emt-basic curriculum module 4

State of WisconsinEMT-Basic: A Practice BasedApproach to EMS EducationVII.a) Use of automated external defibrillationb) To request available ALS backup to continue the Chainof Survival (as developed by AHA) when appropriatec) Use of bag-valve-mask devices with oxygen attachedd) Use of flow restricted, oxygen-powered ventilatorydevicese) Techniques of lifting and moving patientsf) Suctioning of airwaysg) Use of airway adjunctsh) Use of body substance isolation for infections whennecessaryi) Interviewing bystanders/family to obtain facts related toarrest eventsj) Technique of performing proper compressionsk) Technique involved with delivering appropriateventilationsAutomated External DefibrillationA. Importance of automated external defibrillation to the EMT-Basic1. Fundamentals of early defibrillation - successful resuscitation ofout-of-hospital arrest depends on a series of criticalinterventions which the American Heart Association calls theChain of Survivala) Early accessb) Early CPRc) Early defibrillationd) Early ACLS2. Rationale for early defibrillationa) Many EMS systems have demonstrated increasedsurvival outcomes of cardiac arrest patients experiencingventricular fibrillationb) This increased survival was after early defibrillationprograms were implemented and when all of the links inthe chain of survival were presentB. AED usage for pediatric patients1. AHA guidelines support AED for patients over 1 year of age incardiac arrest2. Pediatric defibrillation pads are preferred3. Adult defibrillation pads may be bused if pediatric pads are notavailable – use anterior/posterior placement of pads if patient’schest is small4. AED is contraindicated in patients < 1 year oldC. Overview of automated external defibrillators1. Types of automated external defibrillatorsa) Fully automated - defibrillator operates without action byEMT-Basic, except to turn on powerModule 4-32