protecting people from premature death a utomated e xternal d efibrillators
TRANSCRIPT
Protecting People fromPremature Death
Automated
External
Defibrillators
Automated
External
Defibrillators
Helping those who help save lives!
Helping those who help save lives!
Developed by the
AED Instructor Foundationwww.aedif.org
The Problem…The Problem…
Premature Death!
Premature Death!
Peter Safar, MD
“…hearts & brains too good
to die.”
Emergency Medical System
Emergency Medical System
Emergency Departments
SpecialtyMedical Centers
Community EMS
A System to Save a Life A System to Save a Life
Causes of DeathCauses of DeathDespite reductions in other
causes… …sudden deaths continue to rise!
Su
dd
en
Card
iac A
rrest
Str
oke
Lu
ng
Can
cer
Bre
ast
Can
cer
Au
to A
ccid
en
ts
HIV
/AID
S
Mu
rder
350,000
350,000
An
nu
al U
.S.
Death
s
… generates a pumping action that produces blood pressure…
How the Heart Works cont’d…How the Heart Works cont’d…
…and sends oxygen carrying red blood cells to the brain
How the Heart Works cont’d…How the Heart Works cont’d…
Heart Attack!Heart Attack!
I
BlockedCoronary Artery
Damaged areaof Heart Muscle
…but the heart continues to beat
Signs & SymptomsSigns & Symptoms (may have one or (may have one or more)more)Signs & SymptomsSigns & Symptoms (may have one or (may have one or more)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!
Heart Attack! cont’d…Heart Attack! cont’d…
Sudden Death Sudden Death
(Cardiac Arrest)
Chaotic “quivering” but NO heartbeat
Ventricular Fibrillation (V-Fib)
…often following a Heart Attack
Sometimes… • Electrocution• Hypothermia• Comotia Cordis• Long Q-T
Syndrome• Congenital• Drug Overdose • Near Drowning• Arrhythmia and/or
• Random Event
…V-fib can occur totally unrelated to a Heart Attack
Sudden Death Sudden Death
(Cardiac Arrest)
Symptoms of V-Fib Symptoms of V-Fib
Life or death is nowa matter of TIME…
Unconscious
No heartbeat
No breathing
Looks terribly sick & discolored
Unconscious
No heartbeat
No breathing
Looks terribly sick & discolored
Resulting in NO oxygen to the brain
Ventricular FibrillationVentricular Fibrillation“Electrical Anarchy”“Electrical Anarchy”
50-60% ofsudden deathsare caused by
VF
Defibrillation“Re-boot” the Heart “Re-boot” the Heart
“ Electricit
y”
“ Electricit
y”
The Way to Correct V-Fib…The Way to Correct V-Fib…
Survival is reduced by 10% for each minute that defibrillation is delayed
0
10
20
30
40
50
60
70
80
90
10 15 20 25 30
On-site action is essential to life…
The Chain of SurvivalThe Chain of Survival
©American Heart Association
EarlyAccess
EarlyCPR
EarlyDefibrillati
on
EarlyAdvanced
Care
EarlyAccess
EarlyCPR
EarlyDefibrillati
on
EarlyAdvanced
Care
But, if no breathing nor signs of circulation…
will only temporarily deliver some oxygen to the brain. It doesn’t correct the problem.
CPRCPR
V-Fibneeds
Defibrillation!
efibrillator efibrillator
xternal xternal
utomated utomated
To Correct V-fib On-Site…To Correct V-fib On-Site…
Automated External Defibrillators
Automated External Defibrillators
Safe
Simple to Use
High Success Rate
Will advise shocks
ONLY if there is a
shockable rhythm
Action pic
Safe Automated External Defibrillators
Automated External Defibrillators
Computer technology coaches the user what to do
Readiness
Visual Prompts
AudiblePrompts
Simple Automated External Defibrillators
Automated External Defibrillators
Electrode PlacementWell
Illustrated
Simple Automated External Defibrillators
Automated External Defibrillators
Sudden Death Reversal Rates
Sudden Death Reversal Rates
CPR OnlyCPR Only 0-2%0-2%
EMS/EREMS/ER 5-15%5-15%
CPR/AEDCPR/AED 30-70%30-70%
AEDs are Highly SuccessfulAEDs are Highly Successful
Public Access DefibrillationPublic Access DefibrillationPart of an On-Site
Emergency Response Plan
PAD
Early Defibrillation ProgramEarly Defibrillation Program
Planning & Implementation
EMS
Site Survey &
Needs Analysis
AED Acquisition & Maintenance
Incident Review
MedicalOversight
Procedures & Protocols
MedicalFacilities
Training
On-siteDrills
Emergency Medical System
Emergency Medical System
Emergency Departments
SpecialtyMedical Centers
Community EMS
On-SiteEmergency Response
On-SiteEmergency Response
Who is or can betrained to use an AED?Who is or can betrained to use an AED?
»Flight Attendants
»Security Guards»Firefighters»Ushers»Cruise Ship
Staff»Corporate ERTs»Lifeguards
»Mall Workers»Police»Golf Pros»Students»Office Staffs»Physicians»Health Club
Staff
YOU!
AED Program BenefitsAED Program Benefits 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
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
Provides family: comfort, support, & closure
and if death occurs…
Protects against premature death
Prior State of Health
Severity of the Event
Specialty Medical Care
Sudden Death Survival FactorsSudden Death Survival Factors
(Quality & Availability)Rescuer has no control
Rescuer has no control
Immediate Life Support(CPR & an AED)
AEDs are part of an on-site…AEDs are part of an on-site… Initial
Life Support
EffectiveCPR
RapidDefibrillatio
nContinued
Life Support
Timely Definitive
Care
Call EMS(911)
EarlyRecognitio
n
Emergency
ActionPlan
Good Samaritan Law Protection
Current Case Law?
Medical Oversight
Should YOU have an AED?
Legal ConsiderationsLegal Considerations
Medical Director
1 AED
For the BEST Opportunity toSurvive Sudden Death… For the BEST Opportunity toSurvive Sudden Death…
EMS can’t alwaysarrive in time.
If you want it…
An AED Can Provide On-site Risk Management
Standard Protective DevicesStandard Protective Devices
Fire
Extinguish
er
SeatBeltsSmoke
Detector
Air Bags
SprinklerSystems
Public Access Defibrillation Program
Public Access Defibrillation Program
Protection for the Heart
Are YOU Protected ?Are YOU
Protected ?
When hearts & brains are too good to die…
When hearts & brains are too good to die…
Sudden death can be interrupted, and life can be extended.