除颤监护仪的原理及应用新.ppt

放 电 放电时，操作者及其他医务人员身体避开床缘 观察病人的心电图变化 整理用物，合理安置病人 高级生命支持流程 使大部分 SCA – 突发性心脏骤停 不可预知的, 任何人… 任何地点 常伴有室颤 (VF) 心脏 “传导系统” 问题 心脏突然停止跳动 致使血压和脉搏消失 不及时治疗将导致死亡 * * * The universal control steps are called universal because they are used to operate every AED. Because of the concept of “user-critical steps,” more of these universal steps are done automatically and not always by the operator. Ask providers to demonstrate use of the specific AED that they will use in their work setting. User-critical steps are any operational steps that must be performed by the operator; otherwise the device will fail. All AEDs require similar user-critical steps: Attach the defibrillator pads to the patient Attach the pads to the AED cables Attach the AED cables to the AED Power on the AED Analyze the patient signal for VF Charge the AED if VF is present Press the shock button to deliver the shock Notice how each step is critical. If any one step is omitted or done incorrectly, the person in VF will not be defibrillated. Any error here would mean the loss of a chance to save a person’s life. Some brands of AEDs perform these steps. The more an AED performs the user-critical steps, the lower the chance of error. For example, some AED models power up automatically when the AED lid is opened; in some the cables are preattached to the AED and the adhesive defibrillator pads. Some perform constant background analysis and will automatically “precharge” if VF is detected. One model has reduced the number of actions required of the operator to just 3: open the lid, attach the pads to the patient, and press the shock button. Emphasize the importance of safety and clearing the victim. These steps require both oral communication and visual inspection of the victim. To ensure safe defibrillation the operator must always announce when he or she is about to deliver a defibrillatory shock. The person should state firmly and in a loud voice a “warning chant” before each shock, for exa