SEMI-AUTOMATED
EXTERNAL
DEFIBRILLATOR
(SAED)
❁ Also known as LIFEPAK 20e
❁ Biphasic Defibrillator
❁ Fitted with cardiac rhythm system that senses and
records the heart rhythm
❁ Shock is delivered by two adhesive pads called
Quick Combo pads that are positioned on the
patient’s chest (Anterior-Lateral position).
POSITION OF QUICK
COMBO PADS
WHAT ARE THE SIGNS OF
CARDIAC ARREST?
CODE BLUE
Unresponsiv
e
Not Breathing
And or No pulse
of other signs of
circulation
MANUAL MODE
❁ Used by PHYSICIAN
ONLY
❁ Used for patient who is less than 8
years of age and/or with a body
weight of less than 30 kilograms
❁Monitoring, Defibrillating, External
Pacing, Synchronized Cardio Version
AED MODE
❁Used by COMPETENT NURSES
❁Used only for patients 8 years and
older and weighing more than 30
kilograms
❁Monitoring, Defibrillating
WHAT ARE THE THINGS TO
CHECK:
Battery
Pulse Oximetry
ECG Printing and
Loading of paper
Alarm Setting
USER TEST AUTO TEST
❁Performed ONCE ❁Will AUTOMATICALLY
PER SHIFT by performed at 3am in
NURSES the morning
DEFIBRILLATION
Produce TEMPORARY
ASYSTOLE/FLAT LINE
Also provides an
opportunity fo the SA
node to resume normal
activity.
WHY WH WH
? EN? O?
VENTRICULAR Life-threatening Everyone
FIBRILLATION cardiac rhythm who is
compentent
PULSELESS
VENTRICULAR
TACHYCARDIA
GENERAL SAFETY ISSUES
Quick combo
pads
Defibrillation
“STAND CLEAR”
Competent Staff
CRASH CART
WHAT IS A CRASH
CART?
A CRASH CART/CODE CART
is a set of
trays/drawers/shelves on
wheels
Equipped by emergency
medications/equipments that
are use for medical
emergency or code blue
Position: At the head part of the
patient facing the doorway of
the room.
Not responsive Responsive /
No breathing Unresponsive
and/or no pulse Breathing and
CPR needs to be pulse are present
started Immediate medical
immediately attention
CRASH CART CONTENTS
Intubation trays
1st Line of Medication
2nd Line of Medication
Airway Management
Miscellaneous
IV Therapy
BP / O2 Masks
AIRWAY MANAGEMENT AND
VENTILATION
Most critical step during the
initial assessment of the
patient.
Passage for oxygen to
enter the body
Common cause of airway
obstruction: (unconscious
•
patient)
It is when the tongue falls back and rests
against the posterior pharyngeal wall
MANEUVERS TO RELIEVE
AIRWAY OBSTRUCTION
Head-Tilt/ Chin-Lift
Jaw-Thrust Maneuver
OROPHARYNGEAL AIRWAY
Unconscious patient
Do not insert in a patient with a gag reflex
HOW TO KNOW WHAT
OROPHARYNGEAL SIZE TO
USE:
HOW TO INSERT?
SAFETY PRECAUTION
Always suction prior to
insertion of oropharyngeal
airway
Pre-oxygenated patient for
30 seconds.
Maximum duration for
suction is 10 seconds.
LAERDAL POCKET MASK
Designed for mouth-to-mouth ventilation of non-breathing patients.
pictures
AMBU BAG (BAG-VALVE-
MASK UNIT)
Maintain ventilation lung during resuscitation
To administer supplemental oxygen
ENDOTRACHEAL
INTUBATION
Defintion
Done by anes.
Indication for Endotracheal Intubation
Total collapse of cardio-respiratory system
Loss of protective airway
Acute respiratory distress
Anaphylactic shock
Major trauma
Drug overdose
Patients that need assistance with breathing
Surgery under GA
Transporting unstable patient to another
facility
ENDOTRACHEAL TUBE
May be cuffed or un-cuffed (infants and children up to 6 years of age)
Assisting with the procedure
Correct sized suction catheters
Correct size of the laryngoscope blades and with working light
Endotracheal tube kit are available
AIRWAY SUCTIONING
Application of negative (vacuum) to the airway through a collecting tube.
Suction Pressure Suction size catheter
Adult: 100– 120 mmHg
Children: 80 – 100 mmHg Newborn:
Infants: 60 – 80 mmHg
Points to Remember during the suctioning
Complication of sunctioning
Pictures of equipment intubation
LARYNGOSCOPE
definition
Types of blades
Curved Blades (Macintosh)
Straight Blades (Miller)
1ST LINE OF MEDICATION
Epinephrine (Adrenaline)
Atropine
Lidocaine
Magnesium Sulfate
Adenosine
INTRAVENOUS ACCESS
Antecubital vein
Site:
MOCK CODE
BLUE