How to use the defibrillator in children in case of cardiorespiratory arrest

How to use the defibrillator in children in case of cardiorespiratory arrest

Defibrillators are small, lightweight devices that require minimal maintenance. The batteries last about 5 years or 300 discharges. They are usually found in public places very frequented, such as sports centers, shopping centers, bus or train stations, etc. And they are useful in cases where there is someone with cardiorespiratory arrest.

Are easy to use and they can be managed, if necessary, by any citizen. Therefore, it is recommended that all citizens have a basis for the operation of both the use of the defibrillator, as well as that of acquiring the necessary skills to perform basic CPR (cardiorespiratory massage), to use both safely and effectively following the updated protocol defibrillation.

We show you how you can use defibrillators in children.

Faced with a cardiorespiratory arrest, your prognosis is good if it is performed early defibrillationTherefore, this procedure constitutes one of the most important links in the chain of survival of children with a shockable rhythm. In order to reinforce this link, the following procedures have been developed. automated defibrillation devices (AED) or semi-automatic (DESA).

Both defibrillators will proceed to analyze the heart rhythm and if they consider that defibrillation is indicated they differ in that the AED will warn that it is charging, that nobody touches the patient and will proceed to apply the download, while a DESA will warn that it loads, that nobody touches the patient, and that the rescuer presses the shock button.

When a child falls unconscious, and we do not know why, we have to follow a series of steps to know what to do:

1. We will always ask help before.

2. We will check if the child is breathing.

3. If you breathe, we will place you in a lateral safety position and call emergencies.

4. If you are not breathing, we would begin to CPR While someone gets us a defibrillator, or in the event that we are alone, and if cardiac arrest has not been witnessed, CPR will be performed for 2 minutes before leaving the child to activate the emergency system and search for the defibrillator.

5. Once we have the defibrillator, whenever it is pediatric or with an energy modulator, it consists of turning it on, uncovering the child's chest and placing the patches as indicated by the defibrillator drawings: one on the right shoulder, below the clavicle and the other about 10 cm below the left armpit. The defibrillator will start talking, you always have to keep calm and follow the order of the instructions.

6. We shall not interrupt the CPR maneuver until the defibrillator tells us not to touch the child, as it is analyzing the heart rhythm.

7. If the defibrillator tells us that the shock is necessary, it alerts us with auditory or visual cues and it will be charged automatically, always bearing in mind that the patient must not be touched at any time during the rhythm analysis process, or the shock; And in case the shock was not necessary, he will order that we continue with CPR.

8. After the discharge, we will continue CPR immediately until the machine tells us to stop again to analyze the rhythm and repeat the previous process, or until the emergency services arrive.

The ventricular fibrillation (VF) is a rare arrhythmia in young children's cardiac arrest that occurs outside the hospital. However, several recent studies have found that the incidence of a shockable rhythm ranges between 10 and 20% of pediatric cardiac arrest cases, both in the hospital and out-of-hospital settings.

Although the incidence of VF in children may appear low, the chances of successful CPR when there is a shockable rhythm, and a early defibrillationThey are much higher than when the victim is in asystole or pulseless electrical activity; hence the importance of this procedure.

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Video: External defibrillation DC Shock (January 2022).