The Bone wrote:Charl
I thought a de-fib not used just to shock but to allow monitoring of rythm's to take place so you can see how the patient is fairing, taking into account all the other presentable facts?
How much training would you need to do this?
Would it be suitable for the H/A ?
Sorry about all the questions but I have no clue.
Right how technical do you want me to get? (feel free to take it to PM if you want any further info)
Basically an AED does just shock. Some of them have a built in screen that allows you to see one view of the heart. However that only gives you a vague idea of the hearts rhythm and screens are never diagnostic quality because of the filters set on them, and also it isn't on paper with the measurements etc etc (although you can diagnose lots of things without squared paper lol). To give an idea of perspective, a full ecg is called a 12 lead because it gives 12 different views of the heart, the screen on an AED is giving just 1.
Yes a lot of 'defibrillators' that the ambulance service use are machines that are actually multi purpose monitors that can do lots of things. For example the ones we use have, NIBP (blood pressure) Spo2, ETco2, 3 lead monitoring, 12 lead ecg, telemitary, AED, Manual defib and the potential to 'pace' a patient.
How much training would you need to do this? Well to actually obtain an ecg not that much, I could probably describe where to put the stickers over the net and you'd not be far wrong however interpreting is a different game and is basically the more of them you see the better you get (to give you an idea on my paramedic course we need to be able to recognise and interpret 41 different rhythms and that is just scratching the surface!)
An AED is simple to use, and is more or less self explanitory and yes HATOs could be trained to use one and carry one with out too much trouble. Whether you come across enough people to need them, well, from what has been said it seems not, but you only need to need one once for it to be worthwhile.
Sorry for having gone off the beaten track somewhat. I am in training school mode this week!
Any questions and I will do my best to answer