Project ADAM Implementing CPR-AED Programs Across the Nation Anoop K. Singh, MD Allison Thompson, BS

1.Anoop K. Singh, MD and Allison Thompson, BS 2.Project ADAM – Implementing CPR-AED Programs Across the Nation 3.No Commercial Interest 4.Information about nature of relationship, financial disclosure means the role they play or service they provide in exchange for some form of compensation (e.g., employment, management position, independent contractor including contracted research, consulting, speaking and teaching, membership on advisory committees or review panels and board membership). 5.No relevant financial relationship(s) exist. Presenter Disclosure Information

Anoop K. Singh, MD Allison Thompson, BS Project ADAM – Implementing CPR-AED Programs Across the Nation FINANCIAL DISCLOSURE:  None UNLABELED/UNAPPROVED USES DISCLOSURE:  None Disclosure Information

A. Identify why having a school CPR-AED program is crucial to improve survival rates for out of hospital cardiac arrest events B. Identify programs like Project ADAM (Automated Defibrillators in Adam’s Memory) that can be a national resource for school CPR- AED programs Learning Objectives

A 5 th grader is sitting in her classroom. She grabs her chest and then collapses. Her teacher goes to her, feels no pulses, and starts CPR. The teacher has someone activate their emergency plan and an AED arrives from within the school. At a school in Wisconsin

The AED advises a shock, CPR pauses, the AED shock restores a pulse. EMS arrives and she receives two additional shocks. She is transferred to Children’s Hospital of Wisconsin in relatively stable condition. She is diagnosed with a cardiac condition, discharged home in a week, and has a normal neurological recovery. At a school in Wisconsin

The US population between years-old is ~60 million people Sudden death (SD) incidence is estimated to be 0.5 deaths per 100,000 person-years SD is attributed to cardiac causes in 70% of cases (ie- SCD) Ten percent of SD cases are due to noncardiac causes (seizures, pulmonary embolism, asthma, etc) and 20% are considered unexplained Why we need CPR-AED programs

CPR & AED use in >2,000 schools over a 2-year period revealed: –1 cardiac arrest per 36 schools –Athletic events were sites for 66% of cases –SCA victim were either students (44%) or adults (56%) –AED was applied in 85% of cases with a shock delivered in 66% of cases –71% survived to hospital discharge Drezner 2013: Outcomes from sudden cardiac arrest in US high schools: a 2-year prospective study from the National Registry for AED Use in Sports

Other findings: –Most frequent responders were administrative staff, trainers/coaches, visitors, school nurses, and teachers Survival rates improved by: –School AED (80%) vs EMS AED (50%) –School with emergency action plan (79%) vs schools without plan (44%) Why we need CPR-AED programs Drezner 2013: Outcomes from sudden cardiac arrest in US high schools: a 2-year prospective study from the National Registry for AED Use in Sports

Adam was a previously healthy 17 year-old student He collapsed at a school while playing basketball CPR was performed but there was no AED available Adam passed away Adam’s Story

Birth of Project ADAM Adam’s parents and a friend reached out to Children’s Hospital of Wisconsin Project ADAM was created in 1999 to build awareness about AEDs in schools Reaching Wisconsin Schools Placement of AEDs in high schools Program manuals distributed Project ADAM – Early Years

Formal program began in half time nurse coordinators Coordinate school emergency response teams Manage equipment AED Placement 215 AEDs in 154 sites All school levels CPR-AED Training Staff, School Safety Staff, and Students Local Spotlight: Milwaukee Public Schools Heart Safe Program

Other states were interested in supporting school CPR-AED efforts Adam’s friend contacted Dr. Robert Campbell, Project S.A.V.E. was formed An affiliate agreement and model were developed as a footprint 11 affiliate programs to date Project ADAM National Affiliate Program Formation

Map of National Program Affiliates Project ADAM Wisconsin (national office), Children's Hospital of Wisconsin Project ADAM California, U.C. Davis Project S.A.V.E., Georgia, Children’s Healthcare of Atlanta Project ADAM Florida, Florida Hospital for Children Youth Heart Watch, Children’s Hospital of Philadelphia Project ADAM Texas, Cook Children’s Medical Center Project ADAM Houston, Texas Children’s Hospital Alabama LifeStart, Children’s of Alabama Project ADAM Tennessee, East Tennessee Children’s Hospital Project ADAM Inland Northwest, Providence Sacred Heart Medical Center & Children’s Hospital Project ADAM Michigan, C.S. Mott Children’s Hospital Project ADAM Colorado, Children’s Hospital Colorado

Review Project ADAM program operations manual and agreements Identify a host site (Children’s Hospital) Develop a budget/secure funding: Program Administrator Recruit Program Medical Director and Administrator Sign Project ADAM agreements Announce and promote program How to get started – Initial Communication

Administrative efforts – internal and external relationships Medical Director and Administrator Collaboration Develop an Advisory Board or Committee Develop program strategies (i.e. Heart Safe Schools, AED Placement) Program Promotion and reaching schools Collecting and reporting data How to get started – Building Program Structure

Best practices in CPR-AED programs Program templates and resources Project ADAM National Newsletter A network of expert support Scheduled monthly affiliate calls Annual meeting for program coordinators and medical directors Creative ways to adopt a Project ADAM footprint to fit the unique needs of your region What Project ADAM Provides Affiliate Programs

Staff, Providence Sacred Heart & Children’s Hospital Chris Anderson, MD Ryan Schaefer, RN Program Highlights Active participation in school drills AED donation program Cardiac Arrest Survivor Group Affiliate Programs Take Shape: Project ADAM Inland Northwest

Staff, Cook Children’s Health Care System Matthew Dzurik, MD Laura Friend Program Highlights Staff Awareness trainings 104 Designated Heart Safe Schools Affiliate Programs Take Shape: Project ADAM Texas

Saving Lives in Schools Maria had a sudden cardiac arrest at school She was saved by the school’s CPR-AED program She recently spoke at the 10 year MPS Heart Safe anniversary event

Thank You