="font-size:130%;color:#ff0000;">"When <span id="SPELLING_ERROR_24" class="blsp-spelling-error">patient's</span> chest is bare, remove protective cover and take out white adhesive pads"</span></em></strong><br /><strong><em><span style="font-size:130%;color:#ff0000;"></span></em></strong><br /><strong><em><span style="font-size:130%;color:#ff0000;">"Look Carefully at the pictures on the white adhesive pads"</span></em></strong><br /><strong><em><span style="font-size:130%;"></span></em></strong><br />-----NOTE: The white adhesive pads have pictures on them showing you where to place the pads on the patient.<br /><strong><span style="font-size:130%;"></span></strong><br /><strong><span style="font-size:130%;color:#ff0000;">"Peel one pad from the yellow plastic liner"</span></strong><br /><br />-----NOTE: We have placed both pads on the patient.<br /><strong><span style="font-size:130%;color:#ff0000;"></span></strong><br /><strong><span style="font-size:130%;color:#ff0000;">"Analyzing"</span></strong><br /><strong><span style="font-size:130%;"></span></strong><br />-----NOTE: The <span id="SPELLING_ERROR_25" class="blsp-spelling-error">AED</span> is now analyzing the <span id="SPELLING_ERROR_26" class="blsp-spelling-error">patient's</span> heart rhythm.<em><span style="font-size:130%;"> </span></em><br /><br /><strong><span style="font-size:130%;color:#ff0000;">"No one should touch the patient"</span></strong><br /><strong><span style="font-size:130%;"></span></strong><br /><span style="font-size:130%;"><span style="font-size:100%;">-----NOTE: While the <span id="SPELLING_ERROR_27" class="blsp-spelling-error">AED</span> is analyzing the <span id="SPELLING_ERROR_28" class="blsp-spelling-error">patient's</span> heart, make sure yourself and everyone else is clear of the patient.</span> </span><br /><span style="font-size:130%;"></span><br /><strong><span style="font-size:130%;color:#ff0000;">"Analyzing"</span></strong><br /><strong><span style="font-size:130%;color:#ff0000;"></span></strong><br /><strong><span style="font-size:130%;color:#ff0000;">"Shock Advised"</span></strong><br /><strong><span style="font-size:130%;"></span></strong><br />-----NOTE: The unit has determined that the patient needs a shock.<br /><br /><strong><span style="font-size:130%;color:#ff0000;">"Stay clear of patient"</span></strong><br /><strong><span style="font-size:130%;color:#ff0000;"></span></strong><br /><strong><span style="font-size:130%;color:#ff0000;">"Press the flashing orange button now"</span></strong><br /><strong><span style="font-size:130%;"></span></strong><br />-----NOTE: The orange button will continue to flash and the voice prompt will continually prompt you until you press the button.<br /><br /><strong><span style="font-size:130%;color:#ff0000;">"Deliver shock now"</span></strong><br /><br />-----NOTE: The voice prompts will continue to motivate you to press the button.<br /><br /><strong><span style="font-size:130%;color:#ff0000;">"Shock Delivered"</span></strong><br /><br />-----NOTE: You have pressed the flashing orange button.<br /><br /><strong><span style="font-size:130%;color:#ff0000;">"Be sure emergency medical services have been called. It is safe to touch the patient"</span></strong><br /><strong><span style="font-size:130%;"></span></strong><br />-----NOTE: Leave the pads on the patient until EMS personnel arrive.<br /><br /><strong><span style="font-size:130%;color:#ff0000;">"Begin CPR"</span></strong><br /><br />-----NOTE: If patient is still unconscious, begin CPR. Leave the pads on the patient.