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December 16, 2024
Steven Cumper
How Often Should Your CPR Skills Be Refreshed?
In the event of someone experiencing a sudden cardiac arrest, cardiopulmonary resuscitation, or CPR, could make all the difference in saving a life. However, little more than 50% of the Australian population are fully trained in CPR – and it pays to refresh your knowledge, too. Taking CPR refresher training helps to ensure you’re still competent at the skills required to support people in need – and for many professionals and healthcare providers, helps to ensure compliance. In this guide, we’ll explore when to refresh your skills and what that involves. How Often Should Your CPR Skills Be Refreshed? You should refresh your CPR certification – that is, HLTAID009 – once every 12 months. Although CPR certification validity doesn’t expire, the Australian Resuscitation Council (ARC) recommends a yearly renewal to make sure you’re clear on what CPR entails. However, in some cases, employers might require you to renew your CPR certification more frequently. Many of our clients, who are first responders and healthcare professionals like you, say that refreshing at least yearly is a great boost to their confidence in an emergency. CPR Training Guidelines and Standards The standard CPR training supported by the Australian Red Cross typically requires you to attend a two-and-a-half-hour classroom session. It’s the most standardised of CPR skill refreshment options. It’s a hands-on session, which means you’ll get the chance to practice what you learn as well as learn the differences in techniques used to support adults and children. CPR guidelines set by the ARC are nationally recognised – meaning from ACT to Western Australia, you can legally use the skills gained in the course nationwide. Of course, beyond basic training and refresher courses, you should always refer to standardised CPR guidelines to ensure you’re delivering appropriate legal care in emergencies. CPR Training Equipment When attending a CPR refresher course, you’ll likely encounter standardised training equipment such as CPR manikins. These human-shaped devices help you practice compressions and breathing techniques and help trainers measure your pacing and aptitude. During skills refreshment, you’ll also have the opportunity to use an Automated External Defibrillator (AED), which can be lifesaving between rounds of traditional CPR. In fact, you’ll also learn the difference between CPR vs AED, and when you should effectively switch between one technique and the other. Hands-on learning is widely hailed as one of the most effective ways to develop long-term skills, with studies claiming nine out of ten people agree. What better way, then, to refresh your CPR competencies? Components of a CPR Refresher Course Key components of a CPR refresher course supported by the ARC include: ● Detailed CPR steps ● Basic life support ● Physical competency with an AED ● Welfare considerations ● Legal considerations and requirements The ARC states that HLTAID009’s live, hands-on training experience is designed to give students the confidence to be able to support people experiencing sudden cardiac arrest, and those who are simply not breathing properly. The course is largely physical, covering roleplay with other students, practical AED use, and manikin training. However, there’s also a theory element, where students can test their knowledge so that they can recall the essential CPR steps in an emergency situation. Of course, after attending refresher training, it’s also important to have a standard CPR emergency handbook if you need it. Many of our clients say that, while refreshing their training helps the CPR basics to stick, having a physical resource gives them an extra layer of confidence. Importance of CPR Refresher Training Although the standard CPR refresher course is fairly short, it’s an essential booster to both your confidence and skill set. Simply learning CPR skills at the start of your training is all well and good, but like many skills, your knowledge and confidence might wane over time. CPR refresher training allows you to practice typical steps and to get re-accustomed to equipment such as AEDs in safe environments. You’re never practicing with real people, and you don’t have to wait until an emergency occurs to try out your skills. It’s thought that only 10% of people survive cardiac arrests outside of hospital largely due to a lack of CPR support and defibrillation. Acting fast with effective CPR can not only save someone’s life without the need for hospital support, but can also prevent brain damage. It’s estimated that brain damage can start to take effect within six minutes of a person stopping breathing, or their heart failing. Therefore, supporting someone with CPR and AEDs confidently and within minutes can make a tremendous difference. It’s all the more reason to reinvest in CPR knowledge regularly. Workplace Compliance and CPR Training Across Australia, it’s generally accepted that first aiders in the workplace should refresh their CPR certifications at least once a year. Beyond this, they should also renew their standard first aid qualifications every three years. Guidelines set by Safe Work Australia (SWA) state that workplaces must possess at least one recognised first aid kit, and that they should be accessible to trained first aiders. Its guidelines also state that companies should undergo first aid risk assessments to ensure compliance. CPR refresher training can ensure further compliance by providing first raiders with the knowledge and confidence to apply legally recognised techniques in an emergency situation. Trained first aiders, according to SWA, should receive additional training in the event of special risks and circumstances – to keep businesses compliant and to ensure the safety of anyone who falls ill. Conclusion Basic CPR and first aid training is an asset to anyone working with the public or who might need to support employees who suffer cardiac arrests. However, knowledge of CPR can dwindle over the course of a year, especially if no emergencies take place. Therefore, refreshing your knowledge with a course every 12 months will ensure you can confidently help people who are struggling to breathe. As mentioned, acting fast with effective CPR and AED use can save lives and even prevent brain damage. We hope there may never be an occasion where you need to practice CPR in real life. But, it’s