Life Saving Technology The Defibrillator Part 2 of Video

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Life Saving Technology The Defibrillator Part 2 of 2

Mia Kelly: Ok, so here are some examples of some of different kinds of machine that you might come across. All the machines do the same thing. They are all shock boxes. So whether it’s a green one with lots of pictures or if it’s this one that you just push the button then it turns on by itself or this one that we just practiced with, they all do exactly the same thing. So each machine is a little bit different. Turn it on and once you get it on, follow the prompts and you’re good to go. They all shock the casualty. Robbie Ferguson: You were mentioning the, this is safe for somebody over eight years old, but then you mentioned that one to eight is ok. Could you just clarify that for me? Like, what would happen if, say my three year-old were to have a problem with the pool or something? Mia Kelly: We can still use it for a child. There are pads that are specifically designed for children age one to eight but not all the machine carry them. In fact, very few do. So if you don’t, if you see a pad separate that says child pad then you would use that but if you don’t see it, and most machines don’t have them, then you would just use adult pads on a child. Robbie Ferguson: And that’s safe to do, if that’s not available? Mia Kelly: Yes, but we just do not use a defib on a child under one. It’s not proven to be effective so we don’t. And it’s a lot of Joules for a small body. Robbie Ferguson: And as far as the CPR goes for those who don’t know how to do CPR, is that safe and you can do that the same as well for somebody under eight? Mia Kelly: Yes. For a child we’re going to push a little bit less, about one-third to one-half the depth of the chest. So we push less and we give less air because their lungs are smaller and their chest is smaller. So you can use one hand or two to push for a child. It’s totally up to you as long as you do push less, so about less than half the chest’s depth and give less air. But it’s still 30 compressions and two breaths. No difference there, just push less. Robbie Ferguson: One of the things you were talking about as well was that drying off the patient’s chest or the casualty’s chest. So in that case, like when you say dried off, are we just drying the area that’s going to be in contact with the pads or we are actually going to, like give them a good scrubbing or what’s the idea? Mia Kelly: What we’re trying to do is the pad itself has to have at least 80 percent contact on the chest. So that’s why if the casualty is very hairy or he’s wet when I put the pad on top, it’s not going to stick. If it doesn’t stick then the energy that’s coming from pad to pad will in fact skim over the top of the casualty. And we don’t want that to happen. We want it to go in the casualty through the heart and to the other pad and back the same way. The electrodes come through. The electricity comes through with the body. So we want it to be dry. We want to take the, if you’re obviously outside in the rain, pouring rain, try to get them to a dry location. But if it is a little bit spitting, as long as it is dry and you put the pads on top of dry skin then you’re good to go. Robbie Ferguson: Where can we expect to see a defibrillator, as in like when we would encounter a situation where it’s necessary, where would you expect to see one? Mia Kelly: Basically in every public place you could see a defibrillator. When you arrive at a building, let’s say, you go to the library or to an arena, when you come in the front doors, it should have some kind of a sign on the front door that says, that there is an AED there. And if you see the sign then you know that there’s an AED, usually in the front, as soon as you arrive on the scene. So that, let’s say, I’m at an arena and I’m watching my kids play hockey and the person beside me goes down, he hits the floor, I start my CPR and I send the nearest person to get that machine off the wall. Even if I’m not trained, they’ll pull it off the wall and bring it to me. When you pull it off the wall, in almost every case, especially in the public place, an alarm system will go out. And so the person who is trained to use it will hear the alarm or somebody will go and get the person who is working at the arena to then come and use the machine. But in the mean time, if that person is at the back of the arena, it could be, you know, four or five minutes before they get to the front so you’ve lost 50 percent chance right there. So the quicker you can get the pads on the casualty, the better chance they have. Just put on the pads, follow the prompts until somebody else arrives in the scene and takes over for you. Robbie Ferguson: So is this powered by Plutonium or like what keeps this thing running when it is just hanging on the wall there? Mia Kelly: The machine has a Lithium battery and most of the machines have Lithium batteries that are good anywhere between three or five years. Robbie Ferguson: So this is rechargeable? Mia Kelly: No, not, it’s not rechargeable. So once, after you use the machine, obviously, you have to put new pads on and everything that the machine will need to be serviced. But the machine itself actually checks itself. Every AED checks itself at three in the morning. So it self checks and it will tell you if it’s sick. So the little light will come on to tell you and the person