<br /><br /><strong><span style="font-size:130%;color:#ff0000;">"For help with CPR, press the flashing blue button"</span></strong><br /><span style="color:#ff0000;"></span><br /><strong><span style="font-size:130%;color:#ff0000;">"Place the heel of one hand in the center of the chest between the nipples"</span></strong><br /><strong><span style="font-size:130%;color:#ff0000;"></span></strong><br /><strong><span style="font-size:130%;color:#ff0000;">"Place your other hand on top of the first"</span></strong><br /><strong><span style="font-size:130%;color:#ff0000;"></span></strong><br /><strong><span style="font-size:130%;color:#ff0000;">"Push the chest down firmly 2 inches"</span></strong><br /><strong><span style="font-size:130%;"></span></strong><br />-----NOTE: When the adult pads cartridge is in the machine, the <span id="SPELLING_ERROR_29" class="blsp-spelling-error">AED</span> will use adult CPR voice prompts. When the pediatric cartridge is placed in the machine, the <span id="SPELLING_ERROR_30" class="blsp-spelling-error">AED</span> adjusts CPR voice prompts to pediatric guidelines.<br /><br /><strong><span style="font-size:130%;color:#ff0000;">"Keep time with the beat"</span></strong><br /><span style="font-size:130%;"></span><br />-----NOTE: The <span id="SPELLING_ERROR_31" class="blsp-spelling-error">AED</span> now plays a repeating noise that is the correct timing of CPR <span id="SPELLING_ERROR_32" class="blsp-spelling-error">compressions</span>. The <span id="SPELLING_ERROR_33" class="blsp-spelling-error">AED</span> plays 30 compression noises.<br /><br /><span style="font-size:130%;color:#ff0000;"><strong>"Pinch nose, tilt head and give two full breaths"</strong></span><br /><strong><span style="font-size:130%;color:#ff0000;"></span></strong><br /><strong><span style="font-size:130%;color:#ff0000;">"Breathe"</span></strong><br /><strong><span style="font-size:130%;color:#ff0000;"></span></strong><br /><strong><span style="font-size:130%;color:#ff0000;">"Breathe"</span></strong><br /><strong><span style="font-size:130%;color:#ff0000;"></span></strong><br /><strong><span style="font-size:130%;color:#ff0000;">"Continue with <span id="SPELLING_ERROR_34" class="blsp-spelling-error">compressions</span>"</span></strong><br /><strong><span style="font-size:130%;color:#ff0000;"></span></strong><br /><span style="color:#000000;">-----NOTE: the same repeating noise for the next 30 <span id="SPELLING_ERROR_35" class="blsp-spelling-error">compressions</span> is given.</span><br /><strong><span style="font-size:130%;color:#ff0000;"></span></strong><br /><span style="color:#000000;">The unit will continue giving CPR guidelines. After the recommended time, the unit will then analyze the heart again and prompt you to give another shock if necessary. The <span id="SPELLING_ERROR_36" class="blsp-spelling-error">AED</span> used in this sequence is compliant with the current guidelines from the American Heart Association (AHA) at the time of this writing.</span><br /><br />The unit used in this <span id="SPELLING_ERROR_37" class="blsp-spelling-error">demonstration</span> has the capability of adjusting the voice prompts given based on your actions. The unit used in this <span id="SPELLING_ERROR_38" class="blsp-spelling-error">demonstration</span> has SMART Pads which detect when you pull the green handle. The SMART Pads detect when you place one pad on the patient, then the other pad. If you do not place the other pad on the patient, the unit will prompt you to place the other pad on the patient until you do so. If you do not press the orange button when prompted, the unit will continue to prompt you until the button is pressed.<br /><br />The unit used in the <span id="SPELLING_ERROR_39" class="blsp-spelling-error">demonstration</span> also has "artifact detection". When the unit is analyzing the <span id="SPELLING_ERROR_40" class="blsp-spelling-error">patient's</span> heart, you need to clear the patient. If someone is touching the patient at this point, the unit will detect this. The <span id="SPELLING_ERROR_41" class="blsp-spelling-error">AED</span> will give you a voice prompt that artifact has been detected and give you a chance to clear the patient then resume analyzing.