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ORANGE COUNTY SHERIFF'S OFFICE TRAINING BULLETIN Effective Date: September 9, 2022  Amends - TB 98 -3 (December 18, 2020 ) Number: 98-3 Distribution: All Personnel Review Month: September Reviewing Authority: HRD / Training Subject: Automated External Defibrillator (AED) This training bulletin consists of the following: 1. Purpose 2. Definitions 3. Procedures 1. Purpose The purpose of this training bulletin is to provide agency personnel information on the proper use and maintenance of agency A EDs. 2. Definitions A. Advanced Cardiac Life Support (ACLS) - Procedures available through advanced training, i.e., paramedics, to treat victims of sudden cardiac death. B. American Heart Association (AHA) - Regulatory body. C. Automated External Defibrill ator (AED) - An electronic device used to analyze the heart rhythms of a patient and provide electrical shocks if necessary. D. Cardio -Pulmonary Resuscitation (CPR) - A method of manually compressing the heart and inflating the lungs of a sudden cardiac d eath victim. E. Good Samaritan Law, FS 768.13 - Any person, including thos e licensed to practice medicine, who gratuitously and in good faith renders emergency care or treatment by the use of or provision of an automatic external defibrillator without objection of the injured victim or victims thereof, shall not be held liable f or any civil damages as a result of such care or treatment where the person acts as an ordinary reasonably prudent person would have acted under the same or similar circumstances. 3. Procedures A. General Guidelines 1. The AED should be used when the person is unconscious, not breathing and without pulse. Exceptions to this would be persons that are obviously deceased and include decapitation, rigor mortis and/or lividity and decomposition. 2. The AED should not be used in water, on or in a moving boat, autom obile, plane or other vehicle. Nor should it be used in close proximity to any type of mechanical or electrical motor. TB98 -3, Page 2 of 4 3. The victim should not be touched while the AED is analyzing or delivering the shocks. 4. The AED Usage Form must be completed and forw arded to Human Resources, Risk Management, within twenty -four (24) hours of an AED use. To expedite the process, the form may be faxed to 407 -254-7401. B. Deployment. 1. The procedures below are generic in nature and developed by the AHA and are applicab le to all public access defibrillators. The AED layout and voice prompts will vary slightly from manufacturer to manufacturer. This does not preclude agency personnel from using another brand of AED if it is available. 2. Determine that the person is un conscious and not breathing. The ABC’s (airway, breathing, circulation) are always the first actions of Basic Life Support (BLS). Determine if the person responds to a firm shake at the shoulders and by shouting “Are you all right?” If there is no respo nse, activate the emergency response system and place the defibrillator at the person’s side. 3. If there is no response from the person, scan from the head to the chest for a minimum of 5 seconds but no more 10 seconds, remove any obstructive clothing an d start CPR compressions and ventilations according to American Heart Association Guidelines. 4. Perform CPR until the defibrillator is attached to the person. Continue CPR while the defibrillator is brought to the person’s side and the electrodes are attached to the person. The rescuer conducting defibrillation should direct CPR efforts (i.e., when to stop and start CPR). If after calling out for help, you are alone and cannot immediately get assistance, AHA recommends that you call for EMS immediately before attaching the AED in adults only . When dealing with a child (under the age of 8 years of age) perform 30 compressions and administer 2 breaths before attaching the AED . 5. Place the defibrillation electrode pads and cables on the person’s chest. Turn on the AED power if it does not turn on automatically . 6. To analyze the person’s rhythm, the AED must be connected to their chest. A defibrillation cable connects the AED to the disposable defibrillation ECG electrode pads on the person’s chest. These electrodes are also referred to as defibrillation electrodes. 7. The defibrillation electrodes are a special type of electrode designed for both monitoring the ECG and “hands -free defibrillation.” In other words, both ECG monitoring and defibrill ation are done with one set of electrodes. The two electrodes come in a foil package. Proper placement of the electrodes is essential for accurate monitoring and successful defibrillation. To place the electrodes, tear open the foil package and remove t hem. The electrodes should be placed on clean, dry skin to improve conduction of the electrical current. The skin area should be dried quickly and the skin briefly abraded TB98 -3, Page 3 of 4 using the person’s clothing. This helps remove dried skin, oil sweat or ointments and decreases skin resistance.