wherever the machine is, they are supposed to look at the machine daily to make sure that the little light is on. It’s still green and ready to go. If the battery is low, it will start to beep to warn them, time to get a new battery. Even if the machine is beeping, low battery, low battery, you’re still going to use it because you still in most cases have a good 15 shocks left even in a low battery situation. So you use it until the machine stops. Carrie Webb: Is there any chance that this could shock a person who is in normal rhythm? Mia Kelly: No. The machine itself does not detect a pulse, as I said before, it only detects fibrillation. So it’s looking for two different kinds of rhythms and it only detects those rhythms. So the machine itself cannot shock somebody with a pulse. But, in return, it doesn’t know what a pulse is. So it only shocks the two rhythms -- the fibrillation once we were talking about, or tachycardia where it’s going a little bit too fast. It only knows certain rhythms and it knows if I feel these rhythms, I should shock it. And so it cannot shock somebody with a pulse. So I couldn’t, you know, use it, and slap it on at a Christmas party or something and shock somebody. It will stay, what the machine will say is, no shock advised, and then you would then look for any signs of life, movement, coughing, vomiting. If there is no sign of life, start CPR and keep doing it, because when you use the machine it does not always say ‘Shock’. It could be a ‘non-shockable’ rhythm. And you can go, do a little CPR for your two minutes and it could pump it, put it into ‘shockable’ rhythm and that is our goal. As long as it says to shock, it means we’re on the process of saving him. And if it says ‘Don’t shock’, then don’t shock. We do just CPR. Carrie Webb: So Mia, what if you encounter someone who already has an implanted pacemaker? Mia Kelly: If you arrive on the scene, what you’re going to do, when you bare the chest, you would notice because they’re going to have a scar. That’s how you’re going to know it’s a pacemaker. So when you see the scar in the chest, you’re going to put your hand over the scar, and you should feel what feels like a ‘loony’ or a ‘tuny’ underneath it. If you feel that you want to make sure that when you put the pads on the casualty, that the pads are at least one inch away from the casualty or from the pacemaker. So as long as they are about one inch away, then you’re ok, you can go ahead and use it. And in almost every case, we’re going to use it regardless, because the casualty is not living, he is not breathing, so anything we can do is better. For instance, a pregnant casualty, we’re still going to use it for pregnant casualty also. If there is a lot of jewelry, we might need to remove it but it’s not my main priority. I’ll try my best. So that’s pretty much. And also if I see a patch on the casualty, he might have or she might have a patch medication that they would have on such as nitro, nitroglycerine. So the patch is on, we need to remove that patch first. So ideally I would use my glove to remove the patch. Carrie Webb: And don’t stick it on yourself. Mia Kelly: And don’t stick it on yourself because again if I touch it with my bare hands, the medication will be absorbed through my body and it will make me sick. Or I can use a cloth, the end of my shirt, anything to pull the patch off, wipe it down and then go ahead and use it. And if you don’t know what the patch is, because it could be, you know, a birth control, it could be something to stop them from smoking, I don’t know what the patch is, I’m not going to be able to take the time to read it, just pull whatever patch you see off and go ahead and put the pads on and follow the prompts. Carrie Webb: Yeah, it seems pretty straightforward. So Mia, we just like to thank you for joining us. I’m doing a feature on Category Five TV. So how can people get more information on AEDs? Mia Kelly: If they’re looking for more information about AEDs or to purchase one or to get training so that they can use the machine a little more confidently, they can refer to our website at www.estrayA.ca. Carrie Webb: Great! Thanks so much. And hopefully you’ll never have to use one of these, but if you run into the occasion, then now you’ll know how to use an Automated External Defibrillator. Christy Burton: I think it’s important that we should mention that defibrillation doesn’t work all the times so even if you do go and rip it down on the wall and you go and shock somebody and maybe it doesn’t work, well at least you made an attempt, and that’s what’s important. Robbie Ferguson: I think that’s exactly what Mia was saying. If you didn’t do anything, this person is dead. So whatever you can do, as Mia was saying in the video, is better than what the person is right now. So it’s like, just to have that opportunity to at least do what you can. Christy Burton: It takes a bit of pressure off? Robbie Ferguson: Yeah. And I think speaking of taking the pressure off, you see how brilliant those machines are. Like that was exceptional model, that one that walks you through everything including the CPR. We actually purposefully brought in like left that in for you just in case you’ve never gone through CPR training and you’re not really sure how that works because not all of them do walk you through everything but we definitely wanted to show you, you know, how it works. Takes some of that fear off of, playing off the wall.