<br /><br />The unit used in the <span id="SPELLING_ERROR_42" class="blsp-spelling-error">demonstration</span> is very safe to use. The unit determines if the patient needs a shock or not. If no shock is needed, the unit is not capable of delivering a shock. If a person has fainted and the rescuer can not detect the pulse or breathing of the patient however the patient has a <span id="SPELLING_ERROR_43" class="blsp-spelling-error">perfusing</span> rhythm, the unit should be applied, however in this case the <span id="SPELLING_ERROR_44" class="blsp-spelling-error">AED</span> would determine the patient has a <span id="SPELLING_ERROR_45" class="blsp-spelling-error">perfusing</span> rhythm and will give the voice prompt "no shock advised". Even if the orange button is pressed, the <span id="SPELLING_ERROR_46" class="blsp-spelling-error">AED</span> used in the <span id="SPELLING_ERROR_47" class="blsp-spelling-error">demonstration</span> is not capable of delivering a shock in this instance. The unit used in this <span id="SPELLING_ERROR_48" class="blsp-spelling-error">demonstration</span> is called a semi-automatic <span id="SPELLING_ERROR_49" class="blsp-spelling-error">AED</span>. That means that the unit prompts the user to push a button to deliver the shock. "Fully-Automatic" <span id="SPELLING_ERROR_50" class="blsp-spelling-error">AED</span> units do not have this safety feature of prompting the user to press a button to deliver a shock. Attaching a fully-automatic <span id="SPELLING_ERROR_51" class="blsp-spelling-error">AED</span> to someone with a <span id="SPELLING_ERROR_52" class="blsp-spelling-error">perfusing</span> rhythm is not recommended. In areas where the <span id="SPELLING_ERROR_53" class="blsp-spelling-error">AED</span> might fall into the hands of mischievous individuals, fully-automatic <span id="SPELLING_ERROR_54" class="blsp-spelling-error">AEDs</span> are not recommended.<br /><br />The unit used in the <span id="SPELLING_ERROR_55" class="blsp-spelling-error">demonstration</span> performs daily automatic self-tests of the internal circuitry, waveform delivery system, pads cartridge and battery capacity. When all the systems pass the daily tests, the unit's status indicator blinks green indicating the unit is "Ready for Use". An audible chirp indicates the unit needs maintenance. If the unit needs maintenance, most often the blue button will be flashing. When the blue button is pressed, the unit will indicate a low battery or some other issue.<br /><br />The battery in the unit used for this discussion is a long-life lithium manganese dioxide battery that is warranted for 4 years. The battery does not need to be charged and the "ready for use" indicator is visible <span id="SPELLING_ERROR_56" class="blsp-spelling-error">thru</span> the unit's carrying case.<br /><br />The unit used in the <span id="SPELLING_ERROR_57" class="blsp-spelling-error">demonstration</span> delivers a shock in less than 10 seconds at the end of a CPR cycle. The <span id="SPELLING_ERROR_58" class="blsp-spelling-error">manufacturer</span> calls this "Quick Shock".<br /><br />The unit used in the <span id="SPELLING_ERROR_59" class="blsp-spelling-error">demonstration</span> delivers 150 Joules of energy in the case of a person weighing 55 lbs. or more. The unit uses 50 Joules for pediatric <span id="SPELLING_ERROR_60" class="blsp-spelling-error">applications</span> (Under 55 lbs.) (Which is set based on the type of SMART Pads cartridge installed.)