ProCPR.org

1
00:00:02,030 --> 00:00:06,005
Now we're going to cover infant CPR when an AED is present.

2
00:00:06,005 --> 00:00:10,010
We're still checking for scene safety, but then in addition to that,

3
00:00:10,010 --> 00:00:13,042
just like with the adult with AED, we've got to also check for

4
00:00:13,042 --> 00:00:16,074
things that would stop us from using an AED in an environment,

5
00:00:16,074 --> 00:00:19,039
like standing water that the baby is in.

6
00:00:19,039 --> 00:00:22,034
We might see this in a pool situation, pond situation, God forbid,

7
00:00:22,034 --> 00:00:27,062
but we might also run into the problems of combustible gases or liquids in the area.

8
00:00:27,062 --> 00:00:31,041
If we have those, this is not going to be able to be used

9
00:00:31,041 --> 00:00:35,013
unless we are able to neutralize the flammable substance

10
00:00:35,013 --> 00:00:38,033
or get the baby out of the standing water, which should be pretty easy.

11
00:00:38,033 --> 00:00:40,097
Dry the baby off. Now you can use the AED.

12
00:00:40,097 --> 00:00:46,066
If the baby is unresposive, we are going to activate emergency medical services

13
00:00:46,066 --> 00:00:49,054
right away. They do not appear to be breathing.

14
00:00:49,054 --> 00:00:53,006
They are unresponsive - activation of emergency medical services.

15
00:00:53,006 --> 00:00:57,031
Now we're checking for a brachial pulse for no more than 10 seconds.

16
00:00:57,031 --> 00:01:00,033
There is no pulse. There is no movement of the baby,

17
00:01:00,033 --> 00:01:01,088
and they are not breathing.

18
00:01:01,088 --> 00:01:04,039
We are going to turn the AED on.

19
00:01:04,039 --> 00:01:06,077
[AED speaks: This is a training device only. No shock will be delivered.]

20
00:01:06,077 --> 00:01:09,011
If the baby has clothes on, remove the clothes,

21
00:01:09,011 --> 00:01:11,051
dry the baby's back and front off.

22
00:01:11,051 --> 00:01:13,066
[AED speaks: Remove clothing from person's chest.]

23
00:01:13,066 --> 00:01:17,065
We're going to go ahead and open this up.

24
00:01:17,065 --> 00:01:22,026
[AED speaks: Attach pads firmly to person's chest as shown.]

25
00:01:22,026 --> 00:01:27,007
On the baby pads, it actually demonstrates how to put the pads

26
00:01:27,007 --> 00:01:29,027
on the baby's chest and back.

27
00:01:29,027 --> 00:01:34,032
[AED speaks: Plug in connector.]

28
00:01:34,032 --> 00:01:40,007
One note here, is that if you had a manual defibrillator as a healthcare professional

29
00:01:40,007 --> 00:01:45,088
and you were licensed to be able to use a manual defibrillator,

30
00:01:45,088 --> 00:01:48,095
that still is the preferable option.

31
00:01:48,095 --> 00:01:51,006
[AED speaks: Check connector and pads.]

32
00:01:51,006 --> 00:01:54,049
But if you don't, AEDs with pediatric pads are now callibrated

33
00:01:54,049 --> 00:01:56,050
to be able to defibrillate infants.

34
00:01:56,050 --> 00:02:00,029
[AED speaks: Analyzing rhythm. Everyone stand clear.]

35
00:02:00,029 --> 00:02:01,082
Nobody's touching the baby.

36
00:02:01,082 --> 00:02:14,057
[AED speaks: Shock advised. Charging. Everyone stand clear. BEEP]

37
00:02:14,057 --> 00:02:19,088
[Everyone stand clear. Push the shock button. Shock delivered.]

38
00:02:19,088 --> 00:02:22,031
[Begin 5 cycles of CPR]

39
00:02:22,031 --> 00:02:26,061
We're then going to go ahead and start the 5 cycles of the 30 compressions

40
00:02:26,061 --> 00:02:31,012
to 2 rescue breaths in the 1 rescuer CPR with an AED.

41
00:02:31,012 --> 00:02:35,073
Now the nice part is, we don't have to worry about really counting them out

42
00:02:35,073 --> 00:02:41,009
because the AED is doing it for us. It will actually, depending on the model,

43
00:02:41,009 --> 00:02:44,047
start to count down and give you a warning when it's getting close

44
00:02:44,047 --> 00:02:47,021
to stopping you from your CPR resuscitation efforts

45
00:02:47,021 --> 00:02:51,023
so that it can reassess the baby and decide whether

46
00:02:51,023 --> 00:02:54,051
it's going to have a shockable dysrhythmia or not.

47
00:02:54,051 --> 00:02:56,037
[AED speaks: 1 minute and 30 seconds of CPR remain.]

48
00:02:56,037 --> 00:02:59,022
So, continue your CPR, let the AED interrupt you,

49
00:02:59,022 --> 00:03:04,090
once it's attached, do not disconnect it until the next level of care comes in and takes over.

50
00:03:04,090 --> 00:03:10,076
Actually, you'll never disconnect it, but you'll continue your CPR

51
00:03:10,076 --> 00:03:13,016
and this protocol until help arrives.

52
00:03:18,033 --> 00:03:21,067
Scene is safe, gloves are on, shield is available. Baby, baby, alright?

53
00:03:21,067 --> 00:03:24,054
Are you okay? There's no response. You in the plaid shirt,

54
00:03:24,054 --> 00:03:28,072
go call 911 or activate the emergency medical services or call a code.

55
00:03:28,072 --> 00:03:32,022
Checking for a brachial pulse for no more than 10 seconds.

56
00:03:32,022 --> 00:03:37,021
They do not easily palpate a pulse. The baby does not appear to be breathing.

57
00:03:37,021 --> 00:03:43,041
[AED speaks: This is a training device only. No shock will be delivered.]

58
00:03:43,041 --> 00:03:46,089
There's nothing in the environment that would stop me from using the AED:

59
00:03:46,089 --> 00:03:49,007
no combustibles, no standing water.

60
00:03:49,007 --> 00:03:51,035
[AED speaks: Remove clothing from person's chest.]

61
00:03:51,035 --> 00:03:59,015
[Attach pads firmly to person's chest as shown.]

62
00:03:59,015 --> 00:04:07,085
On the back, and on the front.

63
00:04:07,085 --> 00:04:16,090
[AED speaks: Plug in connector. Check connector and pads.]

64
00:04:16,090 --> 00:04:29,020
[Analyzing rhythm. Everyone stand clear. Shock advised. Charging. ]

65
00:04:29,020 --> 00:04:38,019
[Everyone stand clear. BEEP. Everyone stand clear. Push the shock button.]

66
00:04:38,019 --> 00:04:42,029
[Shock delivered. Begin 5 cycles of CPR]

67
00:04:42,029 --> 00:04:46,046
1 and 2 and 3 and 4 and 5 and 6 and 7 and 8 and 9 and 10 and 11,

68
00:04:46,046 --> 00:04:54,033
12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30.

69
00:04:54,033 --> 00:05:08,018
Now I would do my compressions up to 30 again, at least 1/3 the depth of the baby's chest.

70
00:05:08,018 --> 00:05:12,015
30 compressions followed by 2 rescue breaths until the AED interrupts.

71
00:05:12,015 --> 00:05:15,040
[AED speaks: 1 minute and 30 seconds of CPR remain]

72
00:05:15,040 --> 00:05:18,000
Or until the emergency medical services arrive and they take over.