The following presentation is for use by instructors and Emergency Care Management Consultants in...

The following presentation is for useThe following presentation is for useby instructors and Emergency Careby instructors and Emergency Care

Management Consultants in promoting Management Consultants in promoting the establishment of AED programs tothe establishment of AED programs to

Lifeguard, Aquatics Safety and Recreation,Lifeguard, Aquatics Safety and Recreation,Business and Community Groups.Business and Community Groups.

Presented as a public service byPresented as a public service by

Lifesaving Resources Inc.Lifesaving Resources Inc.www.lifesaving.comwww.lifesaving.com

AAutomatedutomatedEExternalxternal

DDefibrillatorsefibrillators

AAutomatedutomatedEExternalxternal

DDefibrillatorsefibrillators

““A sudden deathA sudden deathneed not be need not be permanent.”permanent.”

““A sudden deathA sudden deathneed not be need not be permanent.”permanent.”

Developed byDeveloped by

AED Instructor FoundationAED Instructor Foundation

Helping those who help save lives Helping those who help save lives Helping those who help save lives Helping those who help save lives

The Reality of Life…The Reality of Life…

……Someday everyone will die!Someday everyone will die!……Someday everyone will die!Someday everyone will die!

PrematurePrematureDeathDeath

PrematurePrematureDeathDeath

Peter Safar, MDPeter Safar, MD

CommunityCommunityEMSEMS

ServicesServices

EmergencyEmergencyDepartmentsDepartments

Specialty Specialty Medical CentersMedical Centers

(Cardiac, Trauma, Burn)(Cardiac, Trauma, Burn)

SeriousSeriousIllness Illness & &

InjuryInjury

But despite EMS advances…But despite EMS advances…

Sudden Deaths continue to increase. Sudden Deaths continue to increase.

350,000

300,000

250,000

200,000

150,000

100,000

50,000

Annual D

eath

s (U

.S.)

SuddenCardiacArrest

Lung Breast Traffic AIDS/ Cancer Cancer Accidents HIV

CAUSES OF DEATH

Stroke

Disease or Incident

Murder

generatinggenerating generatinggenerating

producingproducing producingproducing

resulting inresulting in resulting inresulting in

OO2 2 OO2 2

There is a difference betweenThere is a difference between

Heart AttackHeart Attackandand

Sudden Death?Sudden Death?

BlockedBlockedCoronaryCoronaryArteryArtery

Damaged Damaged HeartHeartMuscleMuscle

The “S-A” NodeThe “S-A” NodeThe heart’s ownThe heart’s own

““pacemaker”pacemaker”

HeartbeatHeartbeatContinuesContinuesto Beatto Beat

Signs Signs && Symptoms Symptoms((Patient may have one or more…)Patient may have one or more…) Signs Signs && Symptoms Symptoms((Patient may have one or more…)Patient may have one or more…)

• Chest Pain/DiscomfortChest Pain/Discomfort• Radiation to Arm, Neck Radiation to Arm, Neck oror Jaw Jaw• Profuse SweatingProfuse Sweating• Difficulty BreathingDifficulty Breathing• Fearful, Confused Fearful, Confused oror IrritableIrritable• Denial of SymptomsDenial of Symptoms

• Chest Pain/DiscomfortChest Pain/Discomfort• Radiation to Arm, Neck Radiation to Arm, Neck oror Jaw Jaw• Profuse SweatingProfuse Sweating• Difficulty BreathingDifficulty Breathing• Fearful, Confused Fearful, Confused oror IrritableIrritable• Denial of SymptomsDenial of Symptoms

Continues to Have Heartbeat & BreathingContinues to Have Heartbeat & Breathing Continues to Have Heartbeat & BreathingContinues to Have Heartbeat & Breathing

Heart AttackHeart Attack

““V-Fib”V-Fib”ChaoticChaotic

QuiveringQuiveringbutbut

NO NO HeartbeatHeartbeat

““V-Fib”V-Fib”ChaoticChaotic

QuiveringQuiveringbutbut

NO NO HeartbeatHeartbeat

V-fibV-fib

Patient Symptoms Patient Symptoms when inwhen in

Ventricular Fibrillation Ventricular FibrillationPatient Symptoms Patient Symptoms when inwhen in

Ventricular Fibrillation Ventricular Fibrillation• UnconsciousUnconscious• No Effective Heart ActionNo Effective Heart Action• No BreathingNo Breathing• Looks Terribly Sick Looks Terribly Sick && Discolored Discolored

Resulting in…Resulting in…

• UnconsciousUnconscious• No Effective Heart ActionNo Effective Heart Action• No BreathingNo Breathing• Looks Terribly Sick Looks Terribly Sick && Discolored Discolored

Resulting in…Resulting in…

Life or Death is now a matter of TIME

No Oxygen to the Brain or Body OrgansNo Oxygen to the Brain or Body OrgansNo Oxygen to the Brain or Body OrgansNo Oxygen to the Brain or Body Organs

