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SF Jake
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Don’t get hung up on hairy chests and need for a shave...they have to look like they are wearing a sweater before I consider it.....I’ve run literally 100s of cardiac arrests throughout my career so I can speak from experience as well as some of the others here.
An important consideration IMO is output of energy from the AED....some models are a consistent energy level for each shock....and some (such as the physio control model shown in this thread) have escalating energy delivery if subsequent shocks are needed. Energy levels for defibrillators are given in joules....an escalating model would deliver 200 joules for the first shock, 300 for the second and 360 for the third and subsequent shocks....It is not uncommon to have to deliver multiple shocks to an individual depending on countless other factors that come into play...persons size, heart disease type and severity, electrolyte imbalances, medications they take only to scratch the surface and name a few. Technical shit I know...but good to know and make informed decisions on a purchase. I know one manufacturer that delivers a consistent 150 joules every time...sucks if it isn’t enough!
email in my profile if you have questions...easier for a phone conversation if desired. Good luck Coloradohunter!


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Posts: 3169 | Location: southern connecticut | Registered: March 20, 2008Reply With QuoteReport This Post
Honky Lips
Picture of FenderBender
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quote:
Originally posted by Lt CHEG:
quote:
Originally posted by mrbill345:
Check with EMS where the AED's will be located. When I worked EMS/ER, we exchanged pads. It was quicker to unplug from the AED & connect to the monitor/defibrillator.


This is the correct answer. For the jet, it probably doesn’t matter as you won’t know what EMS is using everywhere, but at least find out what EMS is using at the lodge. Make sure that your pads are compatible and that EMS can simply unplug your AED and plug its pads into to their more advanced defibrillator. EMS can at least save some time while they set up more leads for more thorough diagnostics and treatment.

Personally, I’ve used Physio Control, Phillips and a couple others which I can’t remember the name of and they all worked fine for first response/BLS purposes. My personal preference is Physio Control, all else being equal as they do seem a little beefier, if all else is equal. Also consider keeping two sets of adult pads with every AED. If someone is very hairy chested you can save some time in getting good pad contact by using one pad to rip the hair off their chest and then place the second pad on their now bare skin.


Basically, this has you covered.
 
Posts: 8196 | Registered: July 24, 2009Reply With QuoteReport This Post
Rumors of my death
are greatly exaggerated
Picture of coloradohunter44
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Thx guys. I’ll take all your kind responses and real life experience to heart. Since we fly part 91 I’ll check about FAA approval to see if required. I certainly won’t just buy the cheaper stuff. My clients have money, so quality and support are paramount vs expenses.



"Someday I hope to be half the man my bird-dog thinks I am."

looking forward to 4 years of TRUMP!
 
Posts: 11060 | Location: Commirado | Registered: July 23, 2009Reply With QuoteReport This Post
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Picture of Lt CHEG
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quote:
Originally posted by cgode:
Don’t get hung up on hairy chests and need for a shave...they have to look like they are wearing a sweater before I consider it.....I’ve run literally 100s of cardiac arrests throughout my career so I can speak from experience as well as some of the others here.
An important consideration IMO is output of energy from the AED....some models are a consistent energy level for each shock....and some (such as the physio control model shown in this thread) have escalating energy delivery if subsequent shocks are needed. Energy levels for defibrillators are given in joules....an escalating model would deliver 200 joules for the first shock, 300 for the second and 360 for the third and subsequent shocks....It is not uncommon to have to deliver multiple shocks to an individual depending on countless other factors that come into play...persons size, heart disease type and severity, electrolyte imbalances, medications they take only to scratch the surface and name a few. Technical shit I know...but good to know and make informed decisions on a purchase. I know one manufacturer that delivers a consistent 150 joules every time...sucks if it isn’t enough!
email in my profile if you have questions...easier for a phone conversation if desired. Good luck Coloradohunter!