<br /><br />You should not be afraid to use an <span id="SPELLING_ERROR_61" class="blsp-spelling-error">AED</span>. Most states have "Good Samaritan laws" designed to protect well meaning bystanders during a perceived medical emergency.<br />Your state's laws should be examined before purchasing an <span id="SPELLING_ERROR_62" class="blsp-spelling-error">AED</span>.<br /><br />The preceding explanation of an <span id="SPELLING_ERROR_63" class="blsp-spelling-error">AED</span> <span id="SPELLING_ERROR_64" class="blsp-spelling-error">demonstration</span> used the Philips <span id="SPELLING_ERROR_65" class="blsp-spelling-error">HeartStart</span> <span id="SPELLING_ERROR_66" class="blsp-spelling-error">OnSite</span> Automatic External <span id="SPELLING_ERROR_67" class="blsp-spelling-error">Defibrillator</span> (<span id="SPELLING_ERROR_68" class="blsp-spelling-error">AED</span>) Model M5066A. The Philips <span id="SPELLING_ERROR_69" class="blsp-spelling-error">OnSite</span> <span id="SPELLING_ERROR_70" class="blsp-spelling-error">AED</span> is a semi-automatic <span id="SPELLING_ERROR_71" class="blsp-spelling-error">AED</span>.<br /><br /><strong>NOTE:</strong> This is a simplistic overview of how an <span id="SPELLING_ERROR_72" class="blsp-spelling-error">AED</span> operates. Users are encouraged to obtain the appropriate training in the use of an <span id="SPELLING_ERROR_73" class="blsp-spelling-error">AED</span> which includes CPR/<span id="SPELLING_ERROR_74" class="blsp-spelling-error">AED</span> <span id="SPELLING_ERROR_75" class="blsp-spelling-error">certification</span> from a recognized agency. <span id="SPELLING_ERROR_76" class="blsp-spelling-error">Defibrillators</span> are just one aspect of a well planned <span id="SPELLING_ERROR_77" class="blsp-spelling-error">resuscitation</span> program. Some states require medical oversight of an <span id="SPELLING_ERROR_78" class="blsp-spelling-error">AED</span> Program by a qualified Medical Director.<br /><br />For more information please visit <a href="http://www.teamemergencyresponse.com/links.html">http://www.TeamEmergencyResponse.com/links.html</a><br /><br />Product <span id="SPELLING_ERROR_79" class="blsp-spelling-error">Specifications</span> of the <span id="SPELLING_ERROR_80" class="blsp-spelling-error">AED</span> discussed are taken from Philips <span id="SPELLING_ERROR_81" class="blsp-spelling-error">Healthcare</span> literature. The <span id="SPELLING_ERROR_82" class="blsp-spelling-error">manufacturer</span> states the <span id="SPELLING_ERROR_83" class="blsp-spelling-error">OnSite</span> is "Unsurpassed in ease of use in 3 different published studies".<br /><br /><br />Views expressed are the opinions of Team Surgical, A Division of <span id="SPELLING_ERROR_84" class="blsp-spelling-corrected">International</span> Surgical, Inc.<br /><br /><span id="SPELLING_ERROR_85" class="blsp-spelling-error">Healthcare</span> facts are from the following sources:<br /><br /><br /><ul><li>The American Heart Association</li><li>The American Red Cross</li><li>Andre <span id="SPELLING_ERROR_86" class="blsp-spelling-error">et</span> <span id="SPELLING_ERROR_87" class="blsp-spelling-error">al</span>, <span id="SPELLING_ERROR_88" class="blsp-spelling-error">Prehospital</span> Emergency Care 2004; 8:284-291</li></ul><p><br />For a video <span id="SPELLING_ERROR_89" class="blsp-spelling-error">demonstration</span> of an <span id="SPELLING_ERROR_90" class="blsp-spelling-error">AED</span>, please visit: <a href="http://teamemergencyresponse.com/links.html">http://TeamEmergencyResponse.com/links.html</a><br /><br />For a video overview of cardiac arrest, please visit:<br /><a href="http://teamemergencyresponse.com/links.html">http://TeamEmergencyResponse.com/links.html</a></p>Team Surgicalhttp://www.blogger.com/profile/01686624651218603368noreply@blogger.com0