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A Death A Death Defying Device Defying Device

A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

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Page 1: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

A Death A Death Defying DeviceDefying Device

A Death A Death Defying DeviceDefying Device

Page 2: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

Working to reduce Sudden Cardiac Death throughWorking to reduce Sudden Cardiac Death through Public Access DefibrillationPublic Access Defibrillation

ZOLLZOLL Medical Medical CorporationCorporation

ZOLLZOLL Medical Medical CorporationCorporation

In cooperation with In cooperation with

Developed byDeveloped by

Page 3: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

The following presentation illustrates The following presentation illustrates the indications for and demonstratesthe indications for and demonstratesthe proper use of a ZOLL AED Plus.the proper use of a ZOLL AED Plus.

This presentation is intended for use This presentation is intended for use by AED and CPR instructors as by AED and CPR instructors as

supplemental material in nationallysupplemental material in nationallyaccepted AED training programs.accepted AED training programs.

Page 4: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

The Reality of Life…The Reality of Life…

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

Page 5: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

PrematurePrematureDeathDeath

PrematurePrematureDeathDeath

Peter Safar, MDPeter Safar, MD

Page 6: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

Despite advances in medical science…Despite advances in medical science…

Sudden Death continues to increaseSudden Death continues 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

Page 7: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

generatinggenerating generatinggenerating

producingproducing producingproducing

resulting inresulting in resulting inresulting in

OO2 2 OO2 2

Page 8: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

BlockedBlockedCoronaryCoronaryArteryArtery

Damaged Damaged HeartHeartMuscleMuscle

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

““pacemaker”pacemaker”

HeartbeatHeartbeatContinuesContinuesto Beatto Beat

Heart AttackHeart Attack

Page 9: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

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

Page 10: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

VentricularVentricularFibrillationFibrillation

ChaoticChaoticQuiveringQuivering

butbut

NO NO HeartbeatHeartbeatNO NO BreathingBreathing

VentricularVentricularFibrillationFibrillation

ChaoticChaoticQuiveringQuivering

butbut

NO NO HeartbeatHeartbeatNO NO BreathingBreathing

V-fibV-fib

Sudden DeathSudden Death

Page 11: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

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

Page 12: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

SomeSome OxygenOxygenSomeSome

OxygenOxygen

0 Minutes0 Minutes0 Minutes0 Minutes

Sudden DeathSudden DeathSudden DeathSudden Death

Page 13: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

NoNo OxygenOxygen

NoNo OxygenOxygen

10-12 Minutes10-12 Minutes

Brain DeathBrain DeathBrain DeathBrain Death

Page 14: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

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

Page 15: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

TheThe Only CorrectionOnly Correction forfor

V-fibV-fib

De-fibDe-fib

Page 16: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

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

EarlyEarly DefibrillationDefibrillation

© © American Heart AssociationAmerican Heart Association

Page 17: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

Surv

ival R

ate

(perc

ent)

Time to Defibrillation (minutes)

00

2020

4040

6060

8080

100100

55 1010 1515 2020 2525 3030

For each minute that defibrillation is delayedFor each minute that defibrillation is delayedSurvival is reduced by 10% Survival is reduced by 10%

Page 18: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

AA SolutionSolution

toto Sudden DeathSudden Death

Shocking Shocking Shocking Shocking

Page 19: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

SafeSafe SimpleSimple UseUse

HighHigh SuccessSuccess RateRate

SafeSafe SimpleSimple UseUse

HighHigh SuccessSuccess RateRate

Page 20: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

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

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

• CPRCPR++AEDAED…….. …….. 3030--75%75%

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

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

• CPRCPR++AEDAED…….. …….. 3030--75%75%

Page 21: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

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

Page 22: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

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

Page 23: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

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

Page 24: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

ContinuedContinuedLife SupportLife Support

ABCS CAREABCS CARE

ContinuedContinuedLife SupportLife Support

ABCS CAREABCS CARE

TimelyTimelyDefinitiveDefinitive

CareCare

TimelyTimelyDefinitiveDefinitive

CareCare

EffectiveEffectiveCPRCPR

EffectiveEffectiveCPRCPR

RapidRapidDefibrillationDefibrillation

RapidRapidDefibrillationDefibrillation

Early Early RecognitionRecognition

Early Early RecognitionRecognition

Make theMake theRight CallRight CallMake theMake theRight CallRight Call InitialInitial

