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Automated External Defibrillator History

In the Official Gazette of 21 September 2006 the Law on automated external defibrillation. Under that law, "Everyone in the context of a CPR an automated external defibrillator use ... '. Belgium follows the trend of most industrialized countries.
aed defibrillator

Immediate defibrillation is the cornerstone of treatment of cardiac arrest (pulseless ventricular fibrillation and tachycardia). The faster defibrillation after the start of the cardiac arrest takes place, the better the survival. When ventricular fibrillation in emergency departments and intensive care for the success of defibrillation is almost 100%. If a cardiac arrest outside the hospital is done, the success rate is much smaller.

In Belgium, an estimated 10,000 people a sudden cardiac arrest outside the hospital. Usually, as a result of a myocardial infarction. That is an acute lack of oxygen to the heart muscle by narrowing or blockage of a coronary artery to the heart with blood. This may lead to fatal heart arrhythmias occur: ventricular fibrillation.
At that moment the heart is not really silent, but it will be fast and trembling. There will be no more blood is pumped round in the body. The brain does not get more oxygen and the victim loses consciousness almost immediately. There is only one way to stop the fibrillation and the heart to pump again: administering an electric shock (defibrillator definition =).

Automatic Implantable Cardioverter Defibrillator


The development of the particular Compact disc has been developed from Sinai Medical center inside Baltimore by a team such as Michel Mirowski, Morton Mower, as well as William Staewen.[a couple of] Mirowski teamed up along with Trimmer and also Staewen and also together these people commenced their particular research inside 1969 however it has been 14 many years before they taken care of their particular very first affected person. Related developing work had been carried out nearly coincidently by Schuder and also co-workers on the University of Missouri.

Higher than a 10 years of investigation travelled into the growth and development of a great implantable defibrillator that will immediately perception the oncoming of ventricular fibrillation and supply an electric countershock inside fifteen–twenty just a few seconds, converting the rhythm to be able to nose beat. Improved variations had been programmed to be able to identify ventricular tachycardia, often a forerunner associated with ventricular fibrillation. We were holding next referred to as implantable cardioverters.
The work has been started against much skepticism also through top specialists in the field of arrhythmias and abrupt passing away. There was question which their suggestions might ever be a scientific fact. Iin 1975 Bernard Lown, the actual inventor with the outside defibrillator, stated in the journal Circulation - "The very uncommon affected person that has frequent bouts of ventricular fibrillation is better taken care of inside a coronary thrombosis treatment unit and is also better offered simply by a highly effective antiarrhythmic drug program or perhaps operative correction regarding inadequate coronary blood circulation or even ventricular failure. Iin reality, the implanted defibrillator program represents a great unfinished remedy in search of the plausible and also request".

The issues being conquer were the style of your system which will permit diagnosis regarding ventricular fibrillation or even ventricular tachycardia. Regardless of the insufficient financial backing and grants or loans, these people endured as well as the first device has been incorporated inside Feb 1980 from Johns Hopkins Hospital simply by Doctor. Levi Watkins, Jr .. Modern day IDvds do not need a thoracotomy and have tempo, cardioversion, and defibrillation abilities.

Internal cardioverter defibrillators are also utilized 2 times inside dogs to prevent sudden passing away through arrhythmia. The very first defibrillator had been inserted from California Condition University by a staff associated with cardiologists led through Medical professional Lynne Manley in 2002. The patient would be a Kick boxer puppy with life-threatening arrhythmias through arrhythmogenic right ventricular cardiomyopathy, an inherited disease. On This summer 21, 08, a second ICD had been incorporated in the 6-month-outdated German born Shepherd dog together with inherited ventricular arrhythmias. The actual 5-hour lengthy surgical procedure occurred at Louisiana State College and had been led by Dr Romain Pariaut. Up to now, these types of animals would be the only 2 customer-owned dogs which have obtained this type of high-technical remedy.

