AED vs Cardiac monitor

heat98mph

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What do yall think would be the pros and cons of bringing and AED with 3 lead capabilities. Instead of a Monitor. would it be counter productive cause most of the fire units that respond to calls with us already have an AED, and would it delay treatment and early recognition of a STEMI with out 12-lead capabilities
 
Well the company i work for is forming a commity to see how they can minimize the amount of equipment to bring to patients sides. One of the hypthetical ideas is to bring in an AED instead of a monitor, to evaluate the patient and if they need furthur assessment to load patient and move them to the truck and do a 12-lead
 
Do you guys respond BLS or..? If you are an ALS unit what's the difference between bringing your monitor or and aed. Both are one piece of equipment. I guess I don't fully understand the idea behind it..? Would you be able to elaborate a little bit more?
 
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If you'll have a 12 lead monitor in the truck, why carry an AED? Seems like a waste of money to me.
 
3 lead monitors are configured the majority of times to do a proper 12 lead due to the filters used.
 
If you'll have a 12 lead monitor in the truck, why carry an AED? Seems like a waste of money to me.

Agreed.

Also when it comes to STEMIs our clinical director likes us to have a 12-lead, in patients presenting as a possible AMI, in <90 seconds from the start of patient contact so we can activate the cath lab from the field and give them the most possible time to prep the room and the team.
 
Third option: use a monitor (or an adapter) for the AED pads so that you can use those pads without having to rip them off the patient. Your monitor could be set up for 3-lead, 5-lead or 12-lead (cable dependent) and you just bring that in with you. If you need to emergently cardiovert, you just spark 'em with the AED while you get your monitor ready, then transition to your equipment and simply unplug the pads and plug them into your cable/adapter for your equipment.

Why buy an AED to screen for a 12-lead when all you really need to do is get a 12-lead capable unit and bring that to the patient? Seems to be a waste of an extra couple thousand dollars per AED...
 
I figure if you are taking the time to bring an aed in, you might as well just get rid of it and bring in your monitor.
 
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