1. The following presentation is for use
by instructors and Emergency Care
Management Consultants in promoting
the establishment of AED programs to
Lifeguard, Aquatics Safety and Recreation,
Business and Community Groups.
Presented as a public service by
Lifesaving Resources Inc.
Read the slide.

2. Automated External Defibrillators
“A sudden death
need not be permanent.”
Of all of the marvels of medical science, one of the most remarkable is that with the use of an automated external defibrillator, a sudden death need not be permanent.

3. AED Instructor Foundation
Developed by
AED Instructor Foundation
Read the slide.
Helping those who help save lives

4. …Someday everyone will die!
The Reality of Life…
…Someday everyone will die!
Someday all of us will cease to continue life on this planet.

5. "... hearts & brains too good to die."
The Problem
Premature
Death
The problem is that far too many people will die prematurely, with “hearts and brains too good to die.”
"... hearts & brains too good to die."
Peter Safar, MD

6. MEDICAL SYSTEM Serious Illness & Injury Emergency Departments
Specialty
Medical Centers
(Cardiac, Trauma, Burn)
MEDICAL SYSTEM
Emergency
Departments
Since its creation in the early 1970’s, the EMS System made great strides in reducing mortality and morbidity…
Community
EMS
Services
Serious
Illness &
Injury

7. But despite EMS advances…
350,000
300,000
250,000
200,000
150,000
100,000
50,000
Annual Deaths (U.S.)
Sudden
Cardiac
Arrest
Lung Breast Traffic AIDS/
Cancer Cancer Accidents HIV
CAUSES OF DEATH
Stroke
Disease or Incident
Murder
Advances in modern medical science (including Emergency Medical Services) have helped to prolong life and reduce the number of deaths from many “killer” health problems. But the problem of sudden cardiac death has continued to go virtually unchecked.
Sudden Deaths continue to increase.

8. How the Heart Works Electric Event Pumping Action Blood Pressure
generating
Pumping Action
resulting in O2
To understand Sudden Death and how to counter it, we must first of all examine how the heart works and what causes Sudden Death. (Read the slide.)
producing
Blood Pressure

9. There is a difference between
Heart Attack
and
Sudden Death?
Read the slide.

10. Heart Attack The “S-A” Node Blocked Coronary Heartbeat Artery
The heart’s own
“pacemaker”
Blocked
Coronary
Artery
Heartbeat
Continues
to Beat
A heart attack occurs when an artery serving the heart becomes blocked or constructed resulting in damaged heart muscle. But generally, the victim’s heart – although impaired – continues to beat.
Damaged
Heart
Muscle

11. Continues to Have Heartbeat & Breathing
Heart Attack
Signs & Symptoms
(Patient 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
If someone is having a heart attack, generally the indications will be… (read the signs & symptoms.)
Continues to Have Heartbeat & Breathing

12. “V-Fib” Sudden Death V-fib Chaotic Quivering NO Heartbeat but
Although it is sometimes related to a heart attack, Sudden Death is different and far more serious. Due to an electrical malfunction known as “ventricular fibrillation” the heart quivers chaotically but is not able to produce blood flow.

13. Patient Symptoms when in Ventricular Fibrillation
Unconscious
No Effective Heart Action
No Breathing
Looks Terribly Sick & Discolored
Resulting in…
This person is what we call “suddenly dead.” (Read the slide.)
No Oxygen to the Brain or Body Organs
Life or Death is now a matter of TIME

14. Some Oxygen Sudden Death 0 Minutes
At the point of Sudden Death, even though there is no heartbeat nor additional oxygen entering the lungs, the patient’s brain is still viable.

15. No Oxygen Brain Death 10-12 Minutes
But generally, if the lack of oxygen continues for minutes, permanent brain death will occur.
10-12 Minutes

16. What Really Causes Death?
COMPLICATIONS
PHYSICAL
CHEMICAL
ELECTRICAL
Read the slide.

17. Ventricular Fibrillation
Most Dangerous Complication
Ventricular Fibrillation
Read the slide.
"Electrical Anarchy"

18. V-fib 80-90% R I P of sudden deaths are caused by
It is estimated that 80-90% of all Sudden Deaths are a direct result of ventricular fibrillation.

19. The Only Correction for
V-fib
Although it should be started as soon as possible, CPR alone will be of little value for the victim of Sudden Death. (Read the Slide.)
De-fib

20. Hospitals Health Care Facilities
The importance of defibrillation has long bee known in health care facilities…
Health Care
Facilities

21. Police, Fire & EMS Services
…and it’s been shown feasible on scene by emergency services personnel.

22. Chain of Survival
If the person in cardiac arrest is to have a 2nd Chance at Life, a series of critical events depicted by the “Chain of Survival” needs to occur. (Refer to the Slide. Emphasize rapid defibrillation.)
Early Early Early Early Access CPR Defibrillation Advanced Care
Early
Defibrillation
© American Heart Association

23. Survival is reduced by 10% for
each minute that defibrillation is delayed
Survival Rate (percent)
Time to Defibrillation (minutes) 20 40 60 80
100 5 10 15 25 30
Read the slide.