always better to be safe than sorry – and refreshing your knowledge is your ticket to practicing CPR with confidence. Sources ANZCOR. (n.d.). Guideline 8: Cardiopulmonary resuscitation (CPR). Australian and New Zealand Committee on Resuscitation. https://www.anzcor.org/assets/anzcor-guidelines/guideline-8-cardiopulmonary-resuscitation-cpr-225.pdf First Aid Pro. (n.d.). Determining the frequency of instruction: Australian CPR training requirements. https://www.firstaidpro.com.au/blog/determining-the-frequency-of-instruction-australian-cpr-training-requirements Lifesaving First Aid. (n.d.). The importance of regular CPR training. https://lifesavingfirstaid.com.au/blog/the-importance-of-regular-cpr-training/ West Coast First Aid. (n.d.). How often should your CPR skills be refreshed? https://westcoastfirstaid.au/how-often-should-your-cpr-skills-be-refreshed/ LFA First Response. (n.d.). How often should CPR skills be refreshed? https://lfafirstresponse.com.au/blog/how-often-should-cpr-skills-be-refreshed/ Heart Foundation. (n.d.). Staying alive: A history of CPR. https://www.heartfoundation.org.au/blog/staying-alive-a-history-of-cpr Red Cross. (n.d.). Provide cardiopulmonary resuscitation. https://firstaid.redcross.org.au/provide-cardiopulmonary-resuscitation/ Safety Learning. (n.d.). How often should your CPR skills be refreshed? https://safetylearning.com.au/how-often-should-your-cpr-skills-be-refreshed Skillsforce. (2023, August 2). How long is your first aid certificate valid for? Understanding the expiry of HLTAID011 and HLTAID009. https://skillsforce.com.au/2023/08/02/how-long-is-your-first-aid-certificate-valid-for-understanding-the-expiry-of-hltaid011-and-hltaid009/ Learnwell Collective. (2024, May 21). Hands-on learning in high school. https://learnwellcollective.org/2024/05/21/hands-on-learning-high-school/ Gitnux. (n.d.). Hands-on learning statistics. https://gitnux.org/hands-on-learning-statistics/ Mayo Clinic. (n.d.). Sudden cardiac arrest: Symptoms and causes. https://www.mayoclinic.org/diseases-conditions/sudden-cardiac-arrest/symptoms-causes/syc-20350634 ABC News. (2024, July 5). Australia’s cardiac arrest rates targeted through CPR campaign. https://www.abc.net.au/news/2024-07-05/australias-cardiac-arrest-rates-targeted-through-cpr-campaign/104048532 My CPR Certification Online. (n.d.). CPR success rate. https://www.mycprcertificationonline.com/blog/cpr-success-rate Safe Work Australia. (n.d.). First aid. https://www.safeworkaustralia.gov.au/safety-topic/managing-health-and-safety/first-aid Safe Work Australia. (2019). Code of practice: First aid in the workplace (Document No. 1908). https://www.safeworkaustralia.gov.au/system/files/documents/1908/code_of_practice_-_first_aid_in_the_workplace_0_0.pdf
December 12, 2024
Steven Cumper
AED Maintenance Checklist: Essential Steps
For anyone suffering a sudden cardiac arrest outside of hospital, an Automated External Defibrillator (AED) could make all the difference when saving a life. Around 26,000 Australian people suffer arrests outside of medical facilities each year. Therefore, it’s crucial to have AEDs on standby in public places. By delivering electric shocks, AEDs can also help to prevent brain damage and support CPR. However, these devices must always be properly maintained and stored so they continue to support public emergencies. In this guide, we will break down a simple AED maintenance checklist you can follow to ensure your equipment is clean, safe, and operational. AED Maintenance Checklist An AED maintenance checklist ensures that you regularly test, clean, and fix up your life-saving devices whenever needed. As critical as AEDs are, you can’t expect them to keep working properly without due care and attention. Key Components to Include in the Checklist The key points we recommend you include in your AED maintenance checklist are: Checking and replacing batteries Checking and replacing pads Visually inspecting the device Cleaning the device Storing the device safely and securely This list isn’t just based on our expert knowledge of AED equipment, but also on years of feedback from business owners and first responders who shop with us! We’ll explore each of these points in more detail below. Importance of Documentation Before checking, cleaning, or even fixing your AED for the first time, carefully read the manual provided with your device. Failing to look after your AED properly could lead to it breaking down, therefore putting lives at risk. All AEDs we provide at Medshop arrive with clear instruction manuals to help you learn how to use the devices and how to care for them. Let’s start with the key points from our AED maintenance checklist. Battery and Pads Replacement AED batteries, like any, will slowly expire over time. In most cases, you’ll need to replace them within five years of starting to use the device or fitting new batteries. However, some will expire in as few as two years – always check your manual. Most AEDs will also have battery indicator levels to inform you when replacement is approaching. Always follow your manual’s advice on how to safely remove expired batteries before trying to do so yourself. Removing the batteries will depend entirely on the model of AED you use. In many cases, there will usually be a back cover you can safely remove to find the batteries to remove and replace. Always make sure to purchase AED batteries from a reputable supplier. AED pads expire, too. For example, over time, the gel used to adhere pads to skin will gradually lose applicability. Expired pads might become loose during operation – meaning your AED won’t work properly. There’s no guarantee when AED pads generally dry out and expire, so make sure to check any expiration dates listed by the manufacturer. Add these dates to your checklist. It’s also a good idea to visually check your pads for any damage – cracks or tears, for example – these simply won’t work properly. We recommend keeping a second or even third set of fresh pads on standby just in case you find their adherence has dried up before use. You should always make sure to buy pads designed for your specific AED, and to store them in sealed packaging to stop them drying up and getting damaged. Cleaning and Maintenance Procedures Always carry out routine visual inspections and clean your AEDs at least monthly to make sure they are safe and operational for use in emergencies. However, using abrasive chemicals can damage the device, so use appropriate cleaning solutions such