Q1.何謂AED?一般民眾無專業醫療背景是否能使用?
Q1. What is AED? Can anyone without a professional medical background perform it?
A:AED是Automated External Defibrillators 的縮寫,中文為「自動體外心臟除顫器」。也有人稱為「自動體外心臟去顫器」、「傻瓜電擊器」,是一台專門提供給一般非醫護人員,使用於心臟驟停的可攜式急救設備, AED使用者並受『緊急醫療救護法第十四條之二』之保障。
※『緊急醫療救護法第十四條之二』:
救護人員以外之人,為免除他人生命之急迫危險,使用緊急救護設備或施予急救措施者,適用民法、刑法緊急避難免責之規定。 救護人員於非值勤期間,前項規定亦適用之。
A: AED is the abbreviation of Automated External Defibrillators. Which also is known as “automatic external defibrillator” and “fool shocker”, it is a portable emergency equipment specially provided to ordinary people for cardiac arrest. AED operators are also subject to “emergency medical care”. Article 14-2 of the Act”.
※”Article 14-2 of the Emergency Medical Care Act”:
Except professional rescue personnel, people use emergency equipment or first aid treatment in order to avoid imminent danger to the lives of others shall be irresponsible to the provisions of civil law and criminal law. The provisions of the preceding paragraph shall also apply when professional rescue personnel are irresponsible.
Q2.使用AED的時機?
Q2. The timing for AED operation
A:當患者沒有意識,沒有呼吸,也沒有脈搏時,就可以使用AED。
A: When the patient comes to be unconscious, no breath, and no pulse.
Q3.AED使用是否安全?
Q3: Is it safe to operate AED?
A:是的,AED會自動偵測病患是否需要電擊,唯有病患需要電擊時才會開啟電擊功能。
A: Yes, AED will auto-detect if the patients need to be defibrillated. AED would only deliver the shock when it is necessary.
Q4.使用AED之操作步驟?
Q4: The Standard Operation Procedure(SOP) of AED?
A:開啟電源、將貼片按指示貼在病患身上,等待AED分析心律,依指示按下電擊按鈕。
A: Turn on the power, apply the pads on the patients, wait for analysis, and press the shock button.
Q5.被施救者身上有胸毛時是否會影響電擊傳導性?
Q5. Whether the chest hair affects the transmission of shock?
A:是的,胸毛會造成電擊貼片無法確實接觸病患皮膚,影響電擊效果,可先用貼片拔除胸毛或用適當工具剃除胸毛。
A: Yes, chest hair could affect indirect contact to the skin of the patients and which could affect the shock treatment. In this condition, rescuer should shave the chest hair in advance.
Q6.被施救者身上有金屬項鍊時是否會影響電擊傳導性?
Q6. Whether the metal necklace affect the transmission of shock?
A:是的,因有導電顧慮,請先移除後再電擊。
A: Yes, it is. Please press the shock button after remove the metal necklace.
Q7.被施救者身上有藥性貼布時是否會影響電擊傳導性?
Q7. Whether the medical patch affects the transmission of shock?
A:是的,藥性貼布會造成電擊貼片無法確實接觸病患皮膚,影響電擊效果,請先移除,並用乾布擦淨後再電擊。
A: Yes, it is. Please press the shock button after remove the medical patch and clean with dry mop.
Q8.急救時,若現場無小孩的AED貼片,可以使用大人的貼片嗎?
Q8: Could we perform the adult pads on children when there was no pediatric pad?
A:緊急時可以暫時代用,但請盡量使用兒童專用電擊貼片。
A: It is available in emergency condition, but it is better to apply pediatric ones.
Q9.AED的貼片位置是否能交換?
Q9. Could the position of pads be switch?
A:依各廠牌的AED設計有所差異,建議打開貼片後依照貼片上的圖示位置來黏貼。(部份廠牌貼片可對調)
A: It is different from each AED agent. Suggest apply the pads and follow the instruction. (Some AED brand could switch the pads position)
Q10.AED對兒童的使用是否安全?
Q10. Is it safe on children condition?
A:根據「2010年民眾版之基本救命術比較表」,「1至8歲的小兒建議使用小兒貼片,如無小兒貼片,使用成人貼片;小於1歲的嬰兒使用手動電擊器,如無手動電擊器,建議使用小兒貼片,如無小兒貼片,使用成人貼片」。
A: According to the “2010 AHA guideline”, “Children aged 1 to 8 years old are recommended to use the pediatric pads, if there is no pediatric pads, apply the adult patch; If there is no manual defibrillator, it is recommended to use a pediatric pads, and if there is no pediatric pads, use an adult pads.”
