Most public places in key cities are likely to have an Automated External Defibrillator (AED) somewhere. Easy to use and highly sophisticated, the AED allows even people who have never used one before to provide life-saving interventions. Though it may be simple to operate, it is still crucial to ensure that proper AED procedure is performed in stressful situations.
Criteria for AED Use:
- Child or infant is unresponsive after shaking and shouting
- No breathing detected; if any, it is agonal breathing
- No carotid artery pulse detectable
AED Steps for Children and Infants
- Secure an AED
- a. Retrieve it from its case.
- b. Turn on the device.
- Keep the baby’s chest exposed
- a. Dry it if necessary.
- b. Peel off existing medication patches, if any.
- Assemble the pediatric AED pads
- a. Peel off the back cover.
- b. Check the infant’s body for pacemaker or defibrillator.
- Place the pads onto the infant
- a. Place one pad on the upper right chest above the breast or on the infant’s upper left chest.
- b. Place the second pad on the lower left chest below the armpit or on the infant’s back.
- Continue performing CPR if the AED is not functioning. Do not waste time fixing the AED, as CPR is more important; AEDs are supplemental.
- Do not use AED in and near bodies of water.
AED Steps for Children and Infants, Continued
- Make sure wires are properly attached to the AED .
- Keep your distance from the infant
- a. Stop CPR operations.
- b. Warn others not to touch the infant.
- Allow the AED to analyze the rhythm of the infant’s heart.
- If the AED reads “Check Electrodes”, proceed by following these steps:
- a. Make sure the electrodes are in contact with each other.
- b. Step back and allow the AED to analyze the heart rhythm again.
- If the AED reads “Shock,” hold the flashing shock button until the shock is released.
- For two minutes, execute CPR .
- Repeat cycle.
2010 AHA GUIDELINES FOR DEFIBRILLATION
Initial dose should be 2 to 4 J/kg (4 J/kg for refractory VF). Ideal energy levels are yet to be determined.
2010 AHA GUIDELINES FOR AED USE
AED with a pediatric dose to attenuator system should be used whenever available with patients one to eight years old. Manual defibrillation is preferred for infants under a year old. A standard adult AED may be used if neither alternative setting is available.