as rubbing alcohol, or isopropyl. Carefully clean the AED itself and any corners and nooks in the device, along with the case and any additional pieces. You should use a damp cloth with rubbing alcohol for the best results, but you can also use disinfectant wipes or water. Any damaged or faulty parts should be replaced outright – make sure to line up a supplier or to speak with your manufacturer if this is the case. At the same time, it’s important to test your AED occasionally – again, monthly, at least – to ensure it’s fully operational. Many AEDs will have safe test functions and offer warning indicators if there’s a problem. This is another procedure you can follow via your device’s manual. Legal and Compliance Requirements Legal and compliance requirements for AEDs and public buildings vary depending on location. However, in South Australia, for example, it’s a legal requirement for public building owners to install a fully-working AED in an accessible location with clear signage. That said, compliance and legal requirements can vary depending on your building and services, too. Best practice, generally, is to store and maintain your AED carefully and ensure it’s clean and operational. It’s also important to register your AED defibrillators with any local authorities – making sure you meet the standards expected of you not only keeps people safe, but also ensures you remain on the right side of the law. Proper Placement and Storage As per compliance and for public safety, all AEDs should be stored appropriately in accessible areas with clear signage. In the event of an emergency, people in need should not have to spend time looking around for life-saving equipment. To preserve AEDs and their pads, always keep your equipment away from extreme temperatures. Many of our customers also say that keeping AEDs safely secured in storage boxes and cabinets helps prevent damage – and we agree. Just make sure the cabinets or boxes you use are durable! Even if you haven’t used your AED for a while, always regularly test it and visually check for damage. Training and Awareness for AED Users Many AEDs are simple to use with instructions provided during application. However, it still pays to invest in training for people who are likely to use the equipment over time. Train your personnel regularly – just as you would with first aid and CPR – so that your whole team knows how to use AED defibrillator equipment should the worst-case scenario occur. Basic awareness is just as important – in the event of a sudden cardiac arrest, your team needs to know where the life-saving equipment is held! Cost-Effective Ways to Maintain Your AED Here are some final tips to help you maintain your AED and accessories without the unnecessary expense: Invest in and store high-quality replacement parts Set up a regular schedule for maintenance to avoid costly replacements and fixes Shop with a reputable AED provider with positive customer reviews – reputable providers offer long-lasting equipment Trust your manual – not your gut – when it comes to maintaining your AED If in doubt about your AED’s functionality – contact the manufacturer before purchasing parts Conclusion Maintaining your AED and its equipment effectively means that, should you ever need to use them, you have the best possible chance at saving lives. Whether the people you help need CPR, an electrocardiogram (ECG), or hospital treatment afterwards, you’re taking the right steps to get them back to full health. Don’t just leave your AEDs in place – check, test, clean, and repair them – lives could depend on you doing so. Sources AED.com. (n.d.). Cleaning your Physio Control AED or Manual Defibrillator. In AED.com. Retrieved December 2, 2024, from https://www.aed.com/blog/cleaning-your-physio-control-aed-or-manual-defibrillator/ April. (2024). Australian regions needing cardiac arrest education revealed. In Monash University. Monash University. https://www.monash.edu/news/articles/australian-regions-needing-cardiac-arrest-education-revealed Bray, J., Howell, S., Ball, S., Doan, T., Bosley, E., Smith, K., Dicker, B., Faddy, S., Thorrowgood, M., Swain, A., Thomas, A., Wilson, A., Shipp, C., Walker, T., Bailey, P., Finn, J., Smith, T., Bernard, S., Grantham, H., … Perkins, G. (2022). The epidemiology of out-of-hospital cardiac arrest in Australia and New Zealand: A binational report from the Australasian Resuscitation Outcomes Consortium (Aus-ROC). In Resuscitation (Vol. 172, pp. 74–83). Elsevier BV. https://doi.org/10.1016/j.resuscitation.2022.01.011 Defibtech LLC. (n.d.). How to Check a Defibrillator. In AED Maintenance Checks. Retrieved December 2, 2024, from https://www.defibtech.com/news/latest/how-to-check-a-defibrillator/ Enser, M. (2024). Do AED Units, AED Batteries, & AED Pads Expire? & Why? In First Response Safety Training. https://www.firstresponsecpr.com/blog/do-aed-units-aed-batteries-aed-pads-expire/ Heart Saver NZ. (2021). Why Do AED Pads Expire? Heart Saver NZ. https://www.heartsaver.co.nz/news/why-do-aed-pads-expire/ How to Change an AED Battery on 6 FDA-Approved Brands. (2023). https://www.aedleader.com/blog/how-to-change-aed-battery/
November 29, 2024
Carolyn Cumper
Best Scrubs for Men: Finding Your Ideal Fit
Working in healthcare and first response, it’s vital to have a scrub top and scrub pants that are hygienic, well-fitting, and moisture-wicking. Scrubs for men are ideal for healthcare wear largely because they’re easy to clean and are made from antimicrobial materials – making them fit for purpose in environments where people are at risk. The best scrubs are designed for your safety, too – and in this guide, we will take a look at some of the best brands and fits available for male healthcare professionals in our online range. We’ll also explore what you should be looking for in medical scrub workwear – and why it matters! Whether you’re looking for a multi pocket scrub top, cargo scrub pants, or just a matching scrub set, we have several ideas in mind for you below. 