Gel miếng đệm hoặc gel điện Luôn luôn có nên Hãy sử dụng (nếu Sau, không được chăm sóc nên bị tham gia hai Lĩnh vực ứng dụng). Công ty nên bị áp lực để ứng dụng các paddles. | PRACTICAL PROCEDURES - CIRCULATION Correct paddle placement The usual placement is anterolateral. One paddle is put over the apex in the midaxillary line and the other is placed just to the right of the sternum immediately below the clavicle Figure . Figure . Standard anterolateral paddle placement If the anteroposterior placement is used one paddle is placed just to the left side of the lower part of the sternum and the other just below the tip of the left scapula Figure . Figure . Anteroposterior paddle placement Good paddle contact Gel pads or electrode gel should always be used if the latter care should be taken not to join the two areas of application . Firm pressure should be applied to the paddles. Correct energy selection The recommended levels are shown in Chapters 6 and 11. If the only device available is an AED then energy levels are pre-set. This is suitable for a child over 8 years 25 kg and may be used if no other options are available in younger children. 231 PRACTICAL PROCEDURES - CIRCULATION Safety A defibrillator delivers enough current to cause cardiac arrest. The user must ensure that other rescuers are not in physical contact with the patient or the trolley at the moment the shock is delivered. The defibrillator should only be charged when the paddles are either in contact with the child or replaced properly in their storage positions. Disconnect the oxygen supply to the patient. Procedure Basic life support should be interrupted for the shortest possible time 5-9 below 1. Apply gel pads or electrode gel 2. Select the correct paddles 3. Select the energy required 4. Place the electrodes onto the pads of gel and apply firm pressure 5. Press the charge button 6. Wait until the defibrillator is charged 7. Shout Stand back 8. Check other rescuers are clear 9. Deliver the shock 232 CHAPTER I24I Practical procedures - trauma Procedures explained in this chapter Chest decompression needle thoracocentesis chest drain .
