when joanne returns with the aed, what is her first step?

asalmes

2 min read

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25-04-2025

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Joanne rushes back with the automated external defibrillator (AED), her heart pounding. Every second counts. What's her first step? It's not shocking the victim; it's checking for responsiveness and breathing. This seemingly simple action is crucial and forms the foundation of effective AED use. Let's break down why this is Joanne's most important initial step and what she should do next.

Assessing the Situation: Responsiveness and Breathing

Before even thinking about the AED, Joanne needs to check if the person is responsive. She should gently shake their shoulders and ask loudly, "Are you okay?" If there's no response, she knows immediate action is necessary.

Next, she checks for normal breathing. This means looking for chest rise and fall, listening for breaths, and feeling for air on her cheek. Gasping breaths are not considered normal breathing; they signify a critical situation. Absent or abnormal breathing indicates cardiac arrest. This assessment is paramount; it confirms the need for defibrillation and guides subsequent actions.

Why is this the First Step?

Several reasons make checking responsiveness and breathing Joanne's priority:

• Safety First: Ensuring the scene is safe for both Joanne and the victim is paramount. This includes checking for immediate dangers.
• Avoiding Unnecessary Shocks: Administering a shock to someone who doesn't need it is dangerous. Confirming cardiac arrest is essential before using the AED.
• Focusing Resources: If the victim is breathing normally and is responsive, the priority shifts to a different kind of emergency care.
• Legal Protection: Proper assessment protects Joanne and others involved legally. It demonstrates responsible and appropriate actions.

The AED: What Joanne Does Next

Once Joanne has confirmed the person is unresponsive and not breathing normally (or only gasping), she can proceed with the AED. Here's what that looks like:

1. Turn on the AED: Follow the device's audio and visual prompts. Most AEDs are designed for ease of use, even for untrained individuals.
2. Attach the pads: Place the pads according to the AED’s instructions. They are usually placed on the chest, avoiding any jewelry or piercings.
3. Analyze the heart rhythm: The AED will analyze the heart rhythm and advise whether a shock is needed.
4. Deliver shock (if advised): If the AED advises a shock, ensure no one is touching the victim. Then, press the shock button.
5. Begin CPR: Immediately after the shock (or if a shock isn't advised), start CPR compressions and rescue breaths.

Working as a Team: Importance of Calling for Help

Joanne's actions are critical, but equally vital is calling for emergency medical services (EMS). Ideally, someone else on the scene would have already called 911 or the local equivalent. If not, Joanne (or someone else) should do this immediately—even before returning with the AED. EMS provides advanced life support and helps guide the entire process.

Conclusion: The Crucial First Steps with an AED

Joanne's first step isn't to power up the AED. It's to check for responsiveness and breathing. This assessment is the cornerstone of effective AED use. It prioritizes safety, ensures appropriate action, and sets the stage for the life-saving intervention that follows. Remember, immediate action, proper assessment, and a call to EMS are key to increasing the chances of survival in a cardiac arrest situation.