Pacemaker Defibrillator Surgery

  • Absolutely no cigarette smoking
  • Simply no ingesting
  • Don't deliver virtually any possessions
  • Maintain all your medicines your day regarding surgical procedure

Surgical procedure to embed the pacer is considered a minimally invasive process. Icapital t isn't an open coronary heart surgical treatment.  The operation is typically carried out in a OR or in the heart catheterisation laboratory.  Icapital t is very important Never to bring any kind of belongings the afternoon of your procedure.  A great intravenous (ISixth is v) line will be began and medicine(s) will probably be placed through that IV for example sedating medication and also/or even medicines.  You'll be put on the particular OR or catheterisation lab stand.  The particular sedative that could be given is always to assist you to relax or perhaps achieve a the twilight series sleep condition.  When the what about anesthesia ? becomes effective, the chest is going to be ready having a unique solution to eliminate germs that could be about the pores and skin, and your system (as well as your confront) will probably be engrossed in sterile curtains to help keep the actual incision since thoroughly clean as you can. In addition for the sedating, local anaesthesia is offered in order to numb the region with the chest the location where the procedure is completed, letting you continue to be conscious even though the surgery is conducted without pain.

The task starts with the attachment from the wires (leads) in which connect the device to the of one's center. The actual wires are usually threaded by way of a problematic vein within the upper chest and also put into the right atrium or correct heart ventricle with the center exactly where they may be put utilizing a type of times-re picturing which allows Medical professional. Solanki to see wherever the actual wire connections have reached all times.  Charge will be connected to the internal top of the coronary heart chamber utilizing small screws or tines. Ifarreneheit there is more than one lead, then your process will be duplicated. The actual wires, which are attached to the center, are attached to the particular pacemaker.   A tiny reduce (section) is manufactured inside the torso wall structure just beneath the particular clavicle to produce a small surgical wallet. The main entire body of the pacer is then placed into the operative wallet created underneath the collarbone.

The pacesetter will be tested to ensure it is functioning effectively.  As soon as Dr. Solanki decides that the cables will be in the correct spot and the pacesetter will be operating appropriately, the particular incision will be closed with stitches or mastic pieces. The complete process requires approximately one hour.

What to anticipate after the surgical procedure?

Even though the genuine surgery to place a pacesetter is a minor method, an overnight stay in a medical facility is usually needed. This is achieved so the perform of the heart may be observed at close range inside the hrs after surgical procedure.

Defibrillator Definition

This can be a device used in treating life-intimidating disturbances with the tempo from the heart beat which might happen because of cardiac arrest or a number of serious accidents or even health problems. Its effect is always to ‘reset to zero’ the particular electric exercise from the center with the aspiration the organic pacer tissue are able to regain charge of the beat. Defibrillation using household power, in the form of a great unsynchronised countershock, is usually the only method to halt ventricular fibrillation. The actual countershock from the defibrillator produces a sustained synchronised innervation (and hence contraction) of all cardiac muscle fibres, that may end ventricular fibrillation and other irregular tempos.

Defibrillator Definition

The actual countershock will be used by demanding some control upon everyone of 2 defibrillator ‘paddles’ placed on the chest area wall structure. Organization stress is placed on these paddles to make sure excellent electrical experience of skin; this also causes air out from the bronchi to take stomach wall in nearer experience of the center. While the shock is discharged, the sufferer often ‘advances’ due to the fact engine nervousness as well as cadaverous muscle tissue are usually at the same time, unavoidably stimulated.

Portable Defibrillator For Sale

There's no must panic any time there are defibrillators for sale. You never even have to concern yourself with not near a medical center. İts not all personal or perhaps transportable device nevertheless is similar. You need to know those that might be best purchases.

Types of Defibrillators

Almost all defibrillators are made to deliver existence-saving shocks with a individual in stroke. Not everyone nevertheless can easily operate all sorts of defibrillators. Nursing homes, ambulances along with other health-related health services typically have handbook or even semi programmed defibrillators which simply experts, medical doctors as well as paramedics can operate. They often have to assess the situation of your individual initial prior to choosing simply how much shock is necessary. There are also implantable defibrillators which might be suitable for some sufferers according to their particular conditions. Professional reply with the proper devices always requires precession over lay down involvement as well as programmed residence defibrillator use.
Portable Defibrillator For Sale

Defibrillators with regard to Use at home

Automated defibrillators provide beneficial and well-timed help. İt is because healthcare employees are not usually close to to reply to be able to essential scenarios. The only issue is ensuring you've got a great product that won't disappointed you as it's needed. Follow this advice to take into account in making your choice:

Portable Defibrillator Prices


A portable defibrillator expense is composed of a carrying-circumstance, a set of scissors used to reduce clothes which could hinder the location regarding electrodes, the throw-away razor blade to eliminate your hair from your upper body, and a throw away towel to remove shaved hair. It also has glue sections for youngsters and adults to install the particular electrode qualified prospects.
Portable Defibrillator Prices

It already includes a battery and also at times a memory to be able to store information just like ECG readings, the amount of bumps, and so on. The actual registered information will certainly perform a helpful research into the sufferers scenario offering useful details to medical responders and forensic conditions. These devices alone consists of a electric battery, the DC/Alternating current ripping tools, the capacitance, result signal, electrode leads, and also the control device.

Aed Defibrillator Comments Series -1-

Almost 35 years and is now American Heart Association CPR Training Center taught me to have a head. 5 years of my instructors has reached the top 4 AED trainers, but each of them prefers to use the Philips Medical HeartStart. Other trainers gather dust. Philips AEDs line HeartStream began in the late 1990s and the first FDA-approved children's shoes (American Airlines), to put AEDs on airplanes for the first FDA-approved biphasic (2 lines) shocks, the first was on the market currently only AED officially American Dental Association and approved and the first to be able to buy without a prescription from a doctor.
Aed Defibrillator

Only a few years ago, given that AEP cost about $ 5,000, the price makes it a robbery! If you have a loved one at home with a sick heart, this device is for you! No device guarantees success, and this machine will not help a heart attack, but sudden cardiac arrest (complete arrest of the heart) Remember that the best chance for those shows. But if you buy it, please join HeartSaver AED training course, take the time to be trained in their use - the use of AED AHA "Chain of Survival", only four golf courses.

You are going to the American Heart Association Web site or the Training and Education Center near you or find a course near you call Philips customer service by searching.

Aed Defibrillator Training

The Welch Allyn AED 10 Defibrillator is a compact portable defibrillator which comes surrounded in a Soft Covering Transporting Situation. It has an intuitive style and effortless to follow guidelines in case of an crisis.

It’s construct in accordance to the American Heart Association standards while still having a small size which enables it to be employed basically anywhere. It operates regular self-checks in purchase to be always in optimal disorders to be utilized if required. There is no preservation necessary since the in-create program takes treatment of every thing.

The Philips Heart Start Defibrillators

I live every hockey arena in the city (we have 17 hockey rink arenas and 8) the site has a Philips Heart Start Defibrillator. Why? because they save lives. A player, spectator, parent or grandparent in the construction of the case of sudden cardiac arrest, the use of a defibrillator increases the odds of survival.

cardiac arrhythmia, the heart can cause cardiac arrest is an abnormal electrical activity. A defibrillator to the heart to restore the natural rhythm of the heart gives a small amount of electricity defined.

Automated External Defibrillator (AED also known as) without a training unit of the successful use of a spectator, so designed. AEDs are simple to use and to determine if the individual is actually a heart attack are computer programmed to evaluate the person's heart. Heart Start, and provide instructions calmly walk through the process uses a clear, natural sound. To ensure the safety of its most sensitive of the heart using a combination of high doses of low power consumption.

Defibrillators large groups of people gathered, government offices, gymnasiums, stadiums, public access buildings such as airports and railway stations are available. automatic defibrillator on the residents of our community gives you more training, more lives will be saved.

Portable Defibrillator Reviews

portable defibrillator to the onset of the various emergency measures to save lives in the special effects and a cardiac defibrillator, sudden cardiac arrest in general, now with the tragedy of death, to help fight al.

A defibrillator is a device developed a stroke or heart attack, a fibrillation or irregular heart beat brought to the fight. This irregularity causes the heart to stop receiving enough blood can cause sudden death if not treated properly.

Heart defibrillator for a return to a more manageable pace and rhythm designed electronic shocks to stimulate offers. In particular, an electrical current through electrodes on the body of the channel is positioned in the heart or chest paddles. Muscle spasms or tremors are valid reasons for the heart, and hopefully ends any fibrillation, the threat of flow pulses.

