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SECTION VII<br />

MEDICAL AND CLINICAL POLICIES<br />

Automated External Defibrillator (AED) Policy<br />

Automated External Defibrillators (AEDs) have been shown in a variety <strong>of</strong> cases to<br />

greatly increase the chance <strong>of</strong> survival during a cardiac emergency. Every minute that<br />

defibrillation is delayed decreases the victim’s chance for survival by 10 percent. Both<br />

the American Red Cross and American Heart Association support the use <strong>of</strong> AEDs and<br />

suggest they be present and available as much as possible.<br />

“Cardiac Chain <strong>of</strong> Survival”<br />

The American Red Cross (ARC) and American Heart Association (AHA) suggest a<br />

“Cardiac Chain <strong>of</strong> Survival” that must be implemented in order to maximize a victim’s<br />

chance <strong>of</strong> survival. These steps include:<br />

1. Early recognition and early access to Emergency Medical Services (EMS)<br />

2. Early CPR<br />

3. Early defibrillation (AED)<br />

4. Early advanced medical care<br />

Cardiopulmonary Resuscitation (CPR) helps to supply oxygen to the brain and other vital<br />

organs. It also increases the chance for a shockable heart rhythm once the AED arrives,<br />

especially if it is more than 4 minutes since the victim collapsed.<br />

Definition <strong>of</strong> an AED<br />

An AED is a machine used to analyze a victim’s heart rhythm and deliver a shock, if<br />

necessary. The shock that is delivered is called defibrillation. The two most common<br />

shockable abnormal rhythms are ventricular fibrillation (V-fib) and ventricular<br />

tachycardia (V-tach). Not all heart rhythms are shockable and defibrillation is not<br />

designed to restart a heart that has no electrical activity.<br />

Indications and Contraindications <strong>of</strong> using an AED<br />

There are several indications and contraindications that a rescuer should be aware <strong>of</strong><br />

before using and AED:<br />

<br />

AEDs should only be used when a victim is unconscious and presents with no<br />

breathing and no pulse.<br />

AEDs should NOT be used on children under 8 years <strong>of</strong> age or less than 55<br />

pounds UNLESS you are using a pediatric AED or pediatric pads.<br />

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