Life SupportLife SupportABCS CAREABCS CARE

InitialInitialLife SupportLife Support

ABCS CAREABCS CARE

System of System of SurvivalSurvival

System of System of SurvivalSurvival

Page 25: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

What if…What if…

SomeoneSomeonesuddenlysuddenlydevelopsdevelopssigns of asigns of aheart attack heart attack

What if…What if…

SomeoneSomeonesuddenlysuddenlydevelopsdevelopssigns of asigns of aheart attack heart attack

Page 26: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

Provide Initial Life SupportProvide Initial Life SupportProvide Initial Life SupportProvide Initial Life Support

ASA

1 Adult 1 Adult OrOr

4 Baby4 Baby

Call for EMS/Medical HelpCall for EMS/Medical Help

Page 27: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

If you see patient collapse If you see patient collapse oror you find him down… you find him down…If you see patient collapse If you see patient collapse oror you find him down… you find him down…

……you don’t know if it’syou don’t know if it’s

Sudden DeathSudden Deathor aor a

Heart AttackHeart Attack

Page 28: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

You’ll Need

You’ll Need

You’ll Need

You’ll Need

• More than just a defibrillatorMore than just a defibrillator

• Addresses all aspects of a rescueAddresses all aspects of a rescue Accessing HelpAccessing Help Airway ControlAirway Control CPRCPR DefibrillationDefibrillation

• More than just a defibrillatorMore than just a defibrillator

• Addresses all aspects of a rescueAddresses all aspects of a rescue Accessing HelpAccessing Help Airway ControlAirway Control CPRCPR DefibrillationDefibrillation

“ “Designed for infrequent, often reluctant Designed for infrequent, often reluctant responders”responders”

Page 29: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed
Page 30: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

• Audible Audible • Audible Audible

• VisualVisual• VisualVisual (Graphical Operator Interface)(Graphical Operator Interface) (Graphical Operator Interface)(Graphical Operator Interface)

Page 31: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

• Recognize that someone needs Recognize that someone needs emergency medical helpemergency medical help• Recognize that someone needs Recognize that someone needs emergency medical helpemergency medical help

• CCheckheck TThehe AArea rea for personal dangersfor personal dangers• CCheckheck TThehe AArea rea for personal dangersfor personal dangers

Is Help Needed?Is Help Needed?

Page 32: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

• Is person unresponsive?Is person unresponsive?• Is person unresponsive?Is person unresponsive?

Are you Are you okay?okay?

Page 33: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

• ““Log-roll” patient onto his backLog-roll” patient onto his back on a firm surfaceon a firm surface

• ““Log-roll” patient onto his backLog-roll” patient onto his back on a firm surfaceon a firm surface

……if not already there,if not already there,

Page 34: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

Send someone for HelpSend someone for Help Send someone for HelpSend someone for Help

Take a deep breath Take a deep breath andand focus your focus your

emotional energyemotional energy

Take a deep breath Take a deep breath andand focus your focus your

emotional energyemotional energy

Stay CalmStay Calm

Page 35: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

Someone should IMMEDIATELYIMMEDIATELY

Call forCall for EMS/Medical Help

Someone should IMMEDIATELYIMMEDIATELY

Call forCall for EMS/Medical Help

If you are alone… If you are alone… Call EMS/911 yourselfCall EMS/911 yourself

Make the Right CallMake the Right Call

Page 36: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

• Send someone forSend someone for the AED…the AED…• Send someone forSend someone for the AED…the AED…

……or if alone, go yourself!or if alone, go yourself!……or if alone, go yourself!or if alone, go yourself!

Page 37: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

CompressionsCompressions

3030

While someone goes for the AED,While someone goes for the AED, if no breathing nor signs of circulation…if no breathing nor signs of circulation…

While someone goes for the AED,While someone goes for the AED, if no breathing nor signs of circulation…if no breathing nor signs of circulation…

22 BreathsBreaths

Begin CPRBegin CPRat aat a

Rate Rate andand Ratio Ratio ofof

Begin CPRBegin CPRat aat a

Rate Rate andand Ratio Ratio ofof

Page 38: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

When the AED Plus is on SceneWhen the AED Plus is on Scene

Push thePush the““ON” ON” ButtonButton

Page 39: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

Open the lidOpen the lid

Follow visual & voice promptsFollow visual & voice prompts

Open the lidOpen the lid

Follow visual & voice promptsFollow visual & voice prompts

Page 40: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

With its Graphic InterfaceWith its Graphic Interfaceand clear voice Promptsand clear voice Prompts

the ZOLL AED Plusthe ZOLL AED Pluswill remind you of will remind you of

--- OR guide you through --- --- OR guide you through --- all the important actionsall the important actionsof a resuscitation effortof a resuscitation effort

