Muhamad Na'im B Ab Razak (jacknaim) is a fresh graduate Muslim Doctor from Universiti Sains Malaysia and waiting for the enrollment into the housemanship program. Ambitious in pursuing master program in emergency and traumatology medicine and loves to spent his free time joining humanitarian missions, writing and speaks as an amateur public speaker in motivation and comparative religion. [HOME]

OSCE pro III series


Answers


1) Automated External Defibrillator


2) Indication

- Ventricular Fibrillation

- Pulseless Ventricular Tachycardia


Notes: Asystole and Pulseless Electrical Activity (Chest compression and inotropes only. NO SHOCK!!)


3) Complication

- Skin burns

- Aspiration pneumonia


4) Where to put the pads

- Below the right clavicle and left subcostal margin


Precaution during using the device

1) Check any signs of live. Do not proceed if patient still awake!

2) AED will analyze for you whether the wave is shock able or not, if not perform CPR

3) AED not analyzing the heart rhythm while you perform CPR

4) Do not use AED in the moving transportation (ambulance)


5) Avoid conductive agents, explosive materials or inflammable patch from patient (water, alcohol, nitroglycerine patch, conductive surface like metal, gasoline, free flow oxygen, strong electromagnetic interference)


6) Keep your hand and other hands free while performing the defibrillation (DO NOT touch the patient)


7) Do not use in children below 8 years old

8) Be careful with handset and portable radio as in emitted waves that may interact with the device's analysis.