Professional Documents
Culture Documents
“Chain of Survival”
• Early access
• Early CPR
• Early defibrillation
• Early advanced life support
Defibrillation is “Part of BLS”
Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care p. I-68
Electrical Conduction System of the
Heart
Atrioventricular Node
Left Atrium
Bundle of His
Internodal Pathways
Right Atrium
Left Ventricle
Purkinje Fibers
P T
Sinoatrial Node
90
80
40
30
20
10
15
10
0
King County Iowa Southeast Northeast Wisconsin
Washington Minnesota Minnesota
Survival to
Number hospital discharge
First shocked 31 18 (58%)
by police
First shocked 53 23 (43%)
by paramedics
Overall survival to hospital discharge = 49%
100
90
80 74%
70
Percent
60
49%
50
40
30
20
10
7%
0
Shock <3 min. after Shock >3 min. after National
collapse (26/35) collapse (27/55) Average
Valenzuela
Valenzuela TD,TD, et al:
et al: NEJM
NEJM 2000;
2000; 343:
343: 1206-09.
1206-09.
Automated External Defibrillators
Anterior
Lateral
Anterior-lateral placement
Next time, remove his shirt!
Defibrillation Electrode Placement
• EMTs • Lifeguards
• Security Officers
Advantages of AEDs