With its Graphic InterfaceWith its Graphic Interfaceand clear voice Promptsand clear voice Prompts

the ZOLL AED Plusthe ZOLL AED Pluswill remind you of will remind you of

--- OR guide you through --- --- OR guide you through --- all the important actionsall the important actionsof a resuscitation effortof a resuscitation effort

Page 41: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

Stay CalmStay Calm Stay CalmStay Calm Are you Are you

okay?okay?

Check ResponsivenessCheck Responsiveness

• Reconfirm that Reconfirm that the person is the person is unconsciousunconscious

• Reconfirm that Reconfirm that the person is the person is unconsciousunconscious

Page 42: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

• Be sure someone Be sure someone has called forhas called for

EMS/Medical HelpEMS/Medical Help

• Be sure someone Be sure someone has called forhas called for

EMS/Medical HelpEMS/Medical Help

Is Help On the Way?Is Help On the Way?

Page 43: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

• Head Tilt/Chin LiftHead Tilt/Chin Lift• Empty the mouth? Empty the mouth? • Head Tilt/Chin LiftHead Tilt/Chin Lift• Empty the mouth? Empty the mouth?

Open AirwayOpen Airway

Page 44: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

• LookLook• ListenListen• FeelFeel

• LookLook• ListenListen• FeelFeel

Check BreathingCheck Breathing

Page 45: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

• Place CPR Face Shield ???Place CPR Face Shield ??? • Pinch Patient’s NostrilsPinch Patient’s Nostrils• Take a Deep BreathTake a Deep Breath• Place Your Mouth OverPlace Your Mouth Over Patient’s Patient’s (Make a Firm Seal) (Make a Firm Seal)

• Give 2 Slow BreathsGive 2 Slow Breaths (Take a Fresh Breath In Between)(Take a Fresh Breath In Between)

...if none is found ...if none is found

Provide BreathingProvide BreathingProvide BreathingProvide Breathing

Page 46: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

• Check for Neck PulseCheck for Neck Pulse (If skilled to do so) (If skilled to do so)

• Normal Skin Color ??? Normal Skin Color ??? • Coughing Coughing or or

Obvious BreathingObvious Breathing

Examine for

Signs of CirculationExamine for

Signs of Circulation

Page 47: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

Attach Electrode PadsAttach Electrode Pads

Page 48: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

CPR Compression SiteCPR Compression SiteGives Compression FeedbackGives Compression Feedback

(Depth & Rate)(Depth & Rate)

CPR Compression SiteCPR Compression SiteGives Compression FeedbackGives Compression Feedback

(Depth & Rate)(Depth & Rate)

Pull “Red Pin” to extendPull “Red Pin” to extendapex electrodeapex electrodeon large patienton large patient

Pull “Red Pin” to extendPull “Red Pin” to extendapex electrodeapex electrodeon large patienton large patient

Right side electrodeRight side electrodeRight side electrodeRight side electrode

Left side electrodeLeft side electrodeLeft side electrodeLeft side electrode

ZOLL’s Unique CPR-D Padz ZOLL’s Unique CPR-D Padz

Page 49: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

• Simplifies proper positioning Simplifies proper positioning • Eliminates potential delayEliminates potential delay• Integrates CPR skills Integrates CPR skills • Easily remembered placement guideEasily remembered placement guide• Virtually impossible to get confusedVirtually impossible to get confused• Rapid “Release and Press” LinersRapid “Release and Press” Liners• Packaged with all accessoriesPackaged with all accessories

• Simplifies proper positioning Simplifies proper positioning • Eliminates potential delayEliminates potential delay• Integrates CPR skills Integrates CPR skills • Easily remembered placement guideEasily remembered placement guide• Virtually impossible to get confusedVirtually impossible to get confused• Rapid “Release and Press” LinersRapid “Release and Press” Liners• Packaged with all accessoriesPackaged with all accessories

One Piece CPR-D PadzOne Piece CPR-D Padz

Page 50: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

Prepare the Chest for ElectrodesPrepare the Chest for Electrodes Expose the patient’s bare chestExpose the patient’s bare chest