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Mia Kelly: Ok, so here are some examples of some of different kinds of machine that you might come across. All the machines do the same thing. They are all shock boxes. So whether it’s a green one with lots of pictures or if it’s this one that you just push the button then it turns on by itself or this one that we just practiced with, they all do exactly the same thing. So each machine is a little bit different. Turn it on and once you get it on, follow the prompts and you’re good to go. They all shock the casualty.

Robbie Ferguson: You were mentioning the, this is safe for somebody over eight years old, but then you mentioned that one to eight is ok. Could you just clarify that for me? Like, what would happen if, say my three year-old were to have a problem with the pool or something?

Mia Kelly: We can still use it for a child. There are pads that are specifically designed for children age one to eight but not all the machine carry them. In fact, very few do. So if you don’t, if you see a pad separate that says child pad then you would use that but if you don’t see it, and most machines don’t have them, then you would just use adult pads on a child.

Robbie Ferguson: And that’s safe to do, if that’s not available?

Mia Kelly: Yes, but we just do not use a defib on a child under one. It’s not proven to be effective so we don’t. And it’s a lot of Joules for a small body.

Robbie Ferguson: And as far as the CPR goes for those who don’t know how to do CPR, is that safe and you can do that the same as well for somebody under eight?

Mia Kelly: Yes. For a child we’re going to push a little bit less, about one-third to one-half the depth of the chest. So we push less and we give less air because their lungs are smaller and their chest is smaller. So you can use one hand or two to push for a child. It’s totally up to you as long as you do push less, so about less than half the chest’s depth and give less air. But it’s still 30 compressions and two breaths. No difference there, just push less.

Robbie Ferguson: One of the things you were talking about as well was that drying off the patient’s chest or the casualty’s chest. So in that case, like when you say dried off, are we just drying the area that’s going to be in contact with the pads or we are actually going to, like give them a good scrubbing or what’s the idea?

Mia Kelly: What we’re trying to do is the pad itself has to have at least 80 percent contact on the chest. So that’s why if the casualty is very hairy or he’s wet when I put the pad on top, it’s not going to stick. If it doesn’t stick then the energy that’s coming from pad to pad will in fact skim over the top of the casualty. And we don’t want that to happen. We want it to go in the casualty through the heart and to the other pad and back the same way. The electrodes come through. The electricity comes through with the body. So we want it to be dry. We want to take the, if you’re obviously outside in the rain, pouring rain, try to get them to a dry location. But if it is a little bit spitting, as long as it is dry and you put the pads on top of dry skin then you’re good to go.

Robbie Ferguson: Where can we expect to see a defibrillator, as in like when we would encounter a situation where it’s necessary, where would you expect to see one?

Mia Kelly: Basically in every public place you could see a defibrillator. When you arrive at a building, let’s say, you go to the library or to an arena, when you come in the front doors, it should have some kind of a sign on the front door that says, that there is an AED there. And if you see the sign then you know that there’s an AED, usually in the front, as soon as you arrive on the scene. So that, let’s say, I’m at an arena and I’m watching my kids play hockey and the person beside me goes down, he hits the floor, I start my CPR and I send the nearest person to get that machine off the wall. Even if I’m not trained, they’ll pull it off the wall and bring it to me. When you pull it off the wall, in almost every case, especially in the public place, an alarm system will go out. And so the person who is trained to use it will hear the alarm or somebody will go and get the person who is working at the arena to then come and use the machine. But in the mean time, if that person is at the back of the arena, it could be, you know, four or five minutes before they get to the front so you’ve lost 50 percent chance right there. So the quicker you can get the pads on the casualty, the better chance they have. Just put on the pads, follow the prompts until somebody else arrives in the scene and takes over for you.

Robbie Ferguson: So is this powered by Plutonium or like what keeps this thing running when it is just hanging on the wall there?

Mia Kelly: The machine has a Lithium battery and most of the machines have Lithium batteries that are good anywhere between three or five years.

Robbie Ferguson: So this is rechargeable?

Mia Kelly: No, not, it’s not rechargeable. So once, after you use the machine, obviously, you have to put new pads on and everything that the machine will need to be serviced. But the machine itself actually checks itself. Every AED checks itself at three in the morning. So it self checks and it will tell you if it’s sick. So the little light will come on to tell you and the person wherever the machine is, they are supposed to look at the machine daily to make sure that the little light is on. It’s still green and ready to go. If the battery is low, it will start to beep to warn them, time to get a new battery. Even if the machine is beeping, low battery, low battery, you’re still going to use it because you still in most cases have a good 15 shocks left even in a low battery situation. So you use it until the machine stops.