Good point, I forgot about that feature on the Physio Control models. Also cgode brings up a good point about the hairy chested folks. I didn’t mean to imply that it was common to have problems with hairy chested, just that a second set of pads is good insurance. I’ve used AEDs about 20-25 times in 20 years as a volunteer firefighter, police officer, fed and former EMT. I only encountered issues with a super hairy chest once or twice. I remember it being an issue on Christmas Eve last year and I think one other time and both of those guys had a sweater worth of hair on their chest. Regardless, good on you and your employer for taking an additional step towards preparedness.




“It is not the critic who counts; not the man who points out how the strong man stumbles, or where the doer of deeds could have done them better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who errs, who comes short again and again, because there is no effort without error and shortcoming; but who does actually strive to do the deeds; who knows great enthusiasms, the great devotions; who spends himself in a worthy cause; who at the best knows in the end the triumph of high achievement, and who at the worst, if he fails, at least fails while daring greatly, so that his place shall never be with those cold and timid souls who neither know victory nor defeat.”
 
Posts: 5673 | Location: Upstate NY | Registered: February 28, 2002Reply With QuoteReport This Post
Member
Picture of Citadel
posted Hide Post
quote:
Originally posted by Lt CHEG:
quote:
Originally posted by cgode:
Don’t get hung up on hairy chests and need for a shave...they have to look like they are wearing a sweater before I consider it.....I’ve run literally 100s of cardiac arrests throughout my career so I can speak from experience as well as some of the others here.
An important consideration IMO is output of energy from the AED....some models are a consistent energy level for each shock....and some (such as the physio control model shown in this thread) have escalating energy delivery if subsequent shocks are needed. Energy levels for defibrillators are given in joules....an escalating model would deliver 200 joules for the first shock, 300 for the second and 360 for the third and subsequent shocks....It is not uncommon to have to deliver multiple shocks to an individual depending on countless other factors that come into play...persons size, heart disease type and severity, electrolyte imbalances, medications they take only to scratch the surface and name a few. Technical shit I know...but good to know and make informed decisions on a purchase. I know one manufacturer that delivers a consistent 150 joules every time...sucks if it isn’t enough!
email in my profile if you have questions...easier for a phone conversation if desired. Good luck Coloradohunter!


Good point, I forgot about that feature on the Physio Control models. Also cgode brings up a good point about the hairy chested folks. I didn’t mean to imply that it was common to have problems with hairy chested, just that a second set of pads is good insurance. I’ve used AEDs about 20-25 times in 20 years as a volunteer firefighter, police officer, fed and former EMT. I only encountered issues with a super hairy chest once or twice. I remember it being an issue on Christmas Eve last year and I think one other time and both of those guys had a sweater worth of hair on their chest. Regardless, good on you and your employer for taking an additional step towards preparedness.
. Been doing EMS since Lifepac III. Never really had a problem with hair, it was the sweating that had the leads not sticking. We had a gel pad we would drop on the patient tp improve conductivity. The whole front to back thing may work well in hospital but field setting and it was just you and your partner, you just beared down and hoped for the best. 200, 300, 360, epi, atropine, bolus of lidocaine, repeat, Wink
 
Posts: 846 | Registered: February 20, 2003Reply With QuoteReport This Post
Rumors of my death
are greatly exaggerated
Picture of coloradohunter44
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Well gang, after a month or two of emails etc, I finally placed an order for a Zoll unit. I checked with the local EMS folks and they didn’t care what init we used, they said they would reapply their own pads if they picked somebody up.

Phillips units are not obtainable due to battery issues currently. So, I’ll install the Zoll onboard next week for that trip and confer with the owners about how many more to purchase for their lodge and where to display them. Then I’ll round everyone up for demo, video training, and such. Hopefully we won’t need them anytime soon. I appreciate all the help and comments with this acquisition.



"Someday I hope to be half the man my bird-dog thinks I am."

looking forward to 4 years of TRUMP!
 
Posts: 11060 | Location: Commirado | Registered: July 23, 2009Reply With QuoteReport This Post
Membership has its privileges
Picture of P-220
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Regarding hairy chests. We have a disposable razor in our kit. Have used our AED a few times, never ran across the need for a razor.

This technology does save lots of lives.


Niech Zyje P-220

Steve
 
Posts: 36940 | Location: 45174 | Registered: December 09, 2001Reply With QuoteReport This Post
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