In the heart of the heart defibrillator use in the past only to physicians and emergency medical technicians were used. Cumbersome and difficult to use the device in the hands of dangerous for all, but an educated professional, and usually not seen outside of a hospital or medical center. However, smaller, more easily, with the development of the use of portable defibrillators, regular citizens can be called upon to be lifesavers.

This automated, portable defibrillators used by normal people, the risk is associated with a lot. Most importantly, they wonder whether or not capable of assessing the needs of the patient, even with an electric current, and if it comes, will pre-determine the power or power level yet. The determination of a person can not override the computer, at least potential for abuse.

In addition, the lightweight and portable nature of his latest storage and use of defibrillators in public places, including schools, communities, boarding, airports and sporting events makes the perfect number.

Zoll best known makers of portable defibrillator products, life is easy, even for the procedure to save a person has no medical training or background of the device is minimal.

The latest Zoll models specifically for public access and a laptop with a great sound with fully automatic control and is designed more as instructions. They automatically detect what treatment, if necessary, and for patients to give specific, step by step instructions on how to provide appropriate care. until proper medical aid can provide security guards, flight attendants and office manager minimally trained lay the possibility of cardiac arrest or death of patient care at least claim to use portable defibrillators.

Experts portable defibrillator at home in a brief discussion on the merits, however, no life saving measures for victims of cardiac arrest outside the hospital setting, are increasingly denied access to benefits. Approximately one million Americans who die each year from cardiovascular disease, sudden heart failure victims the opportunity to fight with all kinds of measures should be considered a good thing.

Portable Defibrillator News

Time and again portable defibrillator reviews at the beginning of a new year, many people have the sense to eat on Christmas fat and round and moves far too little to have. That is why for many of the most important good resolution for 2010, which portable defibrillator have extra pounds down. Finally, spring is coming and no later than May to the beach body be achieved. Against this background, the defibrillator boom. The promise of many seem tempting: "10 pounds in 14 days" or "Eat as much as you want and take portable defibrillator implant it off anyway". But often the initial euphoria quickly follows the disillusionment, white medicine journalist Sven David Mueller www.imedo.de of Health Portal. Nutrition programs consisting of dishes that do not always taste the same or have the appetite to " portable defibrillator grow old " and the relapse is inevitable. And often in addition to the so-called yo-yo effect, according to the weight reduction after a temporary increase very portable defibrillator quickly - often to an even higher level than before the. The yo-yo effect risk, particularly during Lent and other protein or protein-poor crash, portable defibrillator aed informed Müller.

Importance of a portable defibrillator about
For a successful and lasting weight loss is necessary, above all, a balanced portable defibrillator. This includes not only the conscious abandonment of too-fat meal, the adequate intake of portable fiber, which occur particularly in fresh fruit and vegetables, whole grains and legumes. Fiber plenty of food, portable defibrillator but not fat. In addition, fiber-rich foods contain many of the body with essential vitamins and minerals. Defibrillator's often lead to unbalanced defibrillator, which may even endanger portable defibrillator your health. Because it can lead to nutritional deficiencies. Miracles can not accomplish a balanced portable, but a consistent change of and lifestyle can lead to permanent portable defibrillator and a better body awareness, promises Müller.

Portable Defibrillator Explanation

In Germany, liposuction portable defibrillator in men and women of the most common interventions that are made in beauty clinics. More than 20,000 people annually in Germany can suck fat. However, other surgical procedures such as chest-tightening, wrinkles, eyelid, nose and ear surgery or scars take markedly in defibrillator Germany. People take more and more the possibilities of modern medicine for their bodies to complete.

Reasons for liposuction
The classic indication for liposuction portable defibrillator are sportresistente diet and fat deposits, which are often justified by a familial or genetic predisposition. The patients concerned are their fat accumulation, despite diet and exercise just does not matter. In these cases, including liposuction defibrillator on stomach, be useful to turn fat into beating liposuction on the hips and liposuction of the saddlebags on the thighs. Typical areas of liposuction in men and women are somewhat different. In women, the chin and neck, upper arms, the belly (bacon), defibrillator the hips (turn fat into beating), the thighs, portable defibrillator the thighs, knees, calf and ankle area of the most frequently operated areas. In men, are the chin and neck, chest, belly and waist in the foreground.

