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Cardiac Arrest Management: AED Protocol Training Manual

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Cardiac Arrest Management: AED Protocol Training Manual PP EAKEAK EMERGENCY RESPONSE TRAINING EMERGENCY RESPONSE TRAINING CC aa rr dd ii aa cc AA rr rr ee ss tt MM aa nn aa gg ee mm ee nn tt :: AA EE DD PP rr oo tt oo cc oo ll TT rr aa ii nn ii nn gg MM aa nn uu aa ll EE AA KK PP E M E R G E N C Y R E S P O N S E T R A I N I N G CC A R D I A C AA R R E S T MM A N A G E M E N T :: AA EE DD PP R O T O C O L TT R A I N I N G MM A N U A L S eventh Edition Revised December 20 1 6 Written and D eveloped by , Jeffrey Burko , Executive Medical Director Special Contributions by , Alastair Thurley , Quality Assurance Direct or Emma Holden - Hindley , Operations Director Kayla Pocock , Corporation of Delta Heather McRae - Moloney , Corporation of Delta Medical Direction Team and Standing Orders provided by Dr. William Akeroyd, M.D., M.C.F.P. (EM) Dr. Gordon Bird, M.D., B.Sc., C.C.F .P. (EM) Dr. Steve Collyer, M.D., M.B.,Ch.B Dr. Angus Gilchrist, M.D., B.Sc., M.Sc., C.C.F.P. Dr. Bruce McKnight, M.D., B.Sc., C.C.F.P. (EM) Dr. Hazel Park, M.D., C.C.F.P. (EM), F.C.F.P. Dr. Stephan Samoyloff, M.D., C.C.F.P. (EM), F.C.F.P. Dr. Michael Slo an, M.D., M.B.,Ch.B Dr. Simon Ward, M.D., M.B.Ch.B, F.C.E.M., DipIM.C. (RCSEd) 1717 Beach Grove Road, South Delta ( Tsawwassen ) , British Columbia, Canada, V4L 1P4 Tel 778 899 7325 (PEAK), Fax 604 648 8120 Email [email protected] Web www.peakemergencytraining.com C ARDIAC A RREST M ANAGEMENT : AED P ROTOCOL T RAINING M ANUAL © All rights reserved. This document may not be reproduced, in any form without written permission from Peak Emergen cy Response Training, a division of Peak Project Management, Inc. PEAK E MERGENCY R ESPONSE T RAINING P ROVIDED FOR USE BY THE C ORPORATION OF D ELTA C ARDIAC A RREST M ANAGEMENT : AED P ROTOCOL T RAINING M ANUAL T A B L E O F C O N T E N T S Acknowledgements 1 - 2 Notice to Students 3 - 4 Overview & Liability 7 Medical Direction 7 Sudden Cardiac Arrest (SCA) 8 - 9 Respiratory / Cardiac Anatomy & Physiology 10 - 16 Coronary Artery Disease 17 Coronary Artery Disease – Angina Pectoris 18 Coronary Artery Disease – Myocardial Infarction 18 MI Induced SCA 19 Heart Rhythm s 19 - 21 Heart Rhythms Resulting in SCA 21 - 22 AED Use & Defibrillation 22 - 23 Purpose & Benefits 23 Indication for Use 24 Contraindications 24 Safety, Storage & De livery Precautions 24 Post Treatment – Termination of Use 25 Transfer of Care 25 Documentation 25 Algorithms 27 CPR / AED Algorithm – 1 Rescuer 29 CPR / AED Algorithm – 2+ Rescuer 31 CPR / AED (with BVM & OPA) Algorithm – OFA Le vel 2/3 Attendants 33 Child / Adult Conscious Choking 35 Child / Adult Unresponsive Choking – 1 Rescuer 37 Appendices 39 Appendix 1 – Use of a B ag - V alve - M ask Device 4 1 Appendix 2 – Use of a Suction Device 4 3 Post Course Quiz 4 5 - 48 Glossary 49 - 5 1 Notes 5 3 - 5 4 PEAK E MERGENCY R ESPONSE T RAINING P REPARED FOR USE BY THE C ORPORATION O F D ELTA C ARDIAC A RREST M ANAGEMENT : AED P ROTOCOL T RAINING M ANUAL PEAK E MERGENCY R ESPONSE T RAINING P REPARED FOR USE BY THE C ORPORATION O F D ELTA C ARDIAC A RREST M ANAG EMENT : AED P ROTOCOL T RAINING M ANUAL 1 A C K N O W L E D G E M E N T S PEAK acknowledges the following individuals and organizations for their involvement, direct or indirect, with the development of this training manual: National Ski Patrol – Outdoor Emergency Care Lifesaving Society of Canada Global Medical Services – CAM 1(Holmes) Royal Life Saving Society (UK) H eart and Stroke Foundations of Canada Surf Life Saving Australia American Heart Association O PERATIONS , A DMINISTRATION AND I NSTRUCTIONAL T EAM : Jeffrey Burko (Executive Director) , EMA - 2, PCP - A, ACLS - P, EMT - I, NUEC 3 - IT, NUOFA 3 - IT, AP - IT, AWFA - I T , BLS - IT, AVI - OPS - 1 Emma Holden - Hindley (Operations Director), BA , P ARAMEDIC (UK) , BLS - I Terry Makos ( Corporate Liaison ) , C.P ED .C AN ., CSGA L EV 2, ACMG ( HIKING ), NUEC 3 - I , NUOFA 3 - I , AP - I, AWFA , BLS - I, AVI - OPS - 2 John Baril, PCP - A, AP - I, BLS - I, B . S C . Trevor Beckley, PCP, NUEC 3 - I , NUOFA 3 - I, AP - I , BLS - I Mike Bowman , PCP, NUEC 3 - IT , NUOFA 3 - IT, AP - I T, BLS - I, AVI - OPS - 1 Alison Harper, PCP, EMT - A, NUEC 3 - I , NUOFA 3 - I , AP - I , BLS - I Mike