IN VILLAFAFILA

Villafáfila has a DESA Semiautomatic External Defibrillator.

Location:

C/ Rejadarada Nº 1 at the entrance to the town's Primary Health Medical Office, next to the Town Hall.

The door for access is open 24 hours.

https://goo.gl/maps/oypo2zmXEGF9uKp66

Phone: 980 59 17 63 , Villafáfila Primary Health Medical Office, during consultation hours.

Phone: 980 58 00 30, Emergencies Primary Medical Base in Villarrín de Campos.

EMERGENCIES: 1 1 2 ONE - ONE - TWO

In an emergency situation the most important factor is the time every second counts. In fact, when sudden cardiac arrest occurs, the chances of survival decrease by 10% for every minute that passes without defibrillation.

What is an Automated External Defibrillator AED?

AED stands for Automated External Defibrillator, don't worry, it's much easier to use than to say.

Everywhere you are located you will see a sign with a green background, in its upper left part a cross, below to the right a large heart that carries a lightning bolt inside. At the top the acronym DEA

An Automated External Defibrillator is a device that delivers a high-energy electrical shock through the heart of a person experiencing sudden cardiac arrest. This electrical shock is known as defibrillation and its purpose is to return the heart to its normal rhythm.

What types of defibrillator are there?

There are two main types.

AED Semiautomatic External Defibrillator:

The person performing the rescue is the one in control of pressing the button that delivers the electric shock to the victim if a heart rhythm requiring it has been detected. This may be desirable as it allows the person performing the rescue to ensure that no one is in contact with the patient's body at the time of shock administration, because in effect the AED is not capable of detecting if there is another person touching. to the patient. Semi-automatic AEDs are often preferred by medically trained personnel. Following patching and heart analysis (ensuring a heart rhythm requiring an electrical shock has been detected).

AED Automated External Defibrillator :

automatically delivers the electric shock to the patient without human intervention.

The person performing the rescue only needs to ensure that no one is touching the patient when the shock is delivered.

Defibrillator found in Villafáfila

Villafáfila has a DESA Semiautomatic External Defibrillator, at C/ Rejadarada Nº 1 ( https://goo.gl/maps/oypo2zmXEGF9uKp66 a) at the entrance to the local Health Medical Office, next to the Town Hall. The door for your access is open 24

Inside a plastic urn as you see in the photo

Inside the box it comes in a red carrying bag Philips HeartStart Defibrillator, and another bag containing the pads, adult electrode cartridge, etc.

Although it is not possible to see it previously, because of its box it will surely try the:

Philips HeartStart HS1 Defibrillator, Semiautomatic External DESA.

The content:

1 HeartStart HS1 Semiautomatic External Defibrillator.

Defibrillator controls include:

The green handle of the pad cartridge

Green on/off button.

Orange download button.

1 Pads, electrode cartridge for adults. (a set).

1 Long Life Battery (pre-installed).

1 Quick Reference Guide.

1 Instruction Manual.

Weight: 1.5 kg / 3.3 lbs, the HeartStart HS1 defibrillator is small and light.

Battery: it is DC 9 volts, 4.2 Ah, made up of long-life disposable lithium and manganese dioxide primary cells, it has a minimum discharge capacity or 4 hours of operating time. The battery is marked with an “install by” date of at least five years from the date of manufacture.

Shock-to-shock cycle times are less than 20 seconds between shocks in a series. The Philip HS1 working peak defibrillation current for an adult is 32 A (150 J nominal) into a 50 ohm load and for a child it is 19 A (50 J nominal) into a 50 ohm load (using the cartridge). optional SMART pads for newborns/toddlers).

How does it work?

From the time we activate the chain of survival alerting us to the situation that is occurring, until medical assistance arrives, there may be a lapse of about 6-11 minutes depending on the city we are in, these minutes may increase if we are in rural settings. For this reason, it is essential that the witnesses who witness a cardiorespiratory arrest have the knowledge and a good technique when performing compressions in order to keep that heart "alive" until the arrival of definitive help.

It is recommended that an adult, as soon as they detect that they are in a situation of cardiorespiratory arrest, ask for help and without wasting time start performing cardiac massage.

Before you start using the AED, follow these steps.

If you find a person who could be in cardiac arrest, keep calm, it is essential to avoid wasting time.

1st SAFETY

· Make sure you are safe before approaching the victim.

· Then also secure the victim and other witnesses.

· CALL EMERGENCIES AT 1 1 2 ONE – ONE – TWO if you can, they will guide and help you.

· If you find two people, one of you can make the call. Identify yourself, tell them the place, the person's approach, eg: male or female, complexion, anything that stands out or if you knew about their health.

