Mary Ann Downing & Bob Lyons "AED's, Alarms & Technology" NDPA Symposium 2012

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Bob Lyons, Terrapin Communications

Mary Ann Downing, NDPA Volunteer

NDPA Symposium –San Diego

March 8, 2012

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Presenters

Bob Lyons, PhD.

[Electrical Engineering],President Terrapin Communications,

Ottawa, Ontario Canada

Mary Ann Downing

NDPA Board of DirectorsPool Safety Solutions

San Diego CA USA

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WIIFM� What’s in it for me?

� Understanding the Safer3

� Safer Water & Safer Kids,

Safer Response

� Awareness of technology

and applications

� Economics

� Early Adapter

� Education

� AEDs, PWC’s, Alarms

� Your Influence

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Content Outline

� How the Marketplace Adopts Safer Response

Technology

� Mature Technology: AED

� Mature Technology finds new application: PWC

� New Alarm Technologies find new applications

�For Work Place- Safety Turtle SOS

o Tilcon Barges, NY overboard drill

� For Boaters- Virtual Lifeline

� For Lifeguards- Wahooo

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New Technology Adoption

� “Safer Response” requires fast human intervention

�Technology focus is not robot replaces first

responder

�Technology focus is sensing health of water and

persons

�New technology must be adaptable to

practitioners

�Practitioners need to be receptive to proven

technology

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�Public and private facilities under stress

�Limited $, Limited thinking of decision makers

�Capital and training $ investment

�Vs Operating $ savings

�Labor efficiencies?

�Safer Response = reduced insurance premiums?

�Vs Lives saved by Safer Response

Economics is Critical!

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“Early Adapter” is critical� Successful trial by early adapter(s) is key

�To demonstrate efficacy

�To smooth “rough edges”

�Then other practitioners may follow

�Insurance underwriters may accelerate uptake

� New safety technology must prove itself to a

conservative, low tech audience

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Education is critical� Education of decision makers [practitioners and

risk assessors] is a stumbling block

�To help them make better technology cost

benefit tradeoffs

�One size does not fit all

�Introduction of new technology is a challenge,

more to some than others

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SAN DIEGO —

Bob McGowan had never

heard of an automated

external defibrillator before

July 2011.Now he knows they are life-saving machines.

McGowan, 63, of Mission Beach, was one of four San

Diego cardiac arrest patients in a six-day period to be

treated with an AED provided by San Diego Project Heart

Beat.

“All four survived and that, in my opinion, is medical

history,” said Maureen O’Connor, manager of Project

Heat Beat, which has placed nearly 6,500 AEDs in public

and private settings around the county in the past 10

years. “To us, it’s huge.”

AEDAED-- Automated External Automated External

DefibrillatorDefibrillator

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Mature Technology – AEDInvention to Public Access

Hospitals

• 1947 Internal Defibrillation

• 1956 External Defibrillation

• 1960s Pre Hospital Defibrillation

Professionals

• 1969 Portland

• 1982 EMT D

• 90s First Responders-Pro

Public 1999- Red Cross Training

• 2001 Project Heart Beat- San Diego

• 2003 NY Law AEDs in Schools

• 2004 AEDs in Airports

• 2011- Need for Public Education Continues

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Case Study #1

AED

•Nov 2001- San Diego City Council &

Cardiac Science to help promote the

deployment training and

implementation of AEDs.

•May 2003-New York State -1st state to

mandate AEDs in schools

•April 2004-Federal Aviation

Administration (FAA) mandates-that all

large passenger-carrying US airlines

carry and have personnel trained in the

use of AEDs

Project Heart Beat

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RescueCoach™� Cardiac Science Powerheart AED G3 Plus

with RescueCoach™ voice prompts to talk

rescuers through the steps.

� The rescuer applies the defibrillation

pads, the G3 Plus Automatic analyzes the

heart rhythm and “knows” when to

deliver

� (or not deliver) the shock.

� The shock is delivered automatically, with

no button to push, and no human

intervention. (also in semi-automatic)

� After the shock, the unit prompts for CPR

with a built-in metronome that sets the

pace for proper chest compressions.

1. CALL 911

2. Turn The AED On

3. Follow The AED Instructions

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Access and Education is critical

SCA can strike people of any age or fitness level. Using an AED within one minute of collapse raises the survival rate to 90 percent. Resuscitation rates decline 7-10% every minute thereafter. An AED needs to be readily available to defibrillate SCA victims quickly.

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AED CPR

Legislation EducationLegislation Modernization

CPR Flash Mob

Vinnie

Hands Only

CPR with Rescue Breathing

Legal Expert Advocates Revamping AED and

9-1-1 Laws Model Legislation Proposed

� To address the “complex quagmire” of current

state laws, Lazar proposes model AED and 9-1-1

legislation. The “AED Good Samaritan Immunity

Modernization Act” would provide easy-to-

understand immunity to all AED program

participants and remove burdensome and

complex immunity conditions.

� “The Lifesaving AED Location Emergency

Communications Act” would require AED

acquirers to report the location of devices to 9-1-

1 dispatch agencies and would require 9-1-1

dispatch agencies to receive AED location

information and make it immediately available to

9-1-1 callers.

