TFD-TOKYO FIRE DEPARTMENT> First Aid with AED >

AED : Automated External Defibrillator

1. Talk to and pat the victim on the shoulder.

2. If the victim is NOT conscious, yell for help.
Ask people nearby to dial 119 and get the AED.

I need help!
It’s an emergency.
You dial 119.
You get the AED.

3. Open the airway. Check for breathing.

Open the airway.
See, within ten seconds, if the victim has normal breathing.

4. If NO breathing, give rescue breathing TWICE.

Give a breath for a second until the chest rises slightly.
Give another in the same way.

* Breathing can be skipped when impossible.

5. Give chest compression soon after breathing.

Compress the middle of the chest (breastbone).

Ratio: 30 (compressions) : 2 (breaths)
Repeat compression and breathing.

Keep on swiftly and strongly.
Stop when the chest rises back.

6. Now you have the AED.

Turn it ON.

Some machines turn on automatically when their lids are opened.

7. Place the pads on the chest.

Pictures on the pads show where to put the pads on the chest.
Have the chest unwet. Put the pads tightly.

* On Children:
Use children’s pads. If none, use adults’ ones.
(Don’t use AEDs on babies.)

8. Let the AED see if the victim needs electric shocks.

Don’t touch the victim while the machine reads the victim’s heartbeat.

9. Press the “shock button”.

Keep a crowd back.
Press the flashing button.

Shock button

Follow what the AED tells.
Repeat the CPR and AED steps until:
*The EMS staff arrives.
*The victim moves and/or responds (ex. “refusal”), or
*The victim resumes normal breathing.

Definition by Age

Adult	8 and over
Child	1 - 7
Baby	Less than 1

First Aid Given

	CPR	Rescue Breathing			Chest (Breastbone) Compression
“Patient”	Compression : Breathing	How Much?	How Long?	How Often?	Where?	How?	How Deep?	How Often?
Adult	30:2	Until the chest rises slightly.	About one second	Twice	the middle of the line between the nipples	With both hands	4 - 5cm	About 100 times per min.
Child						With both hands, or one-handed	Down to 1/3 of the chest
Baby					The spot one finger breadth closer to the legs from the line	With two fingers

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