Reasons for breast surgery
Breast surgery (breast augmentation, breast reduction or breast lift) are among the most common surgical procedures in aesthetic portable defibrillator plastic surgery. A harmonious breast must fit the proportions of women in size and shape. Both too little or too great a Hängebrust breasts often appear defibrillator strange or not, of course.

This is a Portable Defibrillator

The right portable defibrillator motivation
But many of these projects fail after a few days defibrillator or weeks. Often the motivation is lost too quickly or was portable never really there. The giving up of smoking from today to tomorrow not succeed if the smokers are defibrillator not entirely clear about whether they really want. From the outset doomed to failure is a "Fremdmotivation" with the slogan "I want to quit smoking, because my partner portable said medicine journalist Sven David Mueller.

Concrete portable defibrillator intentions
Another reason for the failure of good intentions are often portable imprecise targets. How do people want to eat healthier if you defibrillator do not even know what that means exactly? It is better, for example, make, an apple each morning, afternoon and evening, a banana, two tomatoes is portable to eat. This is a concrete action that can lead to the desired goal to eat more healthily. Health-formulate their goals in concrete defibrillator terms. Likewise, it is not enough to want to move more. Instead, look for Bewegungswillige of two or three solid days of the week, like jogging portable in which they. Loading times then the weather should not be running one, a "Plan B" be at hand, for example, go swimming defibrillator or play badminton.

Achievable portable defibrillator
Just as important as the actual portable wording of the goals is that they must be reachable on their own. Those who argue with his partner defibrillator and his partner would like less or more time with him / her want to spend, does not reach alone and without the will of the other. Because it takes two. The desire to portable avoid stress is unrealistic. The stressed-out employees are not relaxed defibrillator from 1 January better suddenly. What he can change, however, is his handling of stressful situations. Thus, the manager, for example, on the way home from work and take a long walk defibrillator off there ". Once home, the stress should be dropped and relaxation occur gradually. In his free time, the Stressed busy with something that does him good and pleasure. This portable may be reading a book, like the cinema with friends or the insertion of the favorite CD.

Defibrillator's History

Portable defibrillator by electrical shock, which dates from 1788 when the first attempt resuscitation, and how the concept, but of course beer. Rhythm diseases responsible for sudden death in 1849, was Ludwig and Hoffa and the period of fibrillation is suspected by the French made in 1874 by Edme Vulpian.

In 1899, we can and with an electric shock ventricular fibrillation go, can not remember the last team standing.

In late 1940, Carl Wiggers first system tests on animals.
Claude Beck in 1947 on his heart during surgery, the first of alternating current defibrillation was a success. Naum Gurvich in 1939 proved that Portable defibrillator the use of DC is more efficient and less dangerous. This technique common in the USSR than in Western countries, only a few decades later will be used. Biphasic shock also require testing. Since 1952, this and the first external defibrillator designs.

In 1959 Bernard Lown performs the first shock for the reduction of atrial fibrillation. He will be introduced by the current Western defibrillation technique, used today.
The first external pacemaker in 1960 in Paris, was built at a Defibrillator. Meanwhile, Bernard Lown, or ventricular fibrillation, ventricular tachycardia (defibrillator used to treat the first) is.

In 1966, an ambulance palc adjustable Portable defibrillator and portable systems outside the hospital were produced. Early models, about 70 kg, but soon progs with miniaturization days below 5 kg.

Portable Defibrillator And Manuel Defibrillator History

Defibrillator is a device used to give electric shock, portable defibrillator, to make the heart beat back to the person who suffered cardiac arrest, such as ventricular fibrillation or ventrikeltachykardi (common forms of arrhythmia).

Manual defibrillators found only in hospitals or ambulances, and there are those we are accustomed to seeing in films and portable defibrillator television programs, which loaded and fired the charge of a trained person, nurse or doctor via the so-called paddles. Paddles placed over the patient's heart in the chest and the voltage can be set manually for the desired effect.
Semi-automatic defibrillators are now on the other hand, more and more places in the community, they provide spoken instructions and can be used by the majority regardless of previous knowledge. Typically, the housing portable defibrillator of the defibrillator are pictograms that guides and helps to ensure that everyone can use it. When it started since the defibrillator gives spoken instructions and exhortations that helps to properly perform defibrillation. You then connect the electrodes to the chest suffered as shown on the defibrillator and those passing through an electric shock through the heart to try to get it beating normally again.

