TL;DR
CPR and AED: Chest compressions and ventilations during cardiac arrest combined with defibrillation.
CPR and AED
Definition
Chest compressions and ventilations during cardiac arrest combined with defibrillation.
Equipment & Tools
Equipment used in cpr and aed assessment and treatment:
- BVM
- Bag-valve-mask for manual ventilation. Available sizes: Adult (1500mL), Pediatric (500mL), Infant (250mL)
- AED
- Automated external defibrillator for VF/pVT. Available sizes: Adult pads (over 8yo or 25kg), Pediatric pads (under 8yo or 25kg)
- Waveform capnograph
- Measures end-tidal CO2 continuously with waveform display. Available sizes: Mainstream (inline), Sidestream (sampling)
- King airway
- Supraglottic blind-insertion airway device. Available sizes: Size 3 (4-5 ft), Size 4 (5-6 ft), Size 5 (over 6 ft)
Safety Considerations
Field safety for cpr and aed includes scene assessment before patient contact. Ensure BSI (body substance isolation) precautions are in place. PPE selection depends on the mechanism and suspected pathogens. Gloves are the minimum; add mask and eye protection for splash risk, N95 for airborne pathogens.
Never approach a scene involving hazardous materials, violence, or structural instability without proper resources and clearance from incident command.
Differential Diagnosis
When assessing cpr and aed, use structured assessment tools to differentiate between possible causes:
SAMPLE: Components: Signs/symptoms, Allergies, Medications, Past history, Last intake, Events. Scoring: Mnemonic for patient history gathering.
OPQRST: Components: Onset, Provocation, Quality, Radiation, Severity, Time. Scoring: Pain assessment mnemonic.
Assessment Techniques
Assessment techniques for cpr and aed:
- Trauma Score
- Components: GCS, Systolic BP, Respiratory rate. Scoring: Revised Trauma Score: coded values 0-4, sum correlates with survival probability
- Glasgow Coma Scale
- Components: Eye opening (1-4), Verbal response (1-5), Motor response (1-6). Scoring: 3-15, 8 or less = severe, 9-12 = moderate, 13-15 = mild
Workplace Applications
In daily practice, cpr and aed is applied consistently according to facility protocols and current evidence-based guidelines. Competency is maintained through annual skills validation, continuing education, and quality improvement participation.
Why It Matters
CPR quality and AED operation are foundational NREMT skills.
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