5 Best Scrubs for Men The best men / unisex scrubs will vary from person to person depending on your needs, but the following five scrubs are high-quality kits favoured by nurses and healthcare professionals who regularly buy from MedShop. Cherokee Workwear Professionals WW695 Scrubs Top Mens V-Neck Navy Scoring an impressive 4.7 out of five stars from our customers, professionals say the Cherokee WW695 Mens Scrub Top fits better than most – and with several handy pockets and a hidden instrument loop, it’s highly versatile. It’s great value at a regular price of $35 in both M and XL (Aus sizes), but check back in regularly for sale price updates. Cherokee Infinity CK900A Scrubs The fantastic Cherokee Infinity CK900A scrubs range is versatile and professional – available in polo neck, v-neck and zip front jacket styles and a range of colours. Professionals who buy from us are impressed with this comfy garment's stretchability – it flows freely when you need to move from place to place. Dickies Dynamix DK110 Scrubs Pant Men Navy Dickies is a fantastic brand in scrub pants and v-neck scrub tops – but our team (and buyers) particularly rate its Dynamix DK110 Scrubs Pants in navy. Available in four different sizes, this straight leg pant offers pockets to the back and side, and a comfy, flat front waistband for ease of movements during busy shifts. Dickies EDS Essentials DK635 Scrubs Top Men Olive Sticking with Dickies, the fantastic EDS Essentials DK635 Scrubs Top is a v-neck available in medium and large, in a stylish olive colour to suit a range of departments and working conditions. Retailing at $46.37 ex. GST, this is a great-value, well-made scrub top that we often share at sale prices – so keep your eyes peeled for price drops. Cherokee Workwear Professionals WW190 Scrubs Pants Mens Tapered Leg Drawstring These Cherokee Workwear WW190 scrubs pants pair brilliantly with several of the brand’s best scrubs tops as explored above – and this particular pair offers a handy drawstring, available in a stylish navy colour. Offering a tapered leg, an elastic waistband, and several useful pockets, these pants have gained popularity in our range thanks to their everyday comfort and smooth fabric. What are the Best Scrub Brands for Men? The best brands designing and manufacturing men’s scrubs right now include: Cherokee Dickies Koi Carhartt Adar As you can see from our picks above, Cherokee is probably the best-loved scrubs brand retailing in Australia right now – we’ve heard so from the nurses and professionals we work with. Cherokee is particularly popular with hospital workers thanks to its focus on high-quality fabric with maximum movement. However, do visit us regularly for updates to our men’s scrubs lines! We want to make sure you always have access to the best in scrub tops and pants – and that often means bringing together a range of fits and styles from a broad collection of labels and brands. Factors to Consider When Choosing Scrubs for Men Australia’s healthcare professionals work tirelessly in often high-risk environments with extremely vulnerable people. With more than 11.5 million people in Australia hospitalised annually, it’s important for nurses and other critical staff to remain flexible and comfortable in highly functional clothing. It’s why you should never simply choose a set of scrub pants and a top on sight alone. In fact, the vast majority of professionals we work with and sell to agree that the following criteria is the most important to follow when shopping for scrubs. Comfort When spending long shifts in wards or emergency rooms, the last thing you want is for your clothing to irritate you or get in the way. That’s why we always recommend looking for the most comfortable fits possible – from pants to lab coats alike. Of course, it pays to look professional, too – and I will address that shortly – but consider looking for anti-wrinkle, sweat and moisture-wicking scrubs that can keep you covered and comfy for the working hours ahead (no matter where you’re needed). Fit Many professionals who buy and review our best selling jogger scrub pants and men’s scrub tops prioritise fit. After all, buy too small, and you’re going to be uncomfortable and look unprofessional – and it’s easy to get swamped by bigger sizes. That said, keep in mind that men’s scrubs are specifically designed to accommodate longer torsos and broader shoulders. Always measure as close to your exact dimensions as possible before buying, and read user reviews on whether or not the brand and range you’re investing in offers a comfortable fit. These are scrubs you’re going to want to keep with you for shifts to come – otherwise you’re wasting money on badly-fitting garments again and again! Durability You never know quite what you’re going to get into from one shift to the next, which is why you’ll be pleased to know that the range of men’s scrubs we offer focus on comfort and durability as priorities. There’s certainly less of a focus on style than you’d expect from other uniforms, but remember what you’re facing on an average day on the job. You’re likely to face tears, stains, maybe even burns – meaning it’s vital to wear clothing that endures along with you. Always check the fabric makeup of any scrubs you wish to buy and wear, and again – trust in what professional buyers have to say! Functionality Functional, flexible men’s scrubs might have plenty of pockets, elastic waist design, and general freedom of movement – anything that’s likely to make your job that little bit easier. If you need to change out of potentially hazardous scrubs (i.e., those stained by infectious or harmful substances), you’ll need a pair of pants and a top you can quickly switch at short notice! Pockets and other compartments in your scrubs are also important for devices such as pagers and smartphones in case you need to keep in touch with your team. For men, too, a zip fly is extremely important in terms of accessibility and hygiene – for reasons that should be fairly obvious! Colour Colour might not seem like a majority priority compared to other points made in this list so far, but it’s still important to give off a professional image, and to blend with your team. For example, it makes little sense to invest in scrubs that are pewter or hunter green if the rest of your department wears teal or grey! That said, if there is flexibility in your department or you work in several different areas as a nurse or specialist, you may wish to invest in several looks you can switch between. Conclusion Here at MedShop, we are always updating our ranges of men’s scrubs, from tops to pants – meaning it’s a good idea to book our sales pages for the latest arrivals. Whether you’re looking for slim fit scrub pants in ceil blue or a black v-neck scrub top, we have a growing range of styles and fits to benefit most healthcare professionals’ wardrobes. Be sure to read user reviews from professionals who buy from us, and reach out if you need any help.