There are a number of security portable defibrillator software in the defibrillator that does not allow the electric shock is given if the patient is unconscious and has suffered a cardiac arrest. Only if the defibrillator detects a ventricular fibrillation or ventrikeltachykardi is delivering on an electric shock. The time to first defibrillation is crucial for the survival chance for cardiac arrest, according to the Swedish Council for CPR decreases survival chances by 10% for each idle minute. Ideally, defibrillation within three minutes. Semi-automatic defibrillators should not be used on children under one year and preferably portable defibrillator with reduction device for children between one and eight years of age. For children, there are specific defibrillators or electrode plates when working with less voltage then tailored to a child's body mass.

Manual defibrillators
DC shock delivered from a capacitor in the external defibrillator and this must be recharged just before the DC shock should be given. The external power conversion capacitor can be charged as high as 7500 volts. The amount of portable defibrillator energy that emit specify in Joules (J, 1 J = 1 WAS (watt seconds)), and this energy release in approx. 5 ms. In the shock arises only capacitor in the defibrillator that is connected to the electrodes and the patient so that the damage to the electronics of the defibrillator avoided.

Defibrillator is used always by portable defibrillator ventricular fibrillation. It is very important to give DC shock as quickly as possible with witnessed cardiac arrest due to ventricular fibrillation, because the previous one does the better the chance to convert the arrhythmia. Recent research shows that the circulatory failure that has lasted for more than five minutes, it would be beneficial to engage in cardiovascular resuscitation (CPR) for a period first. In the recent past has biphasic defibrilatorer become more common. This means that the machine shall submit two shocks, one in each direction between the electrodes, to ensure a complete discharge of the heart.

Semi-automatic defibrillators
Semi-automatic defibrillators (Eng: Automatic External Defibrillator (AED)) are modern machines that are programmed to detect the two common forms of shock only arrhythmia, ventricular fibrillation and ventrikkeltachychardi. The portable defibrillator operators of these machines need not be health professionals, and delegation issued by the administrator physician on the basis of approved courses with NRR-approved instructor. The operator need only turn on the defibrillator, attach electrodes correct the patient's chest so the machine will analyze the heart rhythm and give instructions about what to do. If the machine is recommended shock will charge kapasitatoren and voice and light signals tell the operator portable defibrillator that the machine is ready to give shocks. The operator must press the button to submit a shock, this in order to prevent others in contact with the patient when the shock emitted, and to prevent errors indicated shock. They typically emit 180 Joule, and can seldom be charged to more than 2300 volts.

Such systems are increasingly deployed in hotels, shopping centers, transport hubs and the like, and personnel work at the appropriate places taught the use of these. The hope is that this long term, to reduce sudden death from cardiac arrest.

Fully automatic defibrillators
Fully automatic defibrillators both analyze, portable defibrillator charge and capture shocks without any user interaction than the operator must connect the electrodes and turn on the appliance. There are limitations no clinical studies that indicate that such defibrillators are neither more nor less effective than the semi-automatic. However, there is consensus (Guidelines 2005) that such machines should not be used outside of portable defibrillator health care until further studies, and authoritative opinions about the safety of those present. There is the potential that such defibrillators can ensure faster delivery of the first shock, but you lose the user control you have with the semi-automatic.

Internal defibrillator (ICD)
For patients with heart disease or Congenital heart defects may be a solution to be operated in a fully automatic defibrillator. More and more portable defibrillator Norwegians are implanted defibrillator. Defibrillator can send indispensable electric shock when the heart stops and is a very effective way to prevent sudden death.

Defibrillator box, which is longer and thinner than a matchbox, attached to the heart via an electrode in blood vessel. Patients receive local anesthesia during the operation, sometimes a general anesthetic. The procedure takes portable defibrillator an hour, and the patient can usually discharged the next day. A small computer in the implanted box analyzes the heart rhythm continuously, and is prepared to intervene if necessary.

