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21
AED OPERATION
WARNING: Do not use the AED on patients that react to stimuli or who are
breathing normally.
WARNING: Do not use the electrodes if the gel is dry or damaged.
WARNING: Before defibrillation, disconnect the patient from other medical
equipment.
WARNING: Never lift the AED by the electrode cable or any other accessory.
These accessories could detach from the AED, making it fall onto the patient.
ATTENTION: Aggressive or extended CPR on a patient connected to the electrodes
could damage the electrodes. Change the electrodes if they are damaged during use
or handling.
The AED is designed to treat sudden cardiac arrest (SCA). We recommend using the
device only for the treatment of SCA victims and if:

They are unconscious,

Not breathing,

Do not have a heartbeat, (only health care staff)
If the person is unconscious, but you are not sure he/she is affected by SCA, start CPR. If
necessary, apply the AED and follow the voice instructions.
AHA 2010 guidelines for CPR and ECC
The AHA 2010 guidelines for CPR and ECC are based on the broadest and most recent
revision of the literature on resuscitation ever published, the "International Consensus
Conference on CPR and ECC Science With Treatment Recommendations" organised in
2012 by the International Liaison
Committee on Resuscitation (ILCOR). Bystanders, first responders and healthcare
providers play an essential role in performing CPR on victims of cardiac arrest. Also, expert
operators can provide excellent pre and post arrest assistance.
Additional amendments to the AHA 2010 guidelines for CPR and ECC

The BLS algorithm has been simplified, and the "Look, Listen and Feel for breathing"
step has been removed from the algorithm. Performing these steps is unreliable and
requires a considerable amount of time. (use for lay rescuers)

Lay rescuers must adopt the "Hands-Only" CPR procedure (chest compressions only).
The "Hands-Only" CPR procedure is easier for a lay rescuer to perform and can be
illustrated and explained over the phone more easily by first responder operators.

Start chest compressions before performing CPR. (Compression-Open airways- Breath
instead of Open airways-Breath-Chest compression)

There is greater attention to the methods to ensure high quality CPR. The following
actions have highlighted the importance of high quality CPR.
-Suitable chest compressions (100 ~ 120/min)
-At least a 5 cm compression depth with adults
-Allow the chest to retract completely after each compression
-Reduce breaks between compressions to a minimum
-Eliminate excessive ventilation