November 19, 2024
Steven Cumper
From Home to Hospital: A Guide to Different Types of Defibrillators
Defibrillators have become a public health necessity for supporting people who experience SCAs, or sudden cardiac arrests, across Australia. In fact, there are more than 20,000 SCAs that take place out of the hospital every year, cross-country. Using the right type of defibrillator effectively could save someone’s life within minutes. But what are the different types of defibrillators, and what are they used for? In this guide, we explore the four main types, and what scenarios you might expect to use them in. Types of Defibrillators Defibrillators vary in terms of functionality and usability. The main four available to the public and businesses that install them include: Automated External Defibrillators (AEDs) Manual Defibrillators Implantable Cardioverter Defibrillators (ICDs) Wearable Cardioverter Defibrillators (WCDs) In many cases, you’ll come across the standard AED first – but let’s explore what each of the alternatives do, and why it’s worth keeping their functionality in mind. Automated External Defibrillator (AED) Description AEDs are commonly found in public buildings and spaces across Australia. They have computers built-in that trace heart rhythms and guide users on when to deliver electric shocks to a patient. They can detect specific types of cardiac issues, too, such as ventricular fibrillation. They’re some of the easiest to use – you don’t need any formal training to know how to use AEDs. Common Usage Scenarios You’d typically use an AED to support SCA patients within minutes of them experiencing a lack of breath or responsiveness. Many of the customers we supply to advise that AEDs have helped them ensure patients are responsive ahead of first responders arriving on the scene. AED defibrillators are usually found in spaces such as hotels, public offices, and even schools. It’s safe to use AEDs on children, but you will need to use specific AED pads. Manual Defibrillator Description Manual defibrillators don’t have computers and instead use rudimentary electric shock paddles. They’re typically used by medical professionals who are trained to time precisely when shocks are required. They don’t pick up heartbeats, but professionals can easily use them to customise how big a shock patients receive. Common Usage Scenarios You’ll usually find manual defibrillators are used within medical facilities and hospitals, where professionals can access them and tailor the specific level of shock needed for different patients. They’re also usually attached to ECG or electrocardiogram devices. Implantable Cardioverter Defibrillator (ICD) Description ICDs are very similar to pacemakers in that they’re surgically installed in patients at high risk of SCAs. Like many AEDs, these devices can scan for irregular heart patterns and will deliver shocks if the wearer suffers what’s assumed to be a cardiac event. They are smart devices that can determine how much of a shock the patient receives. Some of the latest versions of ICDs also work as pacemakers, as determined by doctors or surgeons who install the devices into their patients. Common Usage Scenarios ICDs are usually ideal for people who have regular heart problems or experience irregular rhythms. It’s much like having an AED inside your person at all times, ready to react when a suspected SCA is in progress. This means that certain people are always protected against potential SCA events, meaning there’s no need to worry about finding AEDs at short notice. Some of the nurses we’ve worked with over the years really sing the praises of these devices – stating they help to save many lives. Wearable Cardioverter Defibrillator (WCD) Description A WCD is much like an ICD, only it’s wearable outside of the body, not under the skin! WCDs pick up on heart irregularities and, like ICDs, deliver specific shocks tailored to the user's heartbeat. These automated devices remove the need for AEDs in public, and are easy to set up and remove wherever needed. Common Usage Scenarios WCDs are, again, like ICDs, typically reserved for people at high risk from heart disease and cardiac events. They are usually offered as temporary measures – for example, to support people awaiting heart surgery or transplants. They can be fantastic support for people with heart problems who want to enjoy exercise without worrying about the effects on their hearts. Interestingly, someone who wears a WCD will survive an SCA nine times out of ten! Comparison of Defibrillator Types Now that you know the main differences between the four types of defibrillators, let’s summarize a few key points briefly. Automated External Defibrillator (AED) Manual Defibrillator Implantable Cardioverter Defibrillator (ICD) Wearable Cardioverter Defibrillator (WCD) Description A computer-driven device that guides users A device that requires timing and precision to deliver shocks A device surgically installed for people at risk of SCA A removable device suitable for people at risk of SCA Key features Heart monitor, automated shocks, user guide ECG connectivity, customisable shocks Automated SCA detection and shocks Customisable shocks and SCA monitoring, removable hardware Commonly used for… Members of the public experiencing SCAs out of hospital People in hospital or in ambulances receiving professional care People who are at risk of heart failure and arrhythmia People who are at risk of heart failure and arrhythmia – who might be awaiting surgery Training required No formal training needed General medical training As directed by healthcare providers As directed by healthcare providers Cost range $1,500 - $4,000 N/A (provided by hospital) Procedures could cost $40,000 - $50,000 N/A (provided by hospital) Average lifespan Around 10-15 years (units only - batteries last up to seven years, pads between 2-5 years) No average Around 1-7 years, depending on the unit fitted Varies (typically used for up to 90 days max on average) Conclusion Knowing which defibrillators to use could help you save more lives than you expect! The bottom line is that the best defibrillators for home are AEDs, simply because they require no training and guide users on what to do. However, some patients will benefit from WCDs, which are wearable. Whether you’re a medical professional or a public building owner, always think carefully about the needs of those you come into contact with!