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Huntington Beach AED Rescue

VIDEO

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New Application of Jet Ski Technology

style impeller, that sucks water in from the front and shoots it out the

EMILY (Emergency Integrated Lifesaving Lanyard) can reportedly be deployed in 30 seconds, and at a

top speed of 24 mph (39 kph) is able to reach a troubled swimmer much faster than a human would be

able to. It’s propelled by a Jet Ski-style impeller, that sucks water in from the front and shoots it out the

back, and is able to flip itself back over if capsized in rough surf. By Arizona-based Hydronalix

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Early Adapter

Meet Shawn Alladio

�

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Mature Technology – PWCAdopted by and Adapted to Professional Rescuers

Recreational jet ski

• 1965 Prototypes

• Late 60s- PWCs hit the market

• 1973- Kawasaki appears on US market

•

Professionals

• 1974-Brad Southworth- early adapter

• 1979- Shawn Alladio purchases her 1st stand up jet

• Late 80s- SD Lifeguards use one person jet ski

• 1991- Rescue sled prototypes emerge

1993- City expands use to ocean beaches

• 1994- Shawn Alladio starts training –K38

• 2012- PWC Rescue Training Programs continue

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Technology and Tradition

� Rowed rescue boats used by lifeguards are becoming a tradition of the past rather than a rescue implement of the present,” said B. Chris Brewster, president of the U.S. Lifesaving Association, a professional organization for lifeguards.

� He said surf boats are rarely used to guard beaches outside New Jersey.

� “There is a passionate adherence to the use of rowed rescue boats by some traditionalists. But the profession has evolved to use more modern and efficient rescue implements,” Brewster said.“If you move outside New Jersey, you don’t see rowed boats being used to rescue people. It is a uniquely iconic tradition there.”

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New Jersey State Police Open Water and

PWC Rescue Training Program

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Safer

Response

Watch Lifeguards in Action on the Weather Channel

� http://www.weather.com/tv/tvshows/lifeguard

� NJ State Police Open Water Training- YouTube

� K38Rescue

Early Adapter is critical, Education and Training for Professionals

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New Applications of

Alarm Technology

�For dock workers, Safety Turtle SOS

oTilcon Barges, NY overboard drill

�For boaters, Virtual Lifeline

�For lifeguards, Wahooo

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“Hazardous Water” Workplace

Tilcon Barges on the Hudson

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Tilcon Barges

� Tilcon Barges operates 250 aggregate barges, 11

tugboats and one shipyard out of various docks

located throughout New York, Connecticut, New

Jersey, Delaware and Virginia.

� This division delivers over 6 million tons of stone by

water each year to New York City and Long Island

from Tilcon's quarries in the northeast region.

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Expanse of open water to cover!

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Rescue Training Mannequin for Overboard DrillNOTE: immersion alarm sensor on life vest

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Safety Turtle SOS

Wireless Immersion

Sensor

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Wide Area Coverage� Base Station has:

�In built antenna, or

�High gain omni [whip] antenna, or

�Higher gain directional [flat plate] antenna

� Multiple Base Stations

�Overlapping “cells”

� Secondary Alarm(s)

�Public address

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1000 ft line of sight

2000 ft

Integrator Base Station

with whip antenna

Secondary Coverage

Integrator Base

Stations with

patch antenna

Clinton Point PO # 77062


2000 ft


with whip antenna

Secondary Coverage

Integrator Base

Stations with

patch antenna



2000 ft


with whip antenna

Secondary Coverage

Integrator Base

Stations with

patch antenna



2000 ft


with whip antenna

Secondary Coverage

Integrator Base

Stations with

patch antenna


2000 ft


with whip antenna

Secondary Coverage

Integrator Base

Stations with

patch antenna

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Flat plate

Suggested antenna location

Secondary alarm

Whip

Secondary alarm

Flat plate

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with whip antenna

Tug

Integrator Base

Stations with

patch antenna



Secondary Alarm

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WHIP Flat plate

Suggested antenna location

Secondary alarm

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Early Adaptors adapt!

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Early Adaptors adapt

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MariTech IndustriesSafer Water Technology

� provides safety solutions for propeller injury

avoidance, falls overboard, accidental engine stars

and carbon monoxide poisoning

� SwimGuard provides 360-degree encasement of the propeller

� PropStopper integrates the boat's ignition system with use of the

boarding ladder

� Carbon Monoxide Protection System automatically takes action

when unsafe CO levels are detected.

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Who falls overboard?

USCG 2004 – 2009 FOB Results

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Wireless Lanyard Technology

Safer Response Technology

• Very few operators wear the cord type lanyard

• No protection for passengers or crew

• Wireless technology can prevent more

accidents

• Ease of use and wear

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Use and Benefit • CAST & VL interface within the

boat’s ignition system.

– Duplicates the standard “kill switch” when activated.

• If someone is ejected from the boat, upon submersion the sensor will activate and shut off the motor.

• Provides protection for every passenger or crew member, not just the operator.

• Will not compromise the safe and normal operation of the boat.

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• CAST & Virtual Lifeline

“wireless lanyard” systems

were introduced in July

2005

• NMMA selected VL as the

“Innovation of The Year”

winner for safety in 2005

• VL was also chosen by the

Canadian Boating Safety

Council as their 2006

winner for “Safety

Innovations”

• VL is not in widespread use

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�The Wahooo Sensor measures time of submersion to 1/1000th of a second.

�When a swimmer is submerged for a preset period of time (considered by experts to be "precarious") a discreet Yellow Alert serves as notification of a potential event.

� If the swimmer remains submerged for an additional preset period of time (considered to be "at risk"), a Red Alert is indicated.

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Your Influence

• Be ready to use CPR and AED

•Encourage public education - CPR and AED access

• Help your community rescuers – technology/training

• Help raise awareness of proven safety products

• Support new applications of alarm technology

• Watch early adapters

• What will you do?

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Life Saving Influence

California Passes Steve Jobs's Organ Donor Law

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Acknowledgements

� Cardiac Science

� Lifesaving Resources

� Shawn Alladio K38 Rescue

� Bob Ogoreuc,NJ State Police OW Rescue Training

� Tilcon Barges

� MariTech Industries

Business

Mary Ann Downing & Bob Lyons "AED's, Alarms & Technology" NDPA Symposium 2012