· And the other exploration to go faster.

2nd ANSWER

Perform an examination to determine that he is in possible cardiac arrest, with the subject lying face up:

· Give him a few pats on the face to see if he reacts by calling out loud if he is okay.

· Gently shake your shoulders, or pinch a garter belt.

If he doesn't respond, he's unconscious. 

3rd AIRWAY

· Place the victim face up.

· Place one hand on the forehead and another on the chin and tilt your head back, thus opening the airway and in turn not obstructing it with your tongue.

· Bring your ear close to the person's nose to see if he is breathing and fix your eyes on his chest.

· Take her pulse if you can.

4th BREATH

Maintaining the previous position, approach and check in less than 10 seconds if you are breathing normally:

· Look at his chest and hear if he feels his breathing normally.

· If they have doubts, act as if they were not breathing normally.

5º DOES NOT RESPOND AND DOES NOT BREATH WITH NORMALITY

· The victim is in CPR. Scream and ask for help to get closer immediately call 112 or bring an AED.

· If we are alone call 112 with the loudspeaker and do not abandon the victim.

· Start CPR.

If after all these steps the person does not respond, does not react, nor do we have breathing symptoms, they may be in cardiac arrest.

CARDIO PULMONARY RESUSCITATION CPR

We will get to do immediately, if there were two people, they will alternate each time.

Chest compressions and chances of survival

The explanation for this is due to the following, just at that moment, the blood of the body that stops is still oxygenated and lasts for several minutes like this, hence the importance of a quality massage, so that that oxygen can continue to reach the heart and brain and can maintain their functions without damaging their structures.

6 CPR

· The correct technique to perform compressions, according to the Guide of the European Resuscitation Council, indicates that the person has to be on a rigid surface and face up.

· The person performing the compressions should stand on the victim's side. You will have to uncover the chest in order to locate the application point of the cardiac massage.

· The cardiac massage will be performed in the center of the patient's chest, in the lower third of the sternum, interlacing the hands and with the arms straight and at 90 degrees with respect to the patient's chest.

How are chest compressions performed correctly?

Rolled up next to the victim and bare his chest if you can,

· To perform CPR maneuvers, we will drop the weight of the body on the patient's chest, sinking it between 5-6 cm at a frequency of 100-120 compressions per minute.

· After each compression it is important that there is a good decompression, so that the heart can completely fill with blood. Avoid reducing the pauses between compression and compression by no more than 10 seconds.

· We are going to follow a sequence of 30 compressions followed by two rescue breaths. We will continue this technique until the patient gets signs of life, the EMS team arrives, or until we are exhausted.

As soon as we have the Defibrillator next to the patient.

1 Take out the DESA Semiautomatic External Defibrillator that is inserted in a plastic box inside the box in its cargo bag, and also in another one that comes with the electrodes, etc.

A powerful alarm will go off when you open the urn, don't be scared, it has two functions:

a)       one to warn if another person listens and can bring help.

b)       In case the AED tries to be robbed, to dissuade it.

Defibrillators work in a very intuitive way, which means that the person who uses it can know how to use it even without having specific training to save a life. They have vocal, step-by-step instructions, and usually include diagrams that guide you through the process of use.

7 THE DEA ARRIVES

· Turn on and insert the AED as soon as it arrives.

· Place the Adhesive Patches on the victim's bare, dry chest (see drawings).

· Coordinate with the person who brought you to maintain compressions and manage the AED without interactions.

· Follow the voice instructions always make sure that nothing touches the victim while the AED analyzes their heart rate.

· If a download is indicated, let everyone know and press the download button. Continue immediately with CPR.

· If no shock is indicated, continue CPR.

8 NEVER INTERRUPT CPR

Unless:

· The ambulance arrives.

· The victim shows signs of life (is conscious or breathing normally).

· You are exhausted.

To start the rescue, you must lift the lid or press the start button on your defibrillator. It alerts you to call the emergency services in case you haven't.

You will be instructed to place the electrodes on the patient's bare skin, making sure you place them in the correct place. The images on the patches will indicate where to place them, they detect and adapt the defibrillator's instructions to each of its actions, the device will read and analyze the electrical activity of the heart. The AED automatically recognizes a rhythm that requires an electrical shock. If it identifies that it can help, it will signal you to press the shock button. The electrical shock can return the heart to its normal rhythm.

Through clear voice instructions in Spanish, with detailed voice messages, it guides you step by step through the defibrillation process, including instructions for CPR, during CPR maneuvers, the defibrillator's voice instructions can be activated to indicate the rate and depth of compressions, as well as inflations.

Includes technology for heart rhythm assessment (SMART analysis) and defibrillation energy delivery (SMART biphasic).