November 13, 2024
Steven Cumper
Considerations for AED Use on Children
It’s estimated that around three in every 100,000 children have out-of-hospital cardiac arrests every year. That’s based on figures from Metropolitan Melbourne alone – and this data shows we should all be taking child and AED (Automated External Defibrillator) safety extremely seriously. In this guide, we will explore: When you should use an AED on a child patient How to use an AED on children safely and effectively What to look for when purchasing an AED When Should an AED be used on children? You should use an AED on children who are experiencing sudden cardiac arrest (SCA). A child experiencing SCA will usually: Stop breathing or gasp sharply Suddenly lose consciousness Lose heartbeat and pulse It’s important to remember that SCA can occur in children of all ages, even in those who have no underlying conditions and who are otherwise healthy. It is safe for you to use AED defibrillators on children who are younger than eight years old. Specifically, children younger than eight will benefit from child AED pads designed to fit their smaller bodies. Many children older than eight will require adult pads. Once an SCA is detected, acting fast with an AED is vital. The nurses and first responders we’ve worked with over the years advise that every second counts. How to Use an AED on a Child or Infant? Unless you are with an emergency response team, always make sure to contact emergency services right away if there is any sign of a child experiencing SCA. Stay on the line with your responder for guidance and advice. While you will be instructed on how to help a child experiencing SCA, here are the steps our customers and clients recommend following. Check Responsiveness Quickly check whether the child is breathing normally or responsive to touch and speech. Check their pulse via their neck or wrists. If the child is unresponsive, you must begin CPR before using an AED. Begin CPR It’s crucial to start CPR as soon as you detect a child is unresponsive – effective practice can help to improve the child’s chance of survival, and can also improve the effectiveness of an AED if needed. For young children, you must place two fingers on the chest centre and start compressing at 100 beats per minute (BPM), up to 120 BPM if necessary. Doing so helps the child’s blood to circulate. Children generally need two-inch compression, whereas infants need around 1.5. Ideally, after every 30 compressions, you should attempt to give two rescue breaths. Tilt the child’s head back and cover their mouth or nose with your mouth, then give a gentle blow. You will need to watch if their chest rises. In some cases, an AED will guide you through how to effectively deliver CPR to a child. Get the AED After immediate CPR, obtain the AED (if you haven’t already). Ideally, if there are more than one of you, have one adult apply CPR while the other gets the AED to hand. In a public place, you will normally find an AED in a specific location. It’s important to memorise where these are if you can, just in case you need them in an emergency. Apply Paediatric Pads Make sure the area is safe from any intrusion and expose the patient’s chest, ensuring it is clean and dry, ready for paediatric defibrillator pads to be placed. You should also remove any patches for medication or other needs. Where you place the pads depends usually on the age and size of the child. For very young children (i.e., younger than one year of age), place the first pad on the upper left of their chest. Then, place the other on their back. For older children, carefully place the first pad toward the upper right of the child’s chest and the second to the lower left, just below the armpit. That said, it’s usually recommended that you follow the anteroposterior method for placing AED pads on children, meaning there’s one on their back and one on their chest. This is because it can be dangerous to allow pads to cross. Follow AED Prompts Now, attach and switch on the AED and follow its guidelines. Most have visual or audio prompts that guide you through how to deliver shocks to the patient. Be sure to switch your AED to paediatric or child mode if it has one. Always make sure there is plenty of space around you and let the AED trace the child’s heartbeat. Follow the steps suggested, and if the AED recommends resuming CPR, do so. Monitor the Child If the child regains consciousness or starts breathing (erratically or otherwise), continue to monitor them and follow advice from first responders (or, continue CPR if appropriate). If there is still no response from the child, continue the cycle until emergency services arrive, or until instructed by emergency support. What Precautions Should be Taken When Using AEDs on Children? You should always make sure that the area is clear around a child before using AEDs. Always ensure there is no likelihood of you being interrupted or that public traffic is unlikely to collide. Do always be ready to perform CPR before using AEDs – you could save a life without needing the equipment. Make sure you adhere AED pads correctly to the child’s body. Crossing pads on their chest, for example, could be dangerous. Do not hesitate to use an AED on a child. The Australian Heart Foundation states that 50% of people of all ages stand to survive SCAs with AED support. Without this equipment, this falls to 27%. Always call emergency services for help if you need direction for CPR and using AEDs. What Should I Consider When Purchasing an AED? When looking for AED defibrillators, choose devices that are: Easy to install and store where they can be accessed Manufactured by a leading brand or firm Packaged with pads and other safety equipment Sold by a reputable medical retailer The nurses and responders we’ve worked with over the years tell us that the best defibrillators for home (and public spaces) are those that come with clear instructions and are easy for anyone to access. You shouldn’t ever prioritise cheap equipment when it comes to saving lives. Look for a device that suits you and your public’s needs. FAQ Can You Use Adult AED Pads on Children? Yes, you can use adult AED pads on children who are over 55 pounds or older than eight years of age. However, we recommend you place one on their chest and another on their back so they don’t cross over. How Common is Sudden Cardiac Arrest (SCA) in Children? SCA can affect up to three children in every 100,000 every year. In some areas, it can claim the lives of thousands of children annually – meaning it’s always important to have AEDs and pads available in public spaces. What are the Differences Between Paediatric AED pads and Adult Pads? Child AED pads are smaller than adult pads so they don’t cross over – and they also deliver less electrical energy. That’s because children typically need less energy than adults when AEDs are in use.