Q11.儀器發生故障時,如何處理?
Q11. How to deal with the AED malfunction?
A:立即撥打立偉電子AED服務中心24H免付費電話(0800-885-095)。
A: Please dial Leeway Service Center 24H free number (0800-885-095) right away.
Q12.AED未使用時,是否仍需裝上電池?
Q12. Should battery install in AED when AED is no usage?
A:是的,AED為急救設備,應隨時保持在待機狀態。
A: Yes, AED is rescue equipment and should be standby at anytime.
Q13.AED的電池需要充電嗎?
Q13. Does battery of AED require recharge?
A:AED的電池為高電流長效拋棄式電池並不能重複充電。機器每天會自我檢測,當電池弱電時會有警示音提示。
A: The battery of AED is one-use and cannot be recharged. AED will perform self-test daily and have voice prompt when low battery power.
Q14.AED對於正常人是否會放電?
Q14. Does AED deliver shock on normal people?
A:AED主要針對兩種致命的心率不整 心室纖維性顫動(VF)、心室頻脈(VT)做電擊除顫治療,所以AED分析正常人的心律後是不會建議電擊的。
A: AED will only deliver shock on Ventricular Fibrillation (VF) and Ventricular Tachycardia (VT), so it is no advised shock on Normal Sinus Rhythm (NSR).
Q15.AED電擊時是否會電到旁人?
Q15. Does defibrillation spread to the people nearby?
A:當AED建議電擊,電擊鈕充電閃爍後,需再次確認無人觸碰患者後,再按下AED電擊鈕。如當時有人觸碰患者,會感受到酸麻的感覺,重點是AED給與的能量是計算患者所需的,如此會分散電擊能量,造成此次電擊無效,減少患者生存機率。
A: The shock button becomes flashing when shock is advised. Please press the shock button after nobody touches the patients. If Anyone touched the patient with defibrillation treatment would distract defibrillated energy and cause the unavailable shock, it would reduce the survival rate of the patient.
Q16.裝心律調節器(PACEMAKER的人)是否適用AED?
Q16. Can the people with pacemaker be treated by AED?
A:患者如有裝心律調節器但是已經需要CPR,那代表體內的心律調節器已失去功能,故同樣能使用AED。
A: The patients with pacemaker need CPR represent the device inside the patient has lost its function. The patients above can also be treated with AED.
Q17.電擊完成後續動作?
Q17. What is the following step after shock?
A:電擊後,此時患者心臟已進行去顫,應該立刻繼續胸外按壓,不須移除AED貼片,AED會自動每兩分鐘做一次心律分析。
只有在分析心律的那幾秒鐘的時間才可以暫停壓胸的動作,如此反覆操作胸外按壓以及AED心律分析,一直到患者恢復正常呼吸,或有人接手為止。
A: Continue CPR right away after defibrillation and not remove the pads (Patient still remains unconscious). The AED will analyze heart rhythm every 2 minutes. Only pause CPR when AED analysis, Normal breath, and the other people take over.
Q18.請問電擊貼片是否可重覆使用?
Q18. Are the electrical pads reusable?
A:電擊貼片為單次性消耗品,經使用後不可重覆使用,租賃客戶經使用後可立即通知廠商進行免費更換,賣斷客戶另行報價進行採購以利後續使用無虞。
A: Pads are one-used consumable accessories. Rental customers could replace new pads freely after usage and outright customers could replace new pads after purchase new ones.
急救流程
依據2011年我國衛生署函文說明的新版CPR急救法 ,新版CPR分為四個程序,簡稱為「叫叫CD」。
流程表如下:
1、叫:無反應、没有呼吸或幾乎没有呼吸
2、叫:(成人)請人撥打119求救;(8歲以下兒童)先 CPR 2 分鐘,再打 119
3、C(Circulation):施行胸外心臟按摩,壓胸30下
4、D(Defibrillation):電擊除顫,依據機器指示操作進行急救
※緊急醫療救護法:救護人員以外之人使用AED救人免責(救護人員於非值勤期間,亦適用之)
First Aid Procedure:
According to the TFDA, there are four steps about CPR.
- Consciousness: No react, no breath.
- Call: (Adult) Dial 119 for help;(Pediatric) CPR for 2 min first, and dial 119.
- C (Circulation): Perform chest compression.
- D (Defibrillation): Shock and follow the instructions from the AED.
※Emergency medical article: Anyone except professional rescuer is irresponsible in first aid condition. (Professional rescue personnel is corresponded as out of duty.)