It can also be used to treat infants and children as well as adults.

If a shock is advised, the defibrillator will prompt you to press the flashing orange button, it is capable of delivering a shock after the end of a CPR interval, typically within eight seconds.

If the defibrillator tells you that “shock is not needed,” continue CPR and continue with the device's further instructions until emergency services arrive.

If the emergency service needs a summary of the actions or interventions carried out, it can be retrieved from the internal memory of the defibrillator.

Just press the information button and the defibrillator verbally reproduces the events since its last clinical use.

Why are AEDs necessary?

Sudden cardiac arrest is considered a medical emergency and requires immediate action, otherwise it can be fatal. In fact, heart disease (CVD) represents the first cause of mortality in Spain, causing more than 125,000 deaths each year.

For these reasons, it is essential that, in the event of an emergency, an AED is on hand: it can mean the difference between life and death for a person.

Applicable legislation:

DECREE 2/2018, of February 1 , which modifies various Decrees on health planning for the reduction of administrative burdens. (BOCYL 05-02-2018).

DECREE 9/2008, of January 31 , which regulates the use of semi-automatic external defibrillators by non-health personnel.

ROYAL DECREE 365/2009, of March 20 , which establishes the minimum conditions and requirements for Safety and Quality in the use of external automatic and semi-automatic defibrillators outside the health field.

DECREE 5/2011, of February 3 , which modifies various general provisions in health matters, for its adaptation to Law 17/2009, of November 23, on free access to Service Activities and their exercise and Decree-Law 3/2009, of December 23, on Measures to Promote Service Activities in Castilla y León (BOCyL 09-02-2011).

RESOLUTION of February 14, 2012 , of the General Directorate of Public Health, by which the Territorial Delegates of the Junta de Castilla y León, in the different provinces, are delegated the exercise of certain competences in this matter.

APP ARIADNE

Ariadna is a collaborative map of defibrillators in Spain that seeks to make it easy for any citizen to locate them by taking advantage of technology.

Did you know that in the event of cardiorespiratory arrest, survival is reduced by 10% per minute?  So that you can react as quickly as possible, this app locates the closest automated external defibrillator (AED) very easily. Promoted by the Spanish Society of Cardiology (SEC) and the Red Cross, the application also allows any user to contribute to updating the AED registry in Spain, with the aim that there are more and more accessible.

In addition to volunteers trained in cardio-pulmonary resuscitation (CPR), anyone can help by uploading, by geolocation, the location of AED devices in public or private spaces, or by validating those that have already been previously registered by other users, and even completing with photographs of the place.

Author:

Jose Luis Dominguez Martinez.

DEA External Defibrillator Course. Red Cross. 04-06-2022.

First Aid course in private security. 8 p.m. (on-line). Ibecon 2003 SL 2021.

Biography-Text

cardiacscience.es

https://www.cardiacscience.es/what-is-an-automatic-external-defibrillator-dea

red.life

https://red.life/p/philips-heartstart-onsite-defibrillator/

esforem.es

https://esforem.es/catalogo/phillips-hs1-defibrillator

https://www.salvavidas.eu/

https://www.salvavidas.eu/el-proyecto/comunicacion/blog/360-que-son-las-thoracic-compressions

https://ariadna.fundaciondelcorazon.com/

Philips HeartStart HS1 Manual Defibrillator

https://manualzz.com/doc/5312942/distribuido-por-

Society of Cardiology

https://secardiologia.es/publicaciones/apps/9794-ariadna

Photographs:

https://esforem.es/catalogo/phillips-hs1-defibrillator

https://www.defibrillators.shop/sale/defibrillators/philips/defibrillator-philips-heartstart-hs1/

cardiacscience.es

https://www.salvavidas.eu/

Jose Luis Dominguez Martinez.

Video:

JCyL Patient Classroom

http://www.saludcastillayleon.es/Aula...

https://www.youtube.com/watch?v=5TkFfGlUy40

Philips HS1 external defibrillator demo

https://www.youtube.com/watch?v=b6cX0KKnnzY&t=226s

Training Institute of the Red Cross Bizkaia 2. First Aid: CPR (cardiopulmonary resuscitation) in adults

https://www.youtube.com/watch?v=FEayzgNGGBQ

Ariadna: collaborative map of defibrillators in Spain

https://www.youtube.com/watch?v=e5uAaB8WY7g

Transcription and montage:

Jose Luis Dominguez Martinez.

All text, photographs, transcription and montage, their rights belong to their authors, any type of use is prohibited without authorization.

All text and photography has been authorized for storage, treatment, work, transcription and assembly to José Luis Domínguez Martínez, its dissemination on villafafila.net, and any other means that is authorized.