November 07, 2024
Steven Cumper
Proper AED Pad Placement: For Adults and Children
An automated external defibrillator, or AED, is a vital resuscitation device that offers life-saving care. But, did you know that AED pad placement is vital for ensuring that a victim’s heart gets the support it needs? In this guide, we will take you through what you need to know about AED use and placement on people of all ages. We'll also show you can safely use adult pads and pediatric pads to support a sudden cardiac arrest victim – useful advice for first responders, civilian rescuers, and EMS. AED Pad Placement Typically, you place AED electrode pads on the bare chest of someone who appears to be suffering from a cardiac arrest. An AED machine will scan heart rhythm and fibrillation and ascertain whether or not you need to deliver an electric shock to help the organ regain a healthy beat. Without proper AED pad placement, you cannot deliver appropriate first aid through chest compressions – and every second counts. A successful defibrillation depends just as much on where you place the equipment as it does on how you use it. Before attempting defibrillator pad placement on your own, check our following advice. Pad Placement for Adults Firstly, keep in mind that perfect placement may vary depending on your AED provider, so always check your manual or guide provided. The American Heart Association generally recommends following either an anterior-lateral or anterior-posterior placement when using AED pads. The advice is no different for an elderly man or a pregnant woman! Here’s what each placement involves: Anterior-lateral placement: Place one AED pad on the upper right side of the chest or torso, just above the nipple and under the collarbone. The other pad should be placed on the lower left side of the chest, under a woman’s breast or a man’s pectoral muscle. Anterior-posterior placement: Place the first pad on the front of the body between the left nipple of a man or under the left breast of a woman, and the chest’s midline. You should then place the other pad on the patient’s back, to the left of their spine, around level with the heart. Remember, you can still place AED pads on patients with pacemakers – who are most likely to experience an SCA episode. Pad Placement for Children and Infants The way to effectively place AED pads on children and infants is slightly different. This is largely because younger people need less of an AED shock due to their higher energy levels. To start, you must use specific pediatric pads designed for use with children. According to AED guidelines, a child is someone who is less than 55 lbs in weight or younger than eight years old. Typically, the AHA suggests placing AED pads through the front-back or anteroposterior positioning mentioned above. One should go on the chest wall, or front of the chest, and the other should go on their back. This is largely because, with smaller bodies, there's more of a risk of you overlapping pads on the front of a child's chest. Many of our clients recommend following the anteroposterior method just to be careful regardless of a child's age – after all, there's often no way to weigh them during an SCA! You should place the front pad on a child’s cardiac apex, just between their left nipple and the midline. The posterior pad, meanwhile, should go roughly between the shoulder blades and parallel to the heart. Pads used to defibrillate a child should ideally be as large as you can find while still offering a gap of around 3 cm. If you're worried about where to place AED pads safely and effectively, most providers have graphics that show you exactly where you should position them. Preparing the Patient for AED Use As mentioned, every second counts when it comes to supporting cardiac victims. Here are some quick preparation steps our customers have shared with us to help you use a defib machine effectively. Exposing the Chest Always make sure that a patient’s chest is fully exposed before placing pads. They need to apply to bare skin so that there is no resistance with the current supplied by the AED. That can mean shaving away chest hair and removing jewellery, nipple piercings, and necklaces, for example. Assessing the Patient's Condition Always check if a patient is breathing normally and has a regular pulse. If either are irregular, you can use an AED – but if they are not breathing or have no pulse, you should call emergency services as soon as possible and begin CPR. Cleaning and Drying the Skin If your patient has any dirt, debris, fluid, or water otherwise on their chest that could impede the AED pads, make sure to clean them carefully and to dry the skin fully. You need to make sure that the pads adhere fully to your patient’s bare skin. Be Prepared to Do CPR Remember, you may still need to do CPR if your AED still advises of irregular heart rhythms after delivering an electrical current. You may need to stop using the shock button, for instance, if you use a semi-auto machine. Follow chest compression rhythms as outlined in basic first aid policy and follow guidelines set out by the AED. Summary of Best Practices It’s vital to place AED defibrillators directly onto bare skin where electrical shocks can stimulate the heart without interfering with other internal organs. Failure to do so could result in slower recovery, or worse, even death. Remember, the best AED kits and providers ensure you have plenty of guidance when it comes to positioning pads on adult and child patients – but it’s always worth keeping the above advice in mind. Remember, the chance of survival from a cardiac arrest increases by up to 70% when using AEDs effectively! FAQ Can I Reuse AED Pads? No, you cannot reuse AED pads, they are for single patient use only. Therefore, you should always have a fresh supply available. Where can I buy new or replacement AED pads? You can buy new and replacement AED pads through specialist medical suppliers online, such as MedShop. Our repeat customers rely on our broad range of pads and AED supplies to ensure their first aid kits are always replete. Can adult AED pads be used on children? It’s inadvisable to use adult AED pads on children who weigh less than 55 pounds, or who are younger than eight years old. The main reason for this is that large pads could overlap on small chests. What should I do if the patient's chest is wet? Make sure to dry the patient’s chest carefully with a clean towel so that AED pads can safely adhere. What should I do if the AED pads overlap on a small chest? Reposition the AED pads so one is on their back, and the other is on the victim’s chest. This is called the anterior-posterior placement, and there are more details in our guide above.
October 24, 2024
Steven Cumper
Defibrillator Requirements and Regulations in Australia
In the event of a cardiac arrest, a defibrillator or AED is an essential piece of medical equipment that can save a life with an electric shock. Many of the doctors and nurses we’ve supported over the years have sworn by AEDs to help bring people back from the brink of fatal episodes – however, they need to be used safely and appropriately.
