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
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