Page 51: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

(if necessary)(if necessary)

Shave hair at pad sitesShave hair at pad sites

Wipe/dry pad site areaWipe/dry pad site area

ZOLL AED Plus units come withZOLL AED Plus units come with potentially needed accessories:potentially needed accessories:

ScissorsScissorsRazorRazorTowelTowelGlovesGloves

Hand WipesHand WipesCPR Face ShieldCPR Face Shield

Prepare the Chest for ElectrodesPrepare the Chest for Electrodes

Page 52: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

Remove CPR-D PadzRemove CPR-D PadzRemove CPR-D PadzRemove CPR-D Padz

Unfold CPR-D PadzUnfold CPR-D Padz Unfold CPR-D PadzUnfold CPR-D Padz

Open CPR-D PADZOpen CPR-D PADZOpen CPR-D PADZOpen CPR-D PADZ1.1.1.1.

Page 53: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

Position center “puck”Position center “puck” (as shown) (as shown) Position center “puck”Position center “puck” (as shown) (as shown)

CPR-D Padz PlacementCPR-D Padz Placement

Page 54: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

2.2. 3.3.

Place Electrodes on Place Electrodes on PatientPatientPlace Electrodes on Place Electrodes on PatientPatient

3.3. Remove Left Pad backing Remove Left Pad backing

3.3. Remove Left Pad backing Remove Left Pad backing

Remove Right Pad backingRemove Right Pad backing Remove Right Pad backingRemove Right Pad backing2.2.2.2.

FIRMLYFIRMLY Press Padz in placePress Padz in place

Page 55: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

• Pull “Pin” Pull “Pin” • Extend PadExtend Pad

Note: Left Apex Pad can be extended on large patients

Page 56: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

• Don’t Touch Patient During AnalysisDon’t Touch Patient During Analysis• Don’t Touch Patient During AnalysisDon’t Touch Patient During Analysis

Page 57: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

• Stay Clear of Patient During ShocksStay Clear of Patient During Shocks Verbal Command to ClearVerbal Command to Clear Visually Confirm All Are ClearVisually Confirm All Are Clear

• Stay Clear of Patient During ShocksStay Clear of Patient During Shocks Verbal Command to ClearVerbal Command to Clear Visually Confirm All Are ClearVisually Confirm All Are Clear

Page 58: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed
Page 59: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

AED PlusAED Plus ONLYONLY Advises TreatmentAdvises Treatment

Deliver one shock If there is aDeliver one shock If there is a

Shockable RhythmShockable Rhythm

AED PlusAED Plus ONLYONLY Advises TreatmentAdvises Treatment

Deliver one shock If there is aDeliver one shock If there is a

Shockable RhythmShockable Rhythm

Push Shock Button No Shock Needed

Page 60: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

OpenOpen

Airway

Check forCheck for

Breathing

Signs of Circulation

OpenOpen

Airway

Check forCheck for

Breathing

Signs of Circulation

Whether shocks are delivered or not advised…Whether shocks are delivered or not advised…Whether shocks are delivered or not advised…Whether shocks are delivered or not advised…

Page 61: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

If No Signs of Circulation …If No Signs of Circulation …If No Signs of Circulation …If No Signs of Circulation …

• Kneel next to patientKneel next to patient• Locate hand positionLocate hand position(on compression depth sensor) (on compression depth sensor)

• Position your body Position your body • Give CPR at rate of 30:2Give CPR at rate of 30:2

• Kneel next to patientKneel next to patient• Locate hand positionLocate hand position(on compression depth sensor) (on compression depth sensor)

• Position your body Position your body • Give CPR at rate of 30:2Give CPR at rate of 30:2

22 3030

Resume CPR 2 MinsResume CPR 2 Mins

You will hear: You will hear: “Good compressions” “Good compressions” or or “Push harder”“Push harder” A Adaptive metronome will help pace you daptive metronome will help pace you

Page 62: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

• Maintain AirwayMaintain Airway CChin Lift hin Lift Empty Mouth? Empty Mouth? “ “RecoveryRecovery Position” ?Position” ? Place PASS ??Place PASS ??

