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Extra resources for Automatic External Defibrillators

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3. Hypothermic patients may have a very slow pulse, and can easily go into VF if not handled gently and require a longer pulse check. Page 43 Chapte 6 AED Maintenance and Checklist Page 44 OBJECTIVES By the end of this chapter you should be able to: 1. Describe when the AED should be inspected. 2. List two reasons why regular inspections should be done frequently. 3. List ten items that should be checked during regular inspections of the AED. 4. Describe why regular inspections and preventative maintenance should be documented.

To accomplish this, protocols have been designed to ensure quick assessment of the victims and allow you to deliver lifesaving shocks as quickly as possible. The initial steps include identifying victims to whom you will apply the AED. The primary survey remains unchanged from previous CPR or EMS training: Ensure the scene is safe to enter and determine unresponsiveness. Always assess and care for the most important body systems in the ABC order of importance. A. Airway Is the airway open? If the victim is talking and responsive, the airway is open.

Hypothermic victims may have a very slow pulse and are prone to V-Fib if not handled gently. The carotid pulse should be assessed for 30 to 45 seconds before you perform CPR. If a pulse is found, handle these victims gently to avoid causing V-Fib. Pacemakers* Pacemakers use electrical impulses to correct problems with the heart's normal electrical rhythm. Pacemakers are usually placed just under- *Check with the manufacturer's guidelines. Some manufacturers do not recommend attaching the AED to victims with pacemakers, as the pacemaker may interfere with rhythm analysis.

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