Carrie Webb: Is there any chance that this could shock a person who is in normal rhythm?

Mia Kelly: No. The machine itself does not detect a pulse, as I said before, it only detects fibrillation. So it’s looking for two different kinds of rhythms and it only detects those rhythms. So the machine itself cannot shock somebody with a pulse. But, in return, it doesn’t know what a pulse is. So it only shocks the two rhythms -- the fibrillation once we were talking about, or tachycardia where it’s going a little bit too fast. It only knows certain rhythms and it knows if I feel these rhythms, I should shock it.

And so it cannot shock somebody with a pulse. So I couldn’t, you know, use it, and slap it on at a Christmas party or something and shock somebody. It will stay, what the machine will say is, no shock advised, and then you would then look for any signs of life, movement, coughing, vomiting. If there is no sign of life, start CPR and keep doing it, because when you use the machine it does not always say ‘Shock’. It could be a ‘non-shockable’ rhythm. And you can go, do a little CPR for your two minutes and it could pump it, put it into ‘shockable’ rhythm and that is our goal. As long as it says to shock, it means we’re on the process of saving him. And if it says ‘Don’t shock’, then don’t shock. We do just CPR.

Carrie Webb: So Mia, what if you encounter someone who already has an implanted pacemaker?

Mia Kelly: If you arrive on the scene, what you’re going to do, when you bare the chest, you would notice because they’re going to have a scar. That’s how you’re going to know it’s a pacemaker. So when you see the scar in the chest, you’re going to put your hand over the scar, and you should feel what feels like a ‘loony’ or a ‘tuny’ underneath it. If you feel that you want to make sure that when you put the pads on the casualty, that the pads are at least one inch away from the casualty or from the pacemaker. So as long as they are about one inch away, then you’re ok, you can go ahead and use it. And in almost every case, we’re going to use it regardless, because the casualty is not living, he is not breathing, so anything we can do is better. For instance, a pregnant casualty, we’re still going to use it for pregnant casualty also. If there is a lot of jewelry, we might need to remove it but it’s not my main priority. I’ll try my best. So that’s pretty much. And also if I see a patch on the casualty, he might have or she might have a patch medication that they would have on such as nitro, nitroglycerine. So the patch is on, we need to remove that patch first. So ideally I would use my glove to remove the patch.

Carrie Webb: And don’t stick it on yourself.

Mia Kelly: And don’t stick it on yourself because again if I touch it with my bare hands, the medication will be absorbed through my body and it will make me sick. Or I can use a cloth, the end of my shirt, anything to pull the patch off, wipe it down and then go ahead and use it. And if you don’t know what the patch is, because it could be, you know, a birth control, it could be something to stop them from smoking, I don’t know what the patch is, I’m not going to be able to take the time to read it, just pull whatever patch you see off and go ahead and put the pads on and follow the prompts.

Carrie Webb: Yeah, it seems pretty straightforward. So Mia, we just like to thank you for joining us. I’m doing a feature on Category Five TV. So how can people get more information on AEDs?

Mia Kelly: If they’re looking for more information about AEDs or to purchase one or to get training so that they can use the machine a little more confidently, they can refer to our website at www.estrayA.ca.

Carrie Webb: Great! Thanks so much. And hopefully you’ll never have to use one of these, but if you run into the occasion, then now you’ll know how to use an Automated External Defibrillator.

Christy Burton: I think it’s important that we should mention that defibrillation doesn’t work all the times so even if you do go and rip it down on the wall and you go and shock somebody and maybe it doesn’t work, well at least you made an attempt, and that’s what’s important.

Robbie Ferguson: I think that’s exactly what Mia was saying. If you didn’t do anything, this person is dead. So whatever you can do, as Mia was saying in the video, is better than what the person is right now. So it’s like, just to have that opportunity to at least do what you can.

Christy Burton: It takes a bit of pressure off?

Robbie Ferguson: Yeah. And I think speaking of taking the pressure off, you see how brilliant those machines are. Like that was exceptional model, that one that walks you through everything including the CPR. We actually purposefully brought in like left that in for you just in case you’ve never gone through CPR training and you’re not really sure how that works because not all of them do walk you through everything but we definitely wanted to show you, you know, how it works. Takes some of that fear off of, playing off the wall.

Transcription by: Scribe4you Transcription Services

Life Saving Technology The Defibrillator Part 2 of 2

Life Saving Technology The Defibrillator Part 2 of -

Life Saving Technology The Defibrillator Part 2 of -