™ ™ Cardiac Science CREA Loss Control AED Seminar

™ ™ Loss Control Seminar July 17th, 2012 Agenda Introduction to Sudden Cardiac Arrest AED Overview and Demonstration Understanding Compliance & Implementing an AED Program Cardiac Science CREA Solutions Q & A

™ ™ During cardiac arrest, the heart’s electrical impulses suddenly misfire. Cardiac arrest rarely converts spontaneously. It’s ultimately a defibrillator that saves lives. 1 Survival rates decrease by 7-10% for every minute that passes without defibrillation. 2 Each minute the brain goes without oxygen diminishes the likelihood the victim will return to a “normal life.” Sudden Cardiac Arrest 1 AHA website, April Cardiac Arrest,” from the American Heart Association Web site,

™ ™ CARDIAC SCIENCE | 4 10% decrease in survival for every minute of delay * * American Heart Association, Chapter 4: Defibrillation. In: Cummins RO, ed. Textbook of Advanced Cardiac Life Support. Dallas, TX: American Heart Association; 1994:1-2. Sudden Cardiac Arrest Survival

™ ™ Sudden Cardiac Arrest (SCA) Statistics Cardiovascular disease is the world’s leading cause of death. SCA is a leading cause of death in North America. 1 13% of all workplace fatalities are due to sudden cardiac arrest. 50% of victims have no previous symptoms of coronary heart disease. 5 Death from Sudden Cardiac Arrest is 96 times more likely than death from Fire. 6 According to the AHA, Electrical Workers are especially at risk as exposure to electrical current can precipitate Ventricular Fibrillation (VF) 1. Heart Rhythm Foundation website, April American Cancer Society. Cancer Facts and Figures CIA World Factbook - Rank Order - HIV/AIDS - deaths. 4. AHA Heart and Stroke Statistics Update. 5. American Heart Association Heart and Stroke Statistical Update. Dallas, Texas: American Heart Association, National Fire Protection Association, Fire Loss in the U.S. During 2006; AHA Heart and Stroke Statistical Update. The Cardiac Arrest Chain of Survival

™ ™ Why can’t wait for help Why you can’t wait for help > 95% of cardiac arrest victims die before reaching the hospital. 1 Waiting for EMS results in a 5–7% survival rate. 2 The average call-to-shock time for a “typical community” is 9 minutes. 3 Median response time is 6.6 minutes in midsized urban communities. 4 In rural areas, it is likely impossible for EMS to respond to a Cardiac Arrest emergency within the 3-6 minute window. 1 “Cardiac Arrest,” from the American Heart Association Web site, 2 Saving Sudden Cardiac Arrest Victims in the Workplace, Occupational Safety and Health Administration, Mosesso VN Jr, Davis EA, Auble TE, Paris PM, Yealy DM. Use of automated external defibrillators by police officers for treatment of out-of-hospital cardiac arrest. Ann Emerg Med. 1998;32: Braun O, McCallion R, Fazackerley J. Characteristics of midsized urban EMS systems. Ann Emerg Med 1990 May;19(5): Lombardi G, Gallagher J, Gennis P. Outcome of out-of-hospital cardiac arrest in New York City: the pre-hospital arrest survival evaluation study. JAMA. 1994;271:

™ ™ CARDIAC SCIENCE | 7 10% decrease in survival for every minute of delay * * American Heart Association, Chapter 4: Defibrillation. In: Cummins RO, ed. Textbook of Advanced Cardiac Life Support. Dallas, TX: American Heart Association; 1994:1-2. Sudden Cardiac Arrest Survival

™ ™ CARDIAC SCIENCE | 8 APPROXIMATE WHEN CARDIAC ARREST OCCURS SURVIVAL RATE Where AEDs Are NOT Present Outside of the hospital6%* Where AEDs Are Present In a casino 74% † In an airplane/airport 40%-60% †† In the workplace58% ††† * 2006 Heart and Stroke Statistical Update. Dallas, Texas: AHA, †American Heart Association and Emergency Cardiac Care 2000 Guidelines, JAMA ††Chicago Department of Aviation, 2002 †††Cardiac Science, Inc. Internal Data, 2007 AEDS SAVE LIVES

™ ™ Wage & productivity losses Medical expenses Administrative expenses Management & employee time Overtime/contract labor Loss of experience Cost of recruitment Training Remediation Legal costs Cost to your organization A fatality costs ~$1.3 million* *The National Safety Council 2008 estimates:

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™ ™ AED Legislation: Good Samaritan Laws The Federal Cardiac Arrest Survival Act (2000) 1 provides liability protection All 50 U.S. states and DC limit the liability of rescuers and others involved with an AED program To date, there have been no cases reported where someone was held liable for using an AED Most state laws require: Medical oversight EMS notification Training Record keeping/tracking Good Samaritan Laws now include AED language to encourage AED programs and protect AED users. 1 Federal Cardiac Arrest Survival Act (2000):

™ ™ The general assembly hereby declares that it is the intent of the general assembly to encourage the use of automated external defibrillators for the purpose of saving the lives of people in cardiac arrest Persons rendering emergency assistance through the use of automated external defibrillators - limited immunity. (3) (a) In order to ensure public health and safety, a person or entity who acquires an AED shall ensure that: There are Written plans in place concerning the placement of AEDs, Training of personnel pre-planned coordination with the emergency medical services system, medical oversight, AED maintenance, identification of personnel authorized to use AEDs reporting of AED utilization, which written plans have been reviewed and approved by a licensed physician Partial overview, excerpted from: HB 1463

™ ™ What is an AED? (AUTOMATED EXTERNAL DEFIBRILLATOR) A small, battery-operated, portable device that can deliver an electric shock to the heart to restore normal rhythm to cardiac arrest victim. Safe-will not deliver a shock unless victim is in cardiac arrest. Uses voice and text instructions to walk user through a rescue. Designed to be used by trained lay people. Uses sophisticated software to recognize the problem, analyze it, and advise treatment

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™ ™ The Powerheart AED G3 Plus

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™ ™ Open Q & A Questions for Cardiac Science

™ ™ Thank you for your time today! Presenter will be available for any questions