1. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Basic samaritan ® PAD Product Training Toolkit

2. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Table of contents Sudden Cardiac Arrest Chain of survival Samaritan ® PAD Operation Samaritan ® PAD Overview –Product features –Troubleshooting –Maintenance

3. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Sudden Cardiac Arrest (SCA) Sudden loss of heart function Victim collapses, is unconscious, not breathing and without circulation Death is imminent without rapid defibrillation

4. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. SCA - What it is The heart has a unique electrical system that keeps the heart muscles pumping in rhythm, which delivers blood to the body. Heart Electrical System

5. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. SCA & Ventricular Fibrillation When the heart’s electrical system is interrupted or malfunctions, the heart beats abnormally fast and chaotic (a condition known as ventricular fibrillation) Heart cannot pump blood to the body Victim collapses SCA Ventricular Fibrillation Quivering Heart

6. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Causes of Death in the U.S.

7. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Defibrillation An electrical shock to the heart Resets the hearts electrical system Allows rhythmic pumping action to resume Only effect treatment for ventricular fibrillation Defibrillation shocks the heart back into normal rhythm

8. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Survival from SCA 0 20 40 60 80 100 Time to Defibrillation (minutes) 13579 10 30 50 70 90 0108642 % of Survival

9. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. AEDs Save Lives Research has shown that AED Programs can increase survival rates* from * Published in the Journal of the American Medical Association. 5% 75%

10. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Chain of Survival

11. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. “Chain of Survival” Rapid response sequence of events Activating the chain of survival immediately will increase the victims chance of survival Call 911 Early CPREarly Defibrillation Early Advanced Care

12. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. 1. Call for help Once you have assessed the victim, and they are unresponsive send someone to: –Call for help –Bring you the PAD

13. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. 2. Begin CPR Begin CPR immediately. CPR keeps oxygenated blood moving to the brain, heart and body.

14. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. 3. Early Defibrillation As soon as the PAD arrives use it. The faster a defibrillation shock is delivered, the higher the chance of survival.

15. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. 4. Early Advance Care The sooner advanced medical care arrives, a better outcome is possible. Make sure they can find you quickly.

16. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Certified Training HeartSine Technologies recommends that all persons using the samaritan ® PAD obtain CPR and AED training from a certified training organization.

17. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Using your samaritan ® PAD

18. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Access for SCA Unconscious Not Breathing Has no signs of normal circulation

19. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Follow 3 simple Steps Turn OnFollow PromptsPress Shock Button

20. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Turn On samaritan ® PAD Pressing the Green On button will “turn on” the samaritan ® PAD. Voice and visual instructions will immediately occur.

21. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Follow Instructions The samaritan ® PAD will guide the user with visual and voice instructions.

22. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Apply pads to bare chest Icon arrows will illuminated to visually guide user through each step. Voice instructions will be heard as well.

23. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Apply pads to bare chest Start by removing clothes from victims chest area –IF NEEDED: Dry chest if wet. Shave area where pads will be placed if chest is hairy.

24. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Remove pads Pull out defibrillation pads pouch.

25. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Tear open pad package The pads are located within the defibrillation pouch. Tear pouch open and remove pads.

26. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Peel pads from blue liner

27. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Place Pads on bare chest “Apply pads to patient’s bare chest as shown in picture.” “Press pads firmly to patient’s bare skin.” Only use on patients 8 yrs. and older Apply pads as shown

28. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Analyzing, Do Not Touch the Patient When pads are attached to the patient the samaritan ® PAD will begin to monitor the patient. “Assessing heart rhythm, do not touch the patient.”

29. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Shock Advised, Stand Clear If a shockable heart rhythm is found, the samaritan ® PAD will tell the rescuer “shock advised” and to “stand clear”

30. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Stand Clear! Press the shock button now! Once the samaritan ® PAD is ready to deliver the shock, it will instruct the rescuer to “Stand Clear” and to “Press the shock button” –IMPORTANT: Visually and verbally clear the patient before pressing the shock button.

31. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. SHOCK DELIVERED Once the shock is delivered the samaritan ® PAD will reanalyze the heart rhythm to check for a normal rhythm. Don’t touch patient

32. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. NO Shock Advised If no shock is needed the samaritan ® PAD will tell you it is safe to touch the patient and tell you to: –CHECK AIRWAY –CHECK BREATHING –CHECK FOR CIRCULATION –IF NEEDED BEGIN CPR

33. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. samaritan ® PAD Overview

34. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Water resistant IP44 Graphical interactive interface Low Energy, Escalating Biphasic Meets durable military specs. Clearly marked pads 1-2-3 Operation Easy-to-turn on and Safety “OFF” feature Pad-Pak TM

35. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Pad placement indicator Data Port On/Off Button Pad-Pak TM Shock button Status indicator Speaker Stand Clear Indicator Ok to touch patient indicator

36. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Back Window for emergency info Window to hold quick instruction card Rubberized feet Front Clear window over graphic label area Speake r Pull tab to remove defibrillation pads Rubberized handle Blue compartment in back holds extra Pad-Pak™ and Prep Kit

37. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Installing the Pad-Pak TM Place Pad-Pak™ and samaritan ® PAD on a flat surface. Slide the Pad-Pak TM fully into the slot on the underside of the samaritan ® PAD. Press Pad-Pak™ into samaritan ® PAD until it clicks.

38. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. How to use PAD while in bag: Lay bag down. The device can be operated without “unzipping” the bag. Press the On/Off button. Pull green tab to open flap. This will expose the location of the defibrillation pads.

39. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. How to use PAD while in bag: Locate defibrillation pads behind flap. Pull defibrillation pads out through opening and follow visual and voice instructions.

40. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. How to use PAD while in bag: Tear open package.Remove pads from blue liner and apply to patients bare chest as shown on picture

41. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Troubleshooting Check Pads: –If the pads cannot get a reading on the patients heart rhythm, it will tell you to check the pads. Make sure pads are firmly pressed onto patients chest. Low Battery: –Samaritan ® PAD will alert rescuer when 10 shocks are remaining. Status Indicator –Flashing = PAD is powered and ready for use –No Flashing = Check to make sure Pad-Pak™ is properly inserted. –Contact Customer Support

42. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Maintaining Status Indicator – If the status indicator is flashing, the samaritan ® PAD is operating correctly and is ready for use. – If the status indicator is not flashing, the samaritan ® PAD requires service. Contact Heartsine technical support (support@heartsine.com) or your heartsine distributor for assistance.support@heartsine.com If Flashing– Status Okay

43. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Maintaining Pad-Pak TM Battery Pack Pak –Shelf Life: 3 years –Weight:.44 lbs (0.2 kg) –Size: 3.93in x 5.24in x.94 in Battery – Size: 3.93in x 5.24in x.94 in – >30 shocks at 200J or 6 hours of continuous monitoring – Standby life: 3 years Electrodes (pads) – Active Gel Area: 100cm 2 – Cable length: 3.5 ft (1m) – Shelf Life: 3 years Pad-Pak™

44. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Maintaining Basic Care –Storage Temperature -10˚ to 50˚ F Do not keep samaritan ® PAD in excessively hot or cold environments for extended periods of time (such as car trunks) –Cleaning Wipe the samaritan ® Pad with a soft cloth that has been dampened by one of the following: Soapy water. Isopropyl alcohol (70% solution). 50˚C -10˚C

45. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. samaritan ® PAD Review

46. Automatic external defibrillator ©2004 Heartsine Technologies, Inc.

47. Automatic external defibrillator ©2004 Heartsine Technologies, Inc. Thank you for taking the steps needed to save a life.