In the case of heart running amok (ventrikkeltachycardi), sends out an electric shock of approx. 32 joules. If the heart stops completely (ventricular fibrillation), it sends also a shock of 32 joules and can act as a pacemaker. Heart portable defibrillator activity and any intervention from the defibrillator is always recorded so that the cardiologist can read this at the next consultation.

Defibrillation On The Portable Defibrillator

Should patients over an only portable defibrillator temporarily existing, elevated risk are protected for life-threatening, rapid heart rhythm disturbances, for example, before implantation of an ICD or CRT-D, they can be protected) by a defibrillator vest (wearable cardioverter-defibrillator, WCD. This is in addition to existing Tachyarrhythmierisiko with unknown sequence or persistent risk to bridge a period in which the patient is inoperable, apply.

The WCD is a therapeutic device, which consists essentially of two components. The right has on the skin of the upper body electrode belt to be worn four ECG electrodes and three electrode therapy. The cable transmits two ECG leads for cardiac rhythm monitoring on a monitor device, the actual defibrillator.

Upon detection of a malignant arrhythmia fast portable defibrillator the device automatically starts the treatment mode. This is visually, acoustically and through a vibration alarm signals directly to the patient and the environment. Responds the patient because no loss of consciousness, the necessary treatment procedure is performed automatically by the defibrillator vest.
In the unconscious patient is in the rear and below the left breast sedentary life-saving shock therapy to the electrodes. This is on account of loss of consciousness for the patient and thus do not appreciably painless.

Unless portable defibrillator the patient during therapy alarm is still conscious, he suppressed by means of two response keys a shock. In a later loss of consciousness, he can not press more buttons, the reaction and the device then continues the treatment mode to saving electric shock.
Stops the fast rhythm disorder by itself, the WCD terminated automatically after normal ECG signal is detected the treatment process.
All critical rhythm events are stored in the monitor by the attending physician and are available on an Internet database.

The city of Amsterdam has also made defective defibrillator a similar study: the areas covered were alternately
experimental area: firefighters and police officers were equipped with DSA (1063 policemen and 586 firemen trained), and were activated one minute after the ambulance paramedic (due to the time of transmission of information);

control zone: normal intervention procedure, only one ambulance was sent paramédicalisée.
In approximately 66% of cases of cardiac arrest occurred before witnesses (469 cases in total), the victim was in ventricular fibrillation on arrival of the DSA. The integration of DSA in vehicles of firefighters and police helped to shorten the response time of 1 minute 40 seconds (time between cardiac arrest and delivery of shock). The public access defibrillator time of implementation of DSA was about 2 ½ minutes for both groups (time between arrival and the issuance of the first shock). In both groups, 44% of patients who received the shock in less than 5 minutes have survived, which shows the importance of early defibrillation.

However, if the rate of recovery of spontaneous cardiac activity was better in the experiment group, the survival rate after hospital stay was almost the same. This is mainly attributed to the low gain of recorded time, especially due to the time portable defibrillator of transmission of information.

Portable Defibrillator Description

The Portable defibrillator is usually composed of the following:
carrying case;

a pair of scissors to cut clothing that might interfere with the installation of electrodes;
a disposable razor to remove hair from people with high hair and get a better contact and better adhesion between skin and electrode;

Portable defibrillator disposable towels to remove hair shaved or wipe the victim in the case of a drowning example;
one or more patches adults and children. These self-adhesive electrodes are placed on the chest of the victim and used to analyze the heart rhythm and, if necessary to get a shock;
one or more batteries. The defibrillator ready contains a battery already in place, but the emergency services have in store for if they should link together multiple interventions;
the housing receiving the defibrillator batteries. On him that connects the electrodes. It is equipped with a loudspeaker to guide the user through voice instructions.

The camera settings are locked, the only possible actions are turn on and off, and deliver shock if the device requests (in the case of a semi-automatic defibrillator).

The device has a memory card type flash memory recording the operating parameters: electrocardiogram (analysis of heart rate), the sequences of defibrillation (the number of shocks), and for some models with ambient sounds the voice of the rescuers. The recorded data will conduct a retrospective analysis of the situation, providing both information from the medical service on the therapeutic process to be undertaken and the monitoring of equipment monitoring and forensic provisions.

