Transcript Public Access Defibrillation

Automated
External
Defibrillators
Protecting People from
Premature Death
Developed by the
AED Instructor Foundation
www.aedif.org
Helping those who help save lives!
The Reality of Life…
…someday
everyone
will die!
The Problem…
Premature Death!
“…hearts & brains
too good to die.”
Peter Safar, MD
Emergency Medical System
Community EMS
Emergency
Departments
Specialty
Medical Centers
A System to Save a Life
350,000
Murder
HIV/AIDS
Auto Accidents
Breast Cancer
Lung Cancer
Stroke
Sudden Cardiac Arrest
Annual U.S. Deaths
Causes of Death
Despite reductions in other causes…
…sudden deaths
continue to rise!
How the Heart Works
To better understand
Sudden Death and
how to counter it…
How the Heart Works
Regular
Electrical
Stimulation…
How the Heart Works
… generates a pumping
action that produces
blood pressure…
cont’d…
How the Heart Works
cont’d…
…and sends oxygen carrying red
blood cells to the brain
There is a difference between a…
Heart Attack
and…
…Sudden Death
(Cardiac Arrest)
Heart Attack!
Blocked
Coronary Artery
…but the heart
continues to beat
Damaged area
of Heart Muscle
Heart Attack! cont’d…
Signs & Symptoms (may have one or more)
 Chest Pain/Discomfort
 Radiation to Arm, Neck or Jaw
 Profuse Sweating
 Difficulty Breathing
 Fearful, Confused or Irritable
 Denial of Symptoms
The patient may or may not survive…
He needs the EMS System ASAP!
Sudden Death
(Cardiac Arrest)
Chaotic “quivering”
but NO heartbeat
Ventricular Fibrillation (V-Fib)
…often following a
Heart Attack
Sudden Death
Sometimes…
(Cardiac Arrest)
…V-fib can
occur totally
unrelated to a
Heart Attack
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Electrocution
Hypothermia
Comotia Cordis
Long Q-T Syndrome
Congenital
Drug Overdose
Near Drowning
Arrhythmia and/or
Random Event
Symptoms of V-Fib
 Unconscious
 No heartbeat
 No breathing
 Looks terribly sick & discolored
Resulting in NO oxygen to the brain
Life or death is now
a matter of TIME…
Sudden Death
0 minutes
Some Oxygen
No brain damage
at this point…
Brain Death
10-12 minutes
No Oxygen
Irreversible
Brain Damage!
Ventricular Fibrillation
“Electrical Anarchy”
50-60% of
sudden deaths
are caused by VF
The Way to Correct V-Fib…
Defibrillation
“Re-boot” the Heart
“ Electricity”
It’s About Time
Police, Fire and/or EMS…
…can’t always
be there fast enough.
Survival is reduced by 10% for each
minute that defibrillation is delayed
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On-site action is essential to life…
The Chain of Survival
Early
Access
©American
Early
CPR
Heart Association
Early
Early
Defibrillation Advanced
Care
But, if no breathing nor signs of circulation…
CPR
will only temporarily deliver
some oxygen to the brain. It
doesn’t correct the problem.
V-Fib
needs
Defibrillation!
To Correct V-fib On-Site…
utomated
xternal
efibrillator
Automated
External
Defibrillators
Safe
Simple to Use
High Success Rate
Automated
External
Defibrillators
Will advise shocks
ONLY if there is a
shockable rhythm
Safe
Action pic
Automated
External
Defibrillators
Simple
Computer technology
coaches the user
what to do
Audible
Prompts
Visual Prompts
Automated
External
Defibrillators
Simple
Electrode Placement
Well
Illustrated
Sudden Death Reversal Rates
CPR Only
EMS/ER
CPR/AED
0-2%
5-15%
30-70%
AEDs are Highly Successful
Public Access Defibrillation
Part of an On-Site
Emergency Response Plan
PAD
Early Defibrillation Program
Medical
Oversight
Procedures &
Protocols
Medical
Facilities
Training
AED Acquisition
& Maintenance
On-site
Drills
Incident
Review
EMS
Site Survey &
Needs Analysis
Planning & Implementation
A Variety of Approved
AEDs Are Available
AED Deployment
Where Located?
How Many?
Emergency Medical System
Specialty
Medical Centers
Emergency
Departments
Community EMS
On-Site
Emergency Response
Who is or can be
trained to use an AED?
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Flight Attendants
Security Guards
Firefighters
Ushers
Cruise Ship Staff
Corporate ERTs
Lifeguards
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Mall Workers
Police
Golf Pros
Students
Office Staffs
Physicians
Health Club Staff
YOU!
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AED Program Benefits
Protects against premature death but also
Extends life and productivity
Enhances employee and/or client morale
Enhances employee and/or client loyalty
Helps promote personal safety and health
Limits liability exposure
and if death occurs…
Provides family: comfort, support, & closure
Sudden Death Survival Factors
Prior State of Health
Severity of the Event
Specialty Medical Care
(Quality & Availability)
Immediate Life Support
(CPR & an AED)
AEDs are part of an on-site…
Call EMS
(911)
Early
Recognition
Initial
Life
Support
Emergency
Action
Plan
Timely
Definitive
Care
Continued
Life
Support
Effective
CPR
Rapid
Defibrillation
Legal Considerations
Good Samaritan Law Protection
Current Case Law?
Medical Oversight
1 AED
Medical
Director
Should YOU have an AED?
AEDs
will
soon be
Everywhere…
It’s the Right Thing to Do!
For the BEST Opportunity to
Survive Sudden Death…
EMS can’t always
arrive in time.
If you want it…
An AED Can Provide
On-site Risk Management
Standard Protective Devices
Air Bags
Public Access
Defibrillation Program
Protection for the Heart
Are YOU Protected ?
When hearts & brains
are too good to die…
Sudden death can be
interrupted, and life
can be extended.
Thank You
For your commitment
to Safety, Health & Life
Any Questions?