1. TEMPLATE DESIGN © 2008 www.PosterPresentations.com A Study on the implementation of AED IN WORKPLACE Abdulmajeed Khalid Alkharji, Abdulaziz Ahmed Al omiery, Rakan Rubae Alshammari, Mohannad Ali Almusallam, Nafea Mugbel Alharbiand, Abdullah Fahad Alnwaiser Ahed Najjar, FAHA, MEPS, FCCP Fellow of the American Heart Association Director of Life Support Training Unit Osama A Samarkandi, PhD, RN,BSc, GMD, BSN, MSN, NIAC,Nursing Informatics Asst. Prof.Basic Science Department Chairman, and eLearning & IT Unit Director Prince Sultan Bin Abdul Aziz College of Emergency Medical Services, King Saud University Introduction Sudden cardiac arrest is a leading cause of death in the United States, according to the American Heart Association (AHA). And about 10,000 sudden cardiac arrests occur while victims are at work, according to Occupational Safety and Health Administration (OSHA) data. Placing automated external defibrillators (AEDs) in the workplace, along with providing a proper management system and training for employees on how to use the devices, can mean the difference between life and death, proponents argue. Of the sudden cardiac arrest deaths that occur each year—estimates range from 250,000 to 400,000 deaths— more than 95 percent of the victims die before they reach the hospital. However, AED advocates note that when care is provided within five to seven minutes, including early treatment with an AED, survival rates can improve dramatically. Local emergency medical services typically can’t respond that quickly. “The bottom line is that AEDs belong in the workplace,” said Larry Starr, director of graduate studies in organizational dynamics at the University of Pennsylvania.. Starr’s research primarily concerns systemic characteristics associated with planning for and responding to medical emergencies, particularly involving nonmedical people in the workplace. Of the two scenarios done, security response was varies to the drill. The respondents were employed by the mall admin. The number of shoppers at the time of the drill ranged from less than 50 to more than 100. Slightly more than the security team. Most of the respondents indicated that they were advance information from their supervisors and head of security knows the drill going to happen but not sure when. The first drill happened within the food court in the main hall. The first call from the scene to the security within 34 sec to contact the main supervisor at the mall. The supervisor arrived at the scene within 2 min and 44 sec. The 2 nd drill located in isolated area on the 3 rd floor, security arrived to the scene after 3 min from the accident, and the security informed his supervisor at the time of the accident but the response was 5 mints later so in total delay of 8 min which considered critical. Security rescuers responded twice as frequently at CPR & AED sites (23%) as at CPR sites(11%) alone, there were no inappropriate first aid treatment, no CPR and no use of the AED. Early access to defibrillation is vital to improving outcomes from sudden cardiac arrest. AEDs in the public domain (such as major malls) have been shown to reduce time to defibrillation and save lives. Furthermore, first responder programs are effective in reducing time to defibrillation and provide a smooth transition to pre-hospital emergency medical services. Trained laypersons can use AEDs safely to provide early defibrillation and the survival doubles when AEDs are added to CPR trained volunteer response systems The survival rate in isolated facilities is very low. The AED Study strengthens the concept that AEDs should be widely available in public locations Survival was dependent on the presence of the AED, trained lay persons, and the presence of an emergency response plan and from other side Good Samaritan legislation is needed. AEDs should be available in all malls and public locations where the emergency medical response time for a cardiac arrest is 3 minutes or greater. Further research is need to define optimal strategies for use of AEDs to improve outcomes from SCD. Student - 8 th Semester Prince Sultan Bin Abdul Aziz College of Emergency Medical Services Building No: 1; Riyadh Community College, P.O.Box: 2454; Malaz Riyadh, Saudi Arabia - 11451 T: +966-533043337 F: +966-01-4735084 E: akk2006@hotmail.com Methodology Result Conclusion Reference Contact Details This research is based on scenario and video methodology which address many criteria such as response time in the malls and how the mall management and security handle this type of scenarios. Effectiveness of automated external defibrillators in high schools in greater Boston, Hannah England, Caitlin Hoffman, Thomas Hodgman Legal Protection for Owners, Users,Medical DirectorsEngland, H Weinberg P, Estes N JAMA 2006 PAD Investigators The Public Access to Defibrillation Study NEJM 2004;637-645