SomeSome OxygenOxygenSomeSome

OxygenOxygen

0 Minutes0 Minutes

NoNo OxygenOxygen

NoNo OxygenOxygen

10-12 Minutes10-12 Minutes

PHYSICALPHYSICAL CHEMICALCHEMICAL ELECTRICALELECTRICAL

PHYSICALPHYSICAL CHEMICALCHEMICAL ELECTRICALELECTRICAL

Most Dangerous ComplicationMost Dangerous ComplicationMost Dangerous ComplicationMost Dangerous Complication

80-90%80-90%ofof sudden deathssudden deaths

are caused byare caused by

V-fibV-fib

80-90%80-90%ofof sudden deathssudden deaths

are caused byare caused by

V-fibV-fib

R I R I PP

TheThe Only CorrectionOnly Correction forfor

V-fibV-fibTheThe Only CorrectionOnly Correction forfor

V-fibV-fib

De-fibDe-fib

Police, Fire & EMS ServicesPolice, Fire & EMS Services

Chain of SurvivalChain of SurvivalChain of SurvivalChain of Survival

EarlyEarly Early Early Early Early Early Early Access Access CPR Defibrillation Advanced CPR Defibrillation Advanced Care Care

EarlyEarly Early Early Early Early Early Early Access Access CPR Defibrillation Advanced CPR Defibrillation Advanced Care Care

EarlyEarlyDefibrillationDefibrillation

© American Heart Association© American Heart Association

Survival is reduced by 10% for Survival is reduced by 10% for each minute that defibrillation is delayed each minute that defibrillation is delayed

Surv

ival R

ate

(perc

ent)

Time to Defibrillation (minutes)

00

2020

4040

6060

8080

100100

55 1010 1515 2020 2525 3030

TheThe SolutionSolution

toto Sudden DeathSudden Death

TheThe SolutionSolution

toto Sudden DeathSudden Death

ShockingShocking

AEDAEDAEDAED

SafeSafe SimpleSimple UseUse

HighHigh SuccessSuccess RateRate

SafeSafe SimpleSimple UseUse

HighHigh SuccessSuccess RateRate

AEDAEDss

ONLYONLY Advise ShocksAdvise Shocks

If there is a shockable If there is a shockable rhythmrhythm

AEDAEDss

ONLYONLY Advise ShocksAdvise Shocks

If there is a shockable If there is a shockable rhythmrhythm

AEDsAEDsAEDsAEDs

ReadinessReadiness ReadinessReadiness

VisualVisual VisualVisual

Audible Audible Audible Audible

WellWellIllustratedIllustrated

• CPRCPR (only)(only) ……………………… ……………………… 0 - 2%0 - 2%

• EMS/EREMS/ER …………………… …………………… 5 - 15%5 - 15%

• CPRCPR++AEDAED…….. …….. 30 - 70%30 - 70%

• CPRCPR (only)(only) ……………………… ……………………… 0 - 2%0 - 2%

• EMS/EREMS/ER …………………… …………………… 5 - 15%5 - 15%

• CPRCPR++AEDAED…….. …….. 30 - 70%30 - 70%

Part of anPart of an On-siteOn-site

EmergencyMedical

ResponsePlan

Part of anPart of an On-siteOn-site

EmergencyMedical

ResponsePlan

PPublic ublic AAccess ccess DDefibrillationefibrillation

MedicalMedicalControlControlMedicalMedicalControlControl

On-site DrillsOn-site Drills&& Review Review

On-site DrillsOn-site Drills&& Review Review

AED AcquisitionAED Acquisition & & MaintenanceMaintenanceAED AcquisitionAED Acquisition & & MaintenanceMaintenance

Procedures Procedures & & ProtocolsProtocols

Procedures Procedures & & ProtocolsProtocols

EMSEMSServicesServices

EMSEMSServicesServices

MedicalMedicalFacilitiesFacilitiesMedicalMedicalFacilitiesFacilities

Site SurveySite Survey& Needs& NeedsAnalysisAnalysis

Site SurveySite Survey& Needs& NeedsAnalysisAnalysis

Incident ReviewIncident ReviewIncident ReviewIncident Review

TrainingTrainingTrainingTraining

A varietyA varietyof unitsof unitsA varietyA varietyof unitsof units

areareavailableavailable

32

How Many ?How Many ?

Location ?Location ?How Many ?How Many ?

Location ?Location ?

On-siteOn-siteEmergencyEmergencyResponseResponse

EmergencyEmergencyMedicalMedicalSystemSystem

EmergencyEmergencyMedicalMedicalSystemSystem

CommunityCommunityEMSEMS

ServicesServices

EmergencyEmergencyDepartmentsDepartments

Specialty Specialty Medical CentersMedical Centers

(Cardiac, Trauma, Burn)(Cardiac, Trauma, Burn)

Who is Who is oror can becan betrained to use an AED?trained to use an AED?

Who is Who is oror can becan betrained to use an AED?trained to use an AED?

