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Bart’sCityLifeSaverAdultBasicLifeSupport&AutomatedExternalDefibrillationTrainingCourse©Bart’sCityLifeSaver2016ObjectivesBytheendofthissessionyouwillbeableto:•Explainthecause,signs,symptomsandtreatmentforaheartattack;•Turnanunconsciouscasualtywhoisbreathingnormallyintotherecoveryposition;•Performeffectivebasiclifesupport;•Demonstratesafeuseofanautomatedexternaldefibrillator(AED)TheCauseofaHeartAttackBloodflowPlaqueCrushingcentralchestpainoftenradiatingintothearms,neck,jaworbackFeelingorbeingsickDifficultyinbreathingImpendingsenseofdoomPaleorgreyincolourHeavysweatingcausingclammyskinCollapsewithoutwarningSigns&SymptomsSendforanambulance(999/112)PositionthecasualtycomfortablyLoosentightclothingMonitor&reassureOfferaspirinSendforAEDActiontobetakenDangerResponseAirwayBreathing(normally)?CPRRecoverypositionShoutforhelpNoYes999CollapsedCasualty…TurnthecasualtyintotherecoverypositionContinuemonitoringforfurtherdeteriorationCallforanambulancewhenitissafeandappropriateRecoveryPositionDangerResponseAirwayBreathing(normally)?CPRRecoverypositionShoutforhelpNoYes999CollapsedCasualty…Cardiacarrestmaybeassociatedwith:•Agonalbreathing[40%ofpatients]•Nobreathingatall•InvoluntarymuscletwitchingthatmayresembleaseizureNormalBreathingAbsentAutomatedExternalDefibrillatorsCardioPulmonaryResuscitation5-6cmdepth100-120perminuteUpto1second302CompressionOnlyLifeSupportTheHeart’s‘Natural’PacemakerElectricityintheHeartVentricularFibrillation(VF)‘Normal’HeartRhythmElectricalPatternoftheHeartActivateAED&followpromptsDRsABC999AEDanalysesheartrhythmShockablerhythm?CPR2minutesNoYesShockCardiacArrest•Ensuretherearenoenvironmentalhazards–metalsandwater–flammablegases•Exposethechestfully(cutclothingandmovejewellery)•Drytheskin•Shaveexcesshair•RemovemedicationpatchesPreparingforDefibrillation•Placeonepadtotherightofthebreastboneinlinewiththemiddleofthecollarbone•PlacethesecondpadverticallyinlinewiththearmpitawayfromthebreasttissuePlacingtheAEDPadsActivateAED&followpromptsDRsABC999AEDanalysesheartrhythmShockablerhythm?CPR2minutesNoYesShockCardiacArrest…Intheaftermathoftheeventconsiderthefollowing:•Anydocumentationthatisrequired(workenvironment)•Thereplenishingofequipment•ConsiderAEDsoftwaredownload(contactthemanufacturer)Takesometimetoreflectonthesituation,takecareofyourselfandtalktosomebodyifyouneedto…TheAftermathChainofSurvival•Wewelcomeyourfeedbackonourcoursesandtrainingstaff•Toevaluatethetrainingpleasevisitourwebsitewww.bartscitylifesaver.organdclickthe�coursematerials�tabwheretheevaluationformislinked•Youcancompleteasanindividualorasagroup(ifyouareateamfromonecenter)•CopiesofthepresentationslidescanbefoundonthesamepageinPDFformatforyoutodownloadCourseEvaluation