Protecting People from Premature Death A utomated E xternal D efibrillators

Helping those who help save lives! Developed by the AED Instructor Foundation

The Reality of Life… …someday everyone will die!

The Problem… Premature Death! Peter Safar, MD “…hearts & brains too good to die.”

Emergency Medical System Emergency Departments Specialty Medical Centers Community EMS A System to Save a Life

Causes of Death Despite reductions in other causes… …sudden deaths continue to rise! Sudden Cardiac Arrest Stroke Lung CancerBreast CancerAuto AccidentsHIV/AIDSMurder 350,000 Annual U.S. Deaths

To better understand Sudden Death and how to counter it… How the Heart Works

Regular Electrical Stimulation… How the Heart Works

… generates a pumping action that produces blood pressure… How the Heart Works cont’d…

…and sends oxygen carrying red blood cells to the brain How the Heart Works cont’d…

There is a difference between a… Heart Attack and… …Sudden Death (Cardiac Arrest)

Heart Attack! I Blocked Coronary Artery Damaged area of Heart Muscle …but the heart continues to beat

Signs & Symptoms (may have one or more) Chest Pain/Discomfort Radiation to Arm, Neck or Jaw Profuse Sweating Difficulty Breathing Fearful, Confused or Irritable Denial of Symptoms The patient may or may not survive… He needs the EMS System ASAP! Heart Attack! cont’d…

Sudden Death (Cardiac Arrest) Chaotic “quivering” but NO heartbeat Ventricular Fibrillation (V-Fib) …often following a Heart Attack

Sometimes… Electrocution Hypothermia Comotia Cordis Long Q-T Syndrome Congenital Drug Overdose Near Drowning Arrhythmia and/or Random Event …V-fib can occur totally unrelated to a Heart Attack Sudden Death (Cardiac Arrest)

Symptoms of V-Fib Life or death is now a matter of TIME… Unconscious No heartbeat No breathing Looks terribly sick & discolored Unconscious No heartbeat No breathing Looks terribly sick & discolored Resulting in NO oxygen to the brain

Some Oxygen 0 minutes Sudden Death No brain damage at this point…

No Oxygen minutes Brain Death Irreversible Brain Damage!

Ventricular Fibrillation “Electrical Anarchy” 50-60% of sudden deaths are caused by VF

Defibrillation “Re-boot” the Heart “ Electricity” The Way to Correct V-Fib…

Police, Fire and/or EMS… …can’t always be there fast enough. It’s About Time

Survival is reduced by 10% for each minute that defibrillation is delayed On-site action is essential to life…

The Chain of Survival © American Heart Association Early Access Early CPR Early Defibrillation Early Advanced Care Early Access Early CPR Early Defibrillation Early Advanced Care

But, if no breathing nor signs of circulation… will only temporarily deliver some oxygen to the brain. It doesn’t correct the problem. CPR V-Fib needs Defibrillation!

efibrillator xternal utomated To Correct V-fib On-Site…

A utomated E xternal D efibrillators A utomated E xternal D efibrillators Safe Simple to Use High Success Rate

Will advise shocks ONLY if there is a shockable rhythm Action pic Safe A utomated E xternal D efibrillators A utomated E xternal D efibrillators

Computer technology coaches the user what to do Readiness Visual Prompts Audible Prompts Simple A utomated E xternal D efibrillators A utomated E xternal D efibrillators

Electrode Placement Well Illustrated Simple A utomated E xternal D efibrillators A utomated E xternal D efibrillators

Sudden Death Reversal Rates CPR Only 0-2% EMS/ER 5-15% CPR/AED 30-70% AEDs are Highly Successful

Public Access Defibrillation Part of an On-Site Emergency Response Plan PAD

Early Defibrillation Program Planning & Implementation EMS Site Survey & Needs Analysis AED Acquisition & Maintenance Incident Review Medical Oversight Procedures & Protocols Medical Facilities Training On-site Drills

A Variety of Approved AEDs Are Available

AED Deployment How Many? Where Located?

Emergency Medical System Emergency Departments Specialty Medical Centers Community EMS On-Site Emergency Response

Who is or can be trained to use an AED? » Flight Attendants » Security Guards » Firefighters » Ushers » Cruise Ship Staff » Corporate ERTs » Lifeguards » Mall Workers » Police » Golf Pros » Students » Office Staffs » Physicians » Health Club Staff YOU!

AED Program Benefits but also Extends life and productivity Enhances employee and/or client morale Enhances employee and/or client loyalty Helps promote personal safety and health Limits liability exposure but also Extends life and productivity Enhances employee and/or client morale Enhances employee and/or client loyalty Helps promote personal safety and health Limits liability exposure Provides family: comfort, support, & closure and if death occurs… Protects against premature death

Prior State of Health Severity of the Event Specialty Medical Care Sudden Death Survival Factors (Quality & Availability) Rescuer has no control Immediate Life Support (CPR & an AED)

AEDs are part of an on-site… Initial Life Support Effective CPR Rapid Defibrillation Continued Life Support Timely Definitive Care Call EMS (911) Early Recognition Emergency Action Plan

Good Samaritan Law Protection Current Case Law? Medical Oversight Should YOU have an AED? Legal Considerations Medical Director 1 AED

AEDs Everywhere… will soon be will soon be It’s the Right Thing to Do!

For the BEST Opportunity to Survive Sudden Death… For the BEST Opportunity to Survive Sudden Death… EMS can’t always arrive in time. If you want it… An AED Can Provide On-site Risk Management

Standard Protective Devices Fire Extinguisher Seat Belts Smoke Detector Air Bags Sprinkler Systems

Public Access Defibrillation Program Public Access Defibrillation Program Protection for the Heart Are YOU Protected ?

When hearts & brains are too good to die… Sudden death can be interrupted, and life can be extended.

Thank You For your commitment to Safety, Health & Life Any Questions?