• Assist BreathingAssist Breathing• Give Emotional SupportGive Emotional Support

If CPR or Shocks aren’t needed…If CPR or Shocks aren’t needed…If CPR or Shocks aren’t needed…If CPR or Shocks aren’t needed…

Page 63: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

Passive Airway Support SystemPassive Airway Support SystemPassive Airway Support SystemPassive Airway Support SystemThe ZOLL AED Plus offers the unique option of a The ZOLL AED Plus offers the unique option of a Passive Airway Support System (PASS). The Passive Airway Support System (PASS). The AED lid can be removed, inverted and used as a AED lid can be removed, inverted and used as a “wedge” placed under the patient’s shoulders“wedge” placed under the patient’s shoulders

Page 64: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

• Provide Life SupportProvide Life Support ((as needed…)as needed…)

• Provide Life SupportProvide Life Support ((as needed…)as needed…)

Until EMS ArrivesUntil EMS ArrivesUntil EMS ArrivesUntil EMS Arrives

Page 65: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

When Breathing & PulseWhen Breathing & PulseDo Not ReturnDo Not Return

When Breathing & PulseWhen Breathing & PulseDo Not ReturnDo Not Return

• Continue CPRContinue CPR• Follow Voice PromptsFollow Voice Prompts

Rhythm Re-analysisRhythm Re-analysis Repeat Shock(s)Repeat Shock(s)

……Until EMS ArrivesUntil EMS Arrives……Until EMS ArrivesUntil EMS Arrives

Page 66: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

When Breathing When Breathing && Pulse Return Pulse ReturnWhen Breathing When Breathing && Pulse Return Pulse Return

• AirwayAirway• BreathingBreathing• Circulation Circulation

Be as Be as Efficient & EffectiveEfficient & Effective as Possible as PossibleBe as Be as Efficient & EffectiveEfficient & Effective as Possible as Possible

Support LifeSupport Life

……Until EMS ArrivesUntil EMS Arrives……Until EMS ArrivesUntil EMS Arrives

Page 67: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

• Verbal ReportVerbal Report Initial ConditionInitial Condition Care Delivered Care Delivered (including # of shocks) (including # of shocks) Estimated “Down Time”Estimated “Down Time” Any Changes in Patient’s ConditionAny Changes in Patient’s Condition Any available Medical HistoryAny available Medical History

• Verbal ReportVerbal Report Initial ConditionInitial Condition Care Delivered Care Delivered (including # of shocks) (including # of shocks) Estimated “Down Time”Estimated “Down Time” Any Changes in Patient’s ConditionAny Changes in Patient’s Condition Any available Medical HistoryAny available Medical History

Transfer of CareTransfer of Care

• Cooperate Cooperate and and AssistAssist (as necessary & requested) (as necessary & requested) • Cooperate Cooperate and and AssistAssist (as necessary & requested) (as necessary & requested)

Page 68: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

Practical Skills ScenariosPractical Skills ScenariosPractical Skills ScenariosPractical Skills Scenarios

Page 69: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed
Page 70: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

Avoid Placing the Electrode Directly OverAvoid Placing the Electrode Directly Over

Implanted Heart DevicesImplanted Heart Devices

Pacemaker Pacemaker R

Precautions & ConcernsPrecautions & ConcernsPrecautions & ConcernsPrecautions & Concerns

Page 71: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

Precautions & ConcernsPrecautions & ConcernsPrecautions & ConcernsPrecautions & Concerns• Implanted Heart DevicesImplanted Heart Devices

PacemakerPacemaker DefibrillatorDefibrillator

• Implanted Heart DevicesImplanted Heart Devices PacemakerPacemaker DefibrillatorDefibrillator

If scar or “bulge” on If scar or “bulge” on right side of chestright side of chest Don’t put pad over deviceDon’t put pad over device

Slightly “Rotate” Padz

If scar or “bulge” on If scar or “bulge” on right side of chestright side of chest Don’t put pad over deviceDon’t put pad over device

Slightly “Rotate” Padz • Medication PatchesMedication Patches Remove Patch – Wipe Chest Clean

• Medication PatchesMedication Patches Remove Patch – Wipe Chest Clean

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Additional FactorsAdditional FactorsWhen using an AEDWhen using an AED

Additional FactorsAdditional FactorsWhen using an AEDWhen using an AED

• Sensitivity to FamilySensitivity to Family• Crowd ControlCrowd Control• Periods of “Inactivity”Periods of “Inactivity”• Talk to the PatientTalk to the Patient

• Sensitivity to FamilySensitivity to Family• Crowd ControlCrowd Control• Periods of “Inactivity”Periods of “Inactivity”• Talk to the PatientTalk to the Patient

