FIRST AID CPR AED Follow us www lubasmedical

FIRST AID CPR AED

Follow us! www. lubasmedical. com @lubasmedical /lubasmedicalltd FIRST AID – CPR - AED

LUBAS MEDICAL Established in 1998 Event Cover Family Business FIRST AID – CPR - AED Training Sports Film/TV

Sports • • • Cardiff City FC Football Association of Wales England Cricket Glamorgan Cricket Cardiff Met University FIRST AID – CPR - AED

TV/Film • • • Davinci’s Demons Sherlock Casualty Doctor Who A Discovery of Witches Jerusalem FIRST AID – CPR - AED

Events • Champions League Festival 2017 FIRST AID – CPR - AED

Training • • • Sports Trauma Management FASE GP/Dental Practice CPR Updates Medical Emergencies Emergency Gases Hygiene and Clinical Waste FIRST AID – CPR - AED

Qualsafe Training • • • First Aid at Work Emergency First Aid Work Paediatric First Aid CPR & AED use First Response Emergency Care (FREC) Refresher Training FIRST AID – CPR - AED

Qualsafe Training Coming soon • Level 3 Education and Training • First Response Emergency Care (FREC) Level 4 FIRST AID – CPR - AED

Our Training Team Paul Lubas - Paramedic Chris Lubas – Advanced First Aid Jamie Ralph - Paramedic Ceri Smale - Nurse Matthew Smale – Nurse Rebecca Boyce – Sports Therapist FIRST AID – CPR - AED

What is Cardiac Arrest? • Cardiac arrest is a sudden loss of blood flow resulting from the failure of the heart to effectively pump. • Caused by an electrical fault. • It’s not a heart attack. • The casualty will lose consciousness and stop breathing. • If untreated it WILL lead to DEATH. • What can WE do? FIRST AID – CPR - AED

Chain of Survival Early defibrillation forms the third link as defibrillation within 3– 5 min can produce survival rates as high as 50%– 70% (Emergency Medical Journal, 2015) FIRST AID – CPR - AED

Why CPR? • Between April 2016 and March 2017, the Welsh Ambulance Service responded to 5, 800 OHCA of which 2, 832 resulted in a resuscitation attempt. • 25 -30% achieved ROSC • 8% survive to go home from hospital • In Switzerland 55% go home from hospital. Why? Public Education!!! FIRST AID – CPR - AED

Basic Life Support (Danger) Safe approach What has happened? Weather Floor surface Other people/vehicles Blood/vomit FIRST AID – CPR - AED

Basic Life Support (Response) Is the person Responding? Talking Shouting/screaming Groaning Quiet SHOUT FOR HELP! FIRST AID – CPR - AED A V P U

Basic Life Support (Airway) Is the airway blocked? Struggling to breathe Noisy breathing Injured/swollen face Very quiet OPEN THE AIRWAY FIRST AID – CPR - AED

Basic Life Support (Breathing) Is the player breathing? Chest moving Sounds of breathing Agonal breathing? NOT BREATHING NORMALLY CALL 999 & START CPR! FIRST AID – CPR - AED

Basic Life Support • Give 30 chest compressions, then 2 rescue breaths. • Only stop to recheck the patient if they start breathing normally. • If there is more than one rescuer, change over every 2 minutes to prevent fatigue. FIRST AID – CPR - AED

Automated External Defibrillation (AED) AED SAFETY CONSIDERATIONS • • • FIRST AID – CPR - AED Electric Shock! Jewellery Medication Patches Implanted Devices Highly Flammable Atmosphere Inappropriate Shock

Automated External Defibrillation (AED) AED: Prepare the patient’s chest • • FIRST AID – CPR - AED REMOVE CLOTHING HAIR SWEAT/FLUID JEWELLERY

Position of the AED pads for Adults FIRST AID – CPR - AED

Position of the AED pads for Children Antero-posterior electrode placement is suitable for children under the age of 8 years and/or <25 kgs. FIRST AID – CPR - AED

Normal Heart Rhythm Sinus rhythm - FIRST AID – CPR - AED

Shockable Rhythms – ‘SHOCK ADVISED’ Ventricular fibrillation (VF) FIRST AID – CPR - AED

Non-shockable rhythms – ‘NO SHOCK ADVISED’ Asystole/Flat Line FIRST AID – CPR - AED

AED STAND CLEAR!!!! FIRST AID – CPR - AED

CPR & AED When to stop/not perform CPR • • Clinician tells you to stop You become exhausted The situation becomes dangerous The casualty recovers! FIRST AID – CPR - AED

Chris Soloman FIRST AID – CPR - AED

Where can I find an AED • Call 999 – they will tell you • NHS website - http: //www. nhsdirect. wales. nhs. uk/Local. Services/? s=D efibrillator. Locations FIRST AID – CPR - AED

Obtaining an AED • Purchase from manufacturer: usually between £ 800 - £ 1500 Part funded through charity: • My Cariad (Wales) http: //www. mycariad. org/ • Welsh Hearts (Wales) http: //welshhearts. org/ FIRST AID – CPR - AED

Maintaining an AED • Responsibilities Daily checks (recommended) of unit status indicator (showing that the AED is in an The responsibility for the AED usually lies with the purchaser and/or receiver of the unit. These include: operable state). Daily checks (recommended) of unit status indicator (showing that the AED is in an operable state). Ensuring electrode pads are in date and therefore suitable for use (typically 2 - 5 years shelf life). Electrode pads for the • Zoll AEDPlus are provided free of cost by WAST Ensuring electrode pads are in date and therefore suitable for use (typically years shelf life). Replacement of battery or batteries when they are discharged (typically 4 – 5 years). Batteries for the Zoll AEDPlus are provided free of cost by WAST. Notifying WAST when the AED has been used (as soon as possible following an incident). • Although WAST are not responsible for the AED, we are available for advice and support. Replacement of battery or batteries when they are discharged (typically 4 – years). • For PAD schemes help with maintenance cost can be obtained from WAST FIRST AID – CPR - AED 2 -5 5

Does my workplace need an AED? • There is no current legislation to say that you must have an AED. • There is legislation which states all First Aid trained staff should have AED training. • Your responsible for your RISK ASSESSMENT. • QA Risk Assessment Calculator uses HSE guidelines. • Approximately 100 Cardiac Arrests occur in the workplace every WEEK in the UK. FIRST AID – CPR - AED

Any Questions? FIRST AID – CPR - AED