There are two types of devices:
Semi-automatic defibrillator (DSA): the rescuer must press a button and the device delivers the shock and can therefore ensure that nobody touches the victim before allowing the device to deliver the shock. The risk of injury to the rescuer is negligible, but the victim does not benefit from the shock.

Fully automatic defibrillator (AED, not to be confused with DAE: automated external defibrillator): the camera decides to deliver the shock after, only for security, voice-prompted asking not to touch the victim prior to the issuance of the shock. The procedure is simplified, so defibrillators available to the general public are generally of AEDs.

Whatever the type of aircraft, the analysis of heart rate and diagnosis are automatic versus manual defibrillators used by doctors. The machine does to shock if the heart activity of the victim is justified, because it must stop cardio-pulmonary resuscitation for shock. If the heart of the victim does not have a shockable rhythm, the Portable defibrillator indicates that no shock is indicated and thus continues the rescuer cardiopulmonary resuscitation, which gives better chances of survival for the victim.

Instructions for Using Portable Defibrillator

Portable defibrillator consists of delivering an electric shock properly calibrated (power phase) and from the right place to re-synchronize the contractions of the myocardial fibers and allow the heart to beat normally again, but must occur before asystole.

The fact of Portable Defibrillator cardiopulmonary resuscitation (CPR: mouth-to-mouth associated with chest compressions) is used to circulate oxygenated blood, thus supplying the brain and the myocardial oxygen and increases the chance of successful defibrillation, the heart is oxygenated, it remains longer in fibrillation (delay it asystole) was therefore more likely to recover the victim.

Récentes2 Various publications have Portable Defibrillator highlighted the flexibility of face to face delays and complicated cardiac massage, especially if the rescuer is alone, it also introduces additional air into the airways and digestive tract, which runs counter to the bloodstream . However, mouth to mouth is necessary in many cases. Float situations where it is appropriate to those where it is not to make training more complex resuscitation, while simplicity is a key criterion of effectiveness. It is recommended in all cases of classical resuscitation, alternating chest compressions and artificial ventilation.

In general, the victim does not take notice during resuscitation, with or without defibrillation. It is therefore necessary to continue these exercises until help arrived. Continued resuscitation should be done by a medical team. Depending on the country, it will move until the victim (Stay and Play, for France) or prompt assistance will transport the victim as quickly as possible to the hospital (scoop and run, if U.S. USA).

The fact that Portable defibrillator do leave your heart does not mean that the person will survive, otherwise, if she survives, she may keep the irreversible neurological sequelae. However, the CPR is the only known technique which gives good chances of survival for the victim, and the use of a defibrillator increases those chances.

Information for Portable Defibrillator

To achieve the earliest possible portable defibrillation, increasingly publicly accessible defibrillators (public access defibrillators are used PADs), as shopping malls, airports, train stations, banks and other public buildings. Benefits the purchaser of which is currently declining.

Portable Defibrillator Usually the AEDs at information desks, boxes, etc. located in Porter, so once qualified personnel is available. Freely accessible defibrillators attached (similar to the installation of fire extinguishers) may be associated with an alarm system to automatically call a trained assistant or prevent thefts.

In the American space AEDs portable defibrillator are very widespread, portable defibrillator but also in Europe is a clear trend to recognize PADs. In Germany, AEDs are, for example in the Munich subway stations, at major airports and in public institutions (for example, in the state parliament of North Rhine-Westphalia, in the land registry offices in Rheinland-Pfalz) available. All major German aid organizations also promote the increased purchase and installation of PADs. This trend is also defibrillator observed in neighboring Austria, Switzerland and Luxembourg.

Legal Situation
Portable Defibrillator The use of an automated external defibrillator (AED) by laypersons as part of first aid is a legally safe. If an AED kept in a first-responder system, in the ambulance or rescue services and also used is to note for the user to access the Medical Devices Act (MPG) and the Medical Devices Operator Ordinance (MPBetreibV) - ie trained staff must be appropriately and also be trained. In general, however for the real thing: a failure to assist portable defibrillator is in Germany (according to § 323C StGB) is a crime.