March 2014, Volume 36, No. 1
Internet

What’s on the web for family physicians – Automated External Defrillator (AED)

Alfred KY Tang 鄧權恩

LEARN AED (LEARNAED.ORG)
http://depts.washington.edu/learnaed/

This page is maintained by the University of Washington and offered to public in the name of LearnAED.org. It is designed for persons who wish to familiarize themselves on the operation of AEDs (Automated External Defibrillators) at home or work, or are thinking of purchasing an AED. Practical and useful information on AED are grouped under different headings, including “Three Simple Steps in using AED” (call 911, turn on machine, listen and follow instructions) ”What is an AED?”, ”Who Should Get an AED?”, ”AEDs in the Home” and ”Frequently Asked Questions”. There are also links leading to “AED Resources”, “Manufacturer Links” and “AED training videos”. Video demonstrations on using different models of AED machines, including the Philips HeartStart Home Defibrillator, the Physio-Control Lifepak CR Plus, the Cardiac Science PowerHeart and also the Zoll AED Plus are available at the website.

How to Operate an Automated External 
Defibrillator (WebMD)
http://www.webmd.com/first-aid/automated-externaldefibrillators-aed-treatment

WebMD has a webpage on AED which summarizes how to operate an AED very well. Patient Responsiveness: Do not use AED on a conscious person; shout and shake the person to confirm consciousness for adults and older child for an infant or young child, pinch skin; never shake a young child; check breathing and pulse; if absent or irregular, prepare to use AED as soon as possible. Prepare AED: Make sure patient is dry and away from puddles or water; check for implanted medical device, such as a pacemaker or implantable defibrillator; AED pads must be placed at least 1 inch away from piercings or implanted devices. Use AED (For infants and children under 8, use pediatric AED pad; if not available, use an adult AED pad); turn on AED; keep dry; attach pads; plug in connector; CLEAR; push “Analyze” button; push “Shock” button; start or resume chest compressions; follow AED prompts. Continue CPR after AED; stay with the person until help arrives.

How to use an AED (AEDS.COM)
http://www.aeds.com.au/use-an-aed.html

Automatic External Defibrillator (AED) are small, portable easy-to-operate life-saving medical device designed to deliver an electrical shock to patients who is having a cardiac arrest. They are designed to be used by a medical and layperson to be able to save the life of an unconscious victim when other medical facilities are not available. This Australian website explains why AED is useful, how to operate an AED and when AED should not be used. It has a step-by-step use of AED and a comprehensive list of FAQs relating to the use of AED. It offered a concise and easy to remember operation summary when using AEDs.

  • Confirm patient is unconscious, no breathing, no pulse.
  • Turn on the AED and follow the voice and visual prompts.
  • Attach electrode pads to patient’s bare chest (male or female) as indicated
  • Stop CPR and do not touch patient while AED analysing.
  • Deliver a shock by pressing flashing red light if indicated.
  • Continue 2 mins cycles CPR between shocks if victim is still not breathing until help arrives.

AED training video
https://www.youtube.com/results?search_query=aed%20training&sm=3

Many videos on AED training can be found in the Youtube website. Follow the link and one can locate demonstration videos on AED training uploaded by different parties. Examples include those from St John Amulance, New Zealand Red Cross, Recuscitation Council UK etc. Demonstrations on different manufacturers of AED machines are also available e.g. those of Zoll AEDplus, Life Pack CR Plus, Philips HealthStart. Users are recommended to critically evaluate videos of Youtube before relying on them. St John Ambulance UK has also a video at their website on ‘Using a defibrillator’ 
http://www.sja.org.uk/sja/training-courses/watch-ourtraining-in-action/Using-a-defibrillator.aspx

AED Resources - American Heart Association
https://www.heart.org/HEARTORG/CPRAndECC/CorporateTraining/AEDResources/AED-Resources_UCM_001296_SubHomePage.jsp

Automated External Defrillator is an ideal and affordable device for sudden cardiac arrest and life threatening situations in workplace. In the website, there are the AED Implementation Guide, which is a comprehensive booklet to guide one through the steps to implement a successful and efficient AED program. (https://www.heart.org/idc/groups/heart-public/@wcm/@ecc/documents/downloadable/ucm_455415.pdf) An AED Implementation Flyer, which is a 2-page flyer as a quick reference guide to the key steps to implementing an AED program. The AED Programs Q & A help to answer questions one might have regarding AED Programs. Automated External Defibrillator (AED) Companies with FDA Pre-Market Approval are listed at the website.

Mobile Apps on AED and CPR
St John Wales First Aid
https://play.google.com/store/apps/details?id=uk.co.stjohnwales.android

The official St John Wales app contains simple step-by-step advice on dealing with injuries such as severe bleeding, burns and scalds and choking, while also giving advice on how to give CPR and other treatments. The first aid quiz will help you test your knowledge and share your score on social media.

TabletAED remote
https://play.google.com/store/apps/details?id=nl.doczero.mobile.remote

Training and simulate using digital AED trainers on your tablet -- with your smartphone as remote control you can simply operate every TabletAED trainer. The TabletAED trainer bag and the TabletAED trainer electrodes makes your training package complete. 

AED World (Taiwan)
https://play.google.com/store/apps/details?id=ecowork.secom.aed

This is an app developed in Taiwan which indicates the location of nearby AEDs on a map by GPS. It also gives information on how to use AED machines and health education on cardiac arrest. Unfortunately, no apps of similar nature are developed and available in Hong Kong yet.

First Aid - American Red Cross
https://play.google.com/store/apps/details?id=com.cube.arc.fa

The official American Red Cross First Aid app. Simple step-by-step instructions guide you through everyday first aid scenarios, heat stroke and related conditions. Videos and animations make learning first aid easy and enjoyable.

HeartStart
https://play.google.com/store/apps/details?id=com.philips.heartstart

This application is to be used for educational purposes and follows 2010 AHA and ERC guidelines and recommendations. This app outlines benefits of Automated External Defibrillators (AEDs) using Philips AED for demonstration. CPR plus defibrillation within 3–5 minutes of collapse improves survival from sudden cardiac arrest.


Alfred KY Tang, MBBS (HK), MFM (Monash)
Family Physician in Private Practice

Correspondence to: Dr Alfred KY Tang, Shop 3A, 2/F, Hsin Kuang Shopping Centre, Wong Tai Sin, Kowloon, Hong Kong SAR, China.

E-mail: alfredtang@hkma.org