24. Shocking The Solution AED to Sudden Death
The solution to this major public health problem is the availability and use of an Automated External Defibrillator, known as an AED.

25. Automated External Defibrillators
Safe
Simple Use
High Success Rate
These battery powered, computer guided technological marvels of modern medicine have been proven to be safe, simple to use and highly successful

26. If there is a shockable rhythm
AEDs
ONLY Advise Shocks
If there is a shockable rhythm
Read the slide.

27. Prompt the user in what to do
AEDs
Prompt the user in what to do
Visual
AEDs provide visual and audible prompts for users. (Refer to slide.)
Readiness
Audible

28. Electrode Placement
Well
Illustrated
Read the slide.

29. Sudden Death Reversal Rates
CPR (only) ……………………… 0 - 2%
EMS/ER …………………… %
CPR+AED…… %
The numbers speak for themselves. (Read the Slide.)

30. Emergency Medical Response Plan
Public Access Defibrillation
Part of an On-site
Emergency
Medical
Response
Plan
A PAD program should be an integral component of an onsite Emergency Medical Response Program.

31. Planning & Implementation
PAD Program
Site Survey
& Needs
Analysis
EMS
Services
Training
Medical
Control
AED Acquisition
& Maintenance
Procedures
& Protocols
The plan consist of several integrated components. (Read the slide.)
Medical
Facilities
On-site Drills
& Review
Incident Review
Planning & Implementation

32. A variety of units are available
There are a number of major manufacturers producing AEDs.
are
available

33. Location ? How Many ? AED Deployment
AEDs need to be placed in strategic and easily accessible locations.
How Many ?
Location ? 32

34. Emergency Medical System On-site Emergency Response Emergency
Specialty
Medical Centers
(Cardiac, Trauma, Burn)
On-site
Emergency
Response
Emergency
Departments
The effectiveness of the EMS System can be extended to on-site in a variety of occupational and public gathering locations.
Community
EMS
Services

35. Who is or can be trained to use an AED? Lifeguards Flight Attendants
Mall Workers
Police
Golf Pros
Health Club Employees
Students
Office Staffs
Physicians
Flight Attendants
Security Guards
Firefighters
Ushers
Corporate Emergency Response Teams
Cruise Ship Personnel
Just about anyone can learn to use an AED.

36. AEDs & the Law Physician’s Prescription/Order
Medical Director
“Good Samaritan Law” Protection
Medical Control
Current Case Law ?
By legal statute in most states there is immunity for the users of AEDs. To date there has never been anyone “sued” for using or having an AED. (There have been suits against corporations for NOT having an AED.)
Do you have to
have an AED?

37. (Conform to Community Standards?)
Be Reasonable
Read the slide.
(Conform to Community Standards?)

38. AED Program The right thing to do
The best reason to implement an AED program is because it’s the right thing to do.
The right thing to do

39. The Benefits of an AED Program
Prevent Premature Death
But it also
Extends Life and Productivity
Enhances Employee & Client Morale
Enhances Employee & Client Loyalty
Promotes Personal Safety & Health
Limits Liability Exposure
…and if death occurs
Comfort, Support & Closure for Family
Read the Slide.

40. Sudden Death Survival Factors
Prior State of Health
Severity of the Event
Specialty Medical Care
(Quality & Availability)
A number of key factors determine if the victim of a sudden death can or will have their life continued…most of which you have no control over. (Refer to the slide.) To give the victim a second chance at life, all you can do is Support Life.
Immediate Life Support
CPR and an AED

41. System Survival An On-site… of Make the Right Call Initial
Early
Recognition
Initial
Life Support
ABCS CARE
Effective
CPR
By implementing an on-site System of Survival, with rapid defibrillation as a key component, literally thousands of lives can be saved each year.
Timely
Definitive
Care
Rapid
Defibrillation
Continued
Life Support
ABCS CARE

42. …just about ANYONE just about ANYWHERE
Public Access
Defibrillation
We now know that through organized Public Access Defibrillation programs (also known as PAD programs), just about anyone, anywhere can successfully utilize an AED.
For use by…
…just about ANYONE
just about ANYWHERE

43. Premature Death The Problem What are you going to do about it?
With community commitment, a well organized plan – and each of us playing a vital part – we can make a difference in the pain, suffering and cost of people dying “before their time”.
What are you going to do about it?

44. Sudden Death Can Be Interrupted &
When Hearts & Brains Are Too Good to Die
Sudden Death Can Be Interrupted &
Life Can Be Extended
Read the slide.
You Can Do It!

45. Lifesaving Resources Inc.
Thank You
For Your Commitment To
Safety, Health & Life
Lifesaving Resources Inc.
Are there any questions or comments.