• Flight AttendantsFlight Attendants• Security GuardsSecurity Guards• FirefightersFirefighters• UshersUshers• Corporate Corporate

Emergency Emergency Response TeamsResponse Teams

• Cruise Ship Cruise Ship PersonnelPersonnel

• Flight AttendantsFlight Attendants• Security GuardsSecurity Guards• FirefightersFirefighters• UshersUshers• Corporate Corporate

Emergency Emergency Response TeamsResponse Teams

• Cruise Ship Cruise Ship PersonnelPersonnel

• LifeguardsLifeguards• Mall WorkersMall Workers• PolicePolice• Golf ProsGolf Pros• Health Club Health Club

EmployeesEmployees• StudentsStudents• Office StaffsOffice Staffs• PhysiciansPhysicians

• LifeguardsLifeguards• Mall WorkersMall Workers• PolicePolice• Golf ProsGolf Pros• Health Club Health Club

EmployeesEmployees• StudentsStudents• Office StaffsOffice Staffs• PhysiciansPhysicians

• Physician’s Prescription/OrderPhysician’s Prescription/Order• Physician’s Prescription/OrderPhysician’s Prescription/Order

Medical Director

AEDs AEDs && thethe LawLaw

• “ “Good Samaritan Law” ProtectionGood Samaritan Law” Protection• Medical Control Medical Control • Current Case Law Current Case Law ??

• “ “Good Samaritan Law” ProtectionGood Samaritan Law” Protection• Medical Control Medical Control • Current Case Law Current Case Law ??

AED ProgramAED ProgramAED ProgramAED Program

Prevent Premature DeathPrevent Premature DeathBut it alsoBut it also Extends Life and ProductivityExtends Life and ProductivityEnhances Employee Enhances Employee && Client Morale Client MoraleEnhances Employee Enhances Employee && Client Loyalty Client Loyalty Promotes Personal Safety & HealthPromotes Personal Safety & HealthLimits Liability ExposureLimits Liability Exposure……and if death occursand if death occurs

Comfort, Support Comfort, Support && Closure Closure forfor Family Family

Prevent Premature DeathPrevent Premature DeathBut it alsoBut it also Extends Life and ProductivityExtends Life and ProductivityEnhances Employee Enhances Employee && Client Morale Client MoraleEnhances Employee Enhances Employee && Client Loyalty Client Loyalty Promotes Personal Safety & HealthPromotes Personal Safety & HealthLimits Liability ExposureLimits Liability Exposure……and if death occursand if death occurs

Comfort, Support Comfort, Support && Closure Closure forfor Family Family

CPR CPR and anand an AED AED CPR CPR and anand an AED AED

Prior State of HealthPrior State of Health Severity of the EventSeverity of the Event Specialty Medical CareSpecialty Medical Care ((Quality & Availability)Quality & Availability)

Prior State of HealthPrior State of Health Severity of the EventSeverity of the Event Specialty Medical CareSpecialty Medical Care ((Quality & Availability)Quality & Availability)

Immediate Life SupportImmediate Life Support Immediate Life SupportImmediate Life Support

RapidRapidDefibrillationDefibrillation

RapidRapidDefibrillationDefibrillation

ContinuedContinuedLife SupportLife Support

ABCS CAREABCS CARE

ContinuedContinuedLife SupportLife Support

ABCS CAREABCS CARE

TimelyTimelyDefinitiveDefinitive

CareCare

TimelyTimelyDefinitiveDefinitive

CareCare

InitialInitialLife SupportLife Support

ABCS CAREABCS CARE

InitialInitialLife SupportLife Support

ABCS CAREABCS CARE

EffectiveEffectiveCPRCPR

EffectiveEffectiveCPRCPR

Early Early RecognitionRecognition

Early Early RecognitionRecognition

Make theMake theRight CallRight CallMake theMake theRight CallRight Call

SystemSystemofof

SurvivalSurvival

SystemSystemofof

SurvivalSurvival

An On-site… An On-site…

For use by…For use by… For use by…For use by…

PrematurePrematureDeathDeath

PrematurePrematureDeathDeath

What are What are youyou going to do about it? going to do about it?What are What are youyou going to do about it? going to do about it?

When Hearts & Brains Are Too Good to DieWhen Hearts & Brains Are Too Good to DieWhen Hearts & Brains Are Too Good to DieWhen Hearts & Brains Are Too Good to Die

Sudden Death Sudden Death Can BeCan Be Interrupted Interrupted &&

Sudden Death Sudden Death Can BeCan Be Interrupted Interrupted &&

Life Life Can BeCan Be ExtendedExtendedLife Life Can BeCan Be ExtendedExtended

For Your Commitment ToFor Your Commitment To

Safety, Health Safety, Health && Life LifeLifesaving Resources Inc.Lifesaving Resources Inc.

www.lifesaving.comwww.lifesaving.com

For Your Commitment ToFor Your Commitment To

Safety, Health Safety, Health && Life LifeLifesaving Resources Inc.Lifesaving Resources Inc.

www.lifesaving.comwww.lifesaving.com