October 16, 2024
Carolyn Cumper
Nursing and Night Shift Sleep Schedule: Sleep Tips for Night Shift Workers
Nursing, especially in a hospital environment, is a 24-hour job. Night shift workers, such as nurses, are essential to providing round-the-clock care. However, working through the night goes against the body’s natural circadian rhythms. Our internal body clock is influenced by daylight and darkness, which makes us naturally tired at night and awake during the day. Night shift workers must combat these rhythms to stay alert and provide care, often leading to sleep deprivation, sleepiness during work, and difficulty getting enough hours of sleep during the day. Night shift workers face unique challenges in maintaining a healthy work schedule. Research shows that irregular sleep time and light exposure during the day can lead to long-term sleep issues. Additionally, rotating shifts or constantly changing from day shift to night shifts can make it harder to establish a good sleep pattern. Nurses, in particular, may become light sleepers and find it difficult to get enough sleep, even when they do manage to go to bed. Here are some practical tips to create the best sleep schedule and improve sleep hygiene for those working night shifts. 1. Find the Right Schedule for You Everyone's body reacts differently to shift work, so there isn’t a one-size-fits-all solution for night shift workers. Some may be able to sleep immediately after getting home, while others might need to delay their sleep time depending on family obligations or other factors. The key is to develop a sleep schedule that fits your work schedule and lifestyle. Example: A night shift worker with young children may need to sleep in two blocks – one nap after the shift and another during the day when the kids are at school. If you don’t have other responsibilities, try to get your daytime sleep in one consistent block of 7 to 9 hours. 2. Keep it Regular Consistency is critical for better sleep during shift work. Sticking to a regular sleep time, even on days off, can help you get into a natural rhythm. Night shift workers should aim for 7 to 9 hours of sleep, just as those working during the day do. Try to go to bed at the same time every day, whether it’s early morning or afternoon after finishing your shift. Example: If your shift ends at 7 a.m., aim to be in bed by 8 a.m. every day and wake up around 3 p.m. to maintain a regular routine. 3. Go Dark Because night shift workers sleep during the day, managing light exposure is essential for regulating circadian rhythms. Consider wearing sunglasses on your way home to minimize light exposure, which signals the brain that it's time to wake up. Once home, make your sleep environment as dark as possible. Installing blackout curtains in your bedroom will block out sunlight and help you sleep longer. Using an eye mask can also further reduce light exposure. Example: Use blackout curtains, an eye mask, and earplugs to block out light and sound, creating the optimal sleep environment for daytime sleep. 4. Power Nap If you find yourself feeling tired during your shift, power naps can help rejuvenate you. A quick 20 to 30-minute nap before or during your shift can improve alertness and reduce sleepiness. Be careful not to nap too long, as falling into a deep sleep can make it harder to wake up and cause grogginess. Example: Take a power nap right before your shift and set an alarm for 20 minutes. For an extra energy boost, drink a cup of coffee right before napping—the caffeine will kick in as you wake up. 5. Keep Caffeine to a Minimum While many night shift workers rely on caffeine to stay alert, it’s important to limit your intake, especially toward the end of your shift. Too much caffeine can interfere with your ability to fall asleep when you get home. Example: Try to have your last caffeinated drink at least 4 to 6 hours before your sleep time to ensure it doesn’t disrupt your sleep schedule. 6. Use Earplugs Living in a noisy environment can make daytime sleep challenging. Night shift workers can improve their sleep hygiene by using earplugs or white noise machines to block out external sounds. This can prevent disruptions and improve overall sleep quality. Example: Use earplugs or download a white noise app to drown out daytime sounds, such as traffic or people talking, while you sleep. 7. Eat Well Eating well can make a significant difference in how you feel during your shift and how well you sleep after it. Avoid heavy, greasy meals close to sleep time, as these can interfere with digestion and make it harder to fall asleep. Instead, opt for light, balanced meals. Example: Eat a small meal that includes lean proteins and vegetables after your shift, and avoid sugary snacks, which can cause energy crashes. 8. Supplement Your Sleep Supplements such as melatonin can help regulate your body’s natural sleep cycle. Melatonin, a hormone your body produces naturally, signals your brain when it’s time to sleep. It can be especially helpful for night shift workers whose schedules are out of sync with natural light cycles. Other supplements, like magnesium and chamomile tea, may also help you relax and sleep better. Example: Take a small dose of melatonin (0.5 to 3 mg) an hour before your sleep time to help your body adjust to your work schedule. Sleep plays a critical role in overall health and wellbeing, especially for those in demanding professions like nursing. Night shift nurses, in particular, face unique challenges in maintaining a healthy sleep schedule. Ensuring good quality rest is essential for feeling rejuvenated and performing optimally, both at home and on the job. Alongside these sleep aids, it’s also important for nurses to invest in comfortable nursing scrubs, which can make long shifts more bearable and contribute to overall comfort and wellbeing. Author: Carolyn Cumper's career spans from being a Patrol Officer in Rhodesia to a Paediatric Nurse in the UK, and later a Deputy Hospice Manager in Australia. Her diverse journey includes roles in law enforcement, healthcare, and business, culminating in her significant contributions to Medshop.
October 16, 2024
Carolyn Cumper
Nursing School Study Tips: The Power of Flashcards and Reference Cards
As any student will tell you, attending class is one thing, retaining the knowledge you need to pass a course is quite another. However, nursing reference cards can help!
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