Page 73: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

When Not to Use an AEDWhen Not to Use an AEDWhen Not to Use an AEDWhen Not to Use an AED

• Patient is less than 8 yrs of agePatient is less than 8 yrs of age

• Patient is under 80 poundsPatient is under 80 pounds

• Explosive environmentExplosive environment

• Patient is Patient is immersedimmersed in water in water

• Following serious traumaFollowing serious trauma

• Patient is less than 8 yrs of agePatient is less than 8 yrs of age

• Patient is under 80 poundsPatient is under 80 pounds

• Explosive environmentExplosive environment

• Patient is Patient is immersedimmersed in water in water

• Following serious traumaFollowing serious trauma

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Returning to AED ReadinessReturning to AED ReadinessReturning to AED ReadinessReturning to AED Readiness

Clean AreaClean Area Clean AED PlusClean AED Plus Replace Batteries Replace Batteries (if necessary)(if necessary) Replace CPR-D PadzReplace CPR-D Padz Repack & Restore Unit Repack & Restore Unit

Clean AreaClean Area Clean AED PlusClean AED Plus Replace Batteries Replace Batteries (if necessary)(if necessary) Replace CPR-D PadzReplace CPR-D Padz Repack & Restore Unit Repack & Restore Unit

LogisticsLogisticsLogisticsLogistics

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Battery ReplacementBattery Replacement

Page 76: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

Re-packaging the AED PlusRe-packaging the AED Plus

Page 77: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

• Assures constant readiness Assures constant readiness • BothBoth audible and visual alerts audible and visual alerts• Unit monitors its self every week Unit monitors its self every week • Status indicator shows a green Status indicator shows a green

to clearly indicate ready to clearly indicate ready • When unit requires new batteries, When unit requires new batteries, it sounds an audible alarm and it sounds an audible alarm and displays the reddisplays the red X X • For problems contact the ZOLL Technical Services 800-348-9011For problems contact the ZOLL Technical Services 800-348-9011

• Assures constant readiness Assures constant readiness • BothBoth audible and visual alerts audible and visual alerts• Unit monitors its self every week Unit monitors its self every week • Status indicator shows a green Status indicator shows a green

to clearly indicate ready to clearly indicate ready • When unit requires new batteries, When unit requires new batteries, it sounds an audible alarm and it sounds an audible alarm and displays the reddisplays the red X X • For problems contact the ZOLL Technical Services 800-348-9011For problems contact the ZOLL Technical Services 800-348-9011

Self Testing and AlarmsSelf Testing and AlarmsSelf Testing and AlarmsSelf Testing and Alarms

X

X

Page 78: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

Download Data Download Data Case ReviewCase ReviewComplete Required Reports Complete Required Reports Notify Medical ControlNotify Medical Control “ “Post Situation Ventilation”Post Situation Ventilation”

Download Data Download Data Case ReviewCase ReviewComplete Required Reports Complete Required Reports Notify Medical ControlNotify Medical Control “ “Post Situation Ventilation”Post Situation Ventilation”

AdministrationAdministrationAdministrationAdministration

After Using an AED After Using an AED

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Data Download & ReviewData Download & Review

• AED Plus utilizes standard IRDA port AED Plus utilizes standard IRDA port (found on most laptop and desktop (found on most laptop and desktop

computers)computers)

• Easy data integrationEasy data integration

(with ZOLL Data Review*)(with ZOLL Data Review*)

• AED Plus utilizes standard IRDA port AED Plus utilizes standard IRDA port (found on most laptop and desktop (found on most laptop and desktop

computers)computers)

• Easy data integrationEasy data integration

(with ZOLL Data Review*)(with ZOLL Data Review*)

* Free Downloadable Software * Free Downloadable Software

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• 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• Current Case Law Current Case Law ??• Medical Control Medical Control

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

Page 81: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

Medical ControlMedical Control

Page 82: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

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

Page 83: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

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 ContinuedContinuedLife Life Can BeCan Be ContinuedContinued

Page 84: A Death Defying Device Working to reduce Sudden Cardiac Death through Public Access Defibrillation ZOLL Medical Corporation In cooperation with Developed

For Your Commitment ToFor Your Commitment To

Safety, Health Safety, Health && Life LifeFor Your Commitment ToFor Your Commitment To

Safety, Health Safety, Health && Life Life