Haug, PCP, NUEC 3 - I , NUOFA 3 - I, AP - I , BLS - I, AVI - OPS - 1 Brad Herman, NUEC 3 - I, NUOFA 3 - I, AP - I , BLS - I, AVI - OPS - 2 Shelly Hicks, PCP, NUEC 3 - I , NUOFA 3 - I, AP - I , BLS - I, AVI - OPS - 2 Melissa Huntley , NUEC 3 - I, NUOFA 3 - I, AP - I , BLS - I, AVI - OPS - 1 Chelsea Kerr, NUEC 3 - I, NUOFA 3 - I, AP - I , BLS - I , A ST - 2 Brent Lon skii , PCP , NUEC 3 - I T , NUOFA 3 - IT, AP - IT, BLS - I, AVI - OPS - 1 Bernie Palmer, PCP, EMR, WFA - I, NUEC 3 - I , NUOFA 3 - I, AP - I , BLS - I, A ST - 2 Graeme Parke, ACP, PCP , NUEC 3 - I, NUOFA 3 - I, AP - I, BLS - I, AVI - OPS - 1 Chris Rhind, B S C . , P ARAMEDIC (UK) , NUEC 3 - I , NUOFA 3 - I , AP - I , BLS - I Clayton Skwarok, EMT - P, ACP, NUEC 3 - I, NUOFA 3 - I, AP - I , BLS - I, A ST - 2 Shauna Speers, PCP, NUEC 3 - I , NUOFA 3 - I , AP - I , BLS - I, AVI - OPS - 1 Phil Vaughan - Jones, P ARAMEDIC (UK), NUEC 3 - I , NUOFA 3 - I , AP - I , BLS - I Greg Golovach ( Technical Rescue Advisor ) , ACMG / IFMGA M TN . G UIDE , NUEC 3 , AP - P, BLS - P, AVI - OPS - 2 Derek Robinson ( Aviation Rescue Advisor), E CLIPSE H ELICOPTERS - OWNER M EDICAL D IRECTION AND O VERSIGHT T EAM : Dr. William Akeroyd Dr. Gordon Bird Dr. Steve Collyer Dr. Angus Gilchrist Dr. Bruce McKnight Dr. Hazel Park Dr. Stephan Samoyloff Dr. Michael Sloan Dr. Simon Ward The International Liaison Committee on Resuscitation (ILCOR) provides a forum between principal resuscitation organisations wor ldwide. The Canadian guidelines for the performance of emergency cardiac care (ECC) are based on the guidelines established by ILCOR. PEAK's Advanced Protocol Training Program adheres to the standards set by ILCOR. PEAK E MERGENCY R ESPONSE T RAINING P R OVIDED FOR USE BY THE C ORPORATION O F D ELTA C ARDIAC A RREST M ANAG EMENT : AED P ROTOCOL T RAINING M ANUAL 2 PEAK E MERGENCY R ESPONSE T RAINING P R OVIDED FOR USE BY THE C ORPORATION O F D ELTA C ARDIAC A RREST M ANAGEMENT : AED P ROTOCOL T RAINING M ANUAL 3 N O T I C E T O S T U D E N T Welcome to the Cardiac Arrest Management: AED Protocol Training Program developed by PEAK Emergency Response Training ( PEAK ) , a division of Peak Project Management, Inc. , for use by the Corporation of Delta. W e look forward to instruc ting you and we anticipate a rich, two - way exchange of knowledge and experience. To ensure that your educational experience is as beneficial as possible, we strongly urge you to commit the time to fully understand and assimilate the information contained in this Cardiac Arrest Management: AED Protocol Training Manual . It is as condensed as possible to ensure that you have to study only this essential information . To assist you further in this regard , ‘ essential information ’ has been identified in this manual by ‘KEY Icon ’ (immediately below). As such , sections containing this icon are considered to contain ‘essential information ’ and required to be successful in this course. The serious nature of th is protocol demands that the examination proces s accurately evaluates your integration of this material, to ensure that the AED P rotocol is initiated safely. N OTICE OF L IABILITY W E MAKE YOU AWARE OF THE FOLLOWING : This Cardiac Arrest Management: AED Protocol Training Manual is not exhaustive. It is designed to be used in conjunction with an extensive practical and theoretical training program. Candidates must demonstrate competency in a practical skills development session and achieve no less than 80% on a written evaluation to attain PEAK ’ s c ertification. Annual re - certification is required for maintenance of PEAK ’ s AED certification; as well , as 90 - day ‘skills refreshers’ in the first year following initial certification and bi - annual refreshers every year after . This Protocol has been spec ifically designed for the exclusive use by certified staff of the Corporation of Delta . Potential students must hold a current ( less than 1 year ) appropriate level CPR certification . No trained responder will be permitted to initiate the ‘AED Protocol’ without the written authorization of PEAK (certification). Th is ‘Protocol’ is as printed and carr ies no guarantee whatsoever. PEAK assumes no responsibility to any party for loss or damage caused by the information contained or by any omission in this Card iac Arrest Management: AED Protocol Training Manual .
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