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.

Public Access Defibrillator

Public Access Defibrillator are generally required or qualified personnel to assist the events or are units of public access that is located in places including corporate and government offices, shopping malls, airports, restaurants, casinos, hotels, stadiums, schools and universities , community centers, fitness portable defibrillator centers, fitness centers, workplaces and anywhere else where people can meet.

The location of a public access AED should take into consideration that large groups of people gather, regardless of age or activity. Children and adults can fall victim to sudden cardiac arrest (SCA)
In many areas, emergency vehicles may carry AEDs Public Access, with some ambulances carrying an AED in addition to manual defibrillators. The police or fire vehicles often carry an AED for first responder use. Some areas have dedicated community first responders, volunteers who are tasked with keeping an AED and taking any victims in their area. AEDs are increasingly common on commercial airlines, cruise ships and other means of transport.

Public Access Defibrillator order to make them clearly visible and public access AEDs often are brightly colored, and are mounted in protective cases near the entrance of a building. When these protective cases are opened or the defibrillator is removed, some will beep to alert personnel near their removal, although this is not necessarily call emergency services; trained AED operators should know to phone for an ambulance when sending or using an AED. In September portable defibrillator 2008, the International Liaison Committee on Resuscitation issued a 'universal AED sign' be adopted worldwide to indicate the presence of an AED, and this is shown at right.

One trend that is developing is the purchase Public Access of AEDs for use at home, especially those with existing heart disease known. The number of devices in the community has grown as prices have fallen to levels affordable. There was some concern among medical professionals that these households may not have adequate training, and many support the wider use of community responders can be trained and managed.

Public Access Defibrillator, an AED kit will contain a visor to provide a barrier between the patient and the first rescuer during rescue breathing, and a pair of nitrile rubber gloves, a pair of trauma shears for cutting through clothing to expose a patient portable defibrillator Public Access chest, a small towel for wiping moisture on his chest, and a razor with a case very hairy