HeartSine samaritan PAD 500P ...Saving lives in the Chain of Survival

When someone has a sudden cardiac arrest (SCA)

what ultimately saves their

life?

When someone has a sudden cardiac arrest (SCA)

- Calling the ambulance or emergency assistance?

- Using an AED?

- CPR?

- Paramedics or hospital care?

HeartSine is in the business of saving lives

In the event of as SCA, what saves a life is ultimately a combination of steps that all must executed in order to maximise patient survival

This is universally known as The Chain of Survival

• Early recognition and activation of the emergency response

system

• Early and effective CPR with a focus on chest compressions

• Early and rapid defibrillation

• Effective advanced post-cardiac arrest care

Chain of Survival

Any one break in the chain drastically reduces the chance of survival and recovery from SCA…

The HeartSine samaritan® PAD 500P directly focuses on the first 3 links in the chain of survival

When a shock is not enough…

What happens if you have an AED and the patient has a non-shockable rhythm ?

• Pulseless Electrical Activity (PEA) or asystole or a non-shockable rhythm?

• CPR is the most important treatment they can be given

• It is a key link in the Chain of Survival

DON’T NEED TREATMENT

TREATABLE WITH AED (and CPR)

TREATABLE WITH CPR

Normal

Sin

us Rhyt

hm

Sinus

Tachyc

ardia

Asyst

olePEA

Non-Shock

able VF VT

Percentage of Post Market Events Re-turned with Presenting Arrhythmias

95%

The importance of CPR

• If a patient requires CPR the QUALITY of the CPR they receive is directly related to the patient outcome

• What does Effective CPR do?

• Prevents re-fibrillation (if a shock is successful)

• Maintains a shockable rhythm – increases the number of shocks

• Neurological outcome – helps prevent brain damage

• Limits cardiac and vital organ damage

QUALITY CPR significantly increases the chance of survival when a shock alone is not

enough

Effective CPRWhat are the components of good CPR?1. Hand position2. Compression rate3. Compression depth4. Minimising CPR “hand-off” (CPR fraction)5. Ventilation's6. Chest recoil

Improvements in any one of these improves the effectiveness of CPR

BUT……..The more components you improve – the

effect is multiplied

CPR Advisor – helps maximise CPR

What are the components of good CPR?1. Hand position2. Compression rate3. Compression depth4. Minimising CPR “hand-off” (CPR fraction)5. Ventilation's6. Chest recoil

SAM 500P CPR Advisor

How does CPR Advisor do this for each?

CPR Advisor – improving CPR fraction - minimising hands off time

No CPR being detected

CPR detected after voice

prompt

Begin CPR!

ICG waveform

CPR Advisor – improving Compression Depth

Poor CPR force

detected

“Good CPR” after voice

prompt

Push Harder!

CPR Advisor – improving Compression Rate

Poor CPR rate detected

“Good CPR” after voice

prompt

Push Faster!

So why is CPR Advisor better than other CPR measurement systems?

1. No additional sensors required – detect all the CPR parameters through the attached electrodes

2. Accelerometers are uncomfortable for the user

3. Loss of tactile response – it feels un-natural

4. Gives feedback on both force and rate

5. Does not rely on a fixed depth like and accelerometer or force tranducer - does not take into account the size and shape of the patient

6. It requires a much greater physical effort for the rescuer to perform CPR with an accelerometer

Accelerometers have been shown to cause soft tissue damage!

1. Cho, Resuscitation; 80 (2009) Skin and soft tissue damage caused by use of feedback-sensor during chest compressions

SAM 500P with CPR Advisor vsZoll AED Plus

SAM 500P Zoll AED Plus

1.1 Kg 3.1 Kg

No Accelerometer Accelerometer required

“Push Harder” “Push Harder”

“Push Slower” No

“Push Faster” No

“Good Compressions” “Good Compressions”

8 seconds time to first shock

30 seconds time to first shock

IP56 IP55

SAM 500P with CPR Advisor vsCardiac Sciences PowerHeart G5

SAM 500P Cardiac Sciences G5

1.1 Kg 2.6 Kg

No Accelerometer Accelerometer required

Not required Additional voice prompts on where to place CPR sensor

“Push Harder” “Push Harder”

“Push Slower” No – just says “Press, Press

“Push Faster” No – just says “Press, Press

“Good Compressions” No – just says “Press, Press

8 seconds time to first shock

15 seconds time to first shock

IP56 IP55

SAM 500P with CPR Advisor vsPhilips FR3

SAM 500P Philips FR3

1.1 Kg 1.6 Kg (without accelerometer)

No Accelerometer Accelerometer required

“Push Harder” Extra device – no audio

“Push Slower” Extra device – no audio

“Push Faster” Extra device – no audio

“Good Compressions” Extra device – no audio

8 seconds time to first shock

8 seconds time to first shock

IP56 IP55

1. All defibrillators are the same….they just give a shock and then tell the rescuer how to do CPR and have a metronome to guide you to the right pace

- But metronome gives NO indication of depth – one of the most important components of CPR

- Is it still easy to use once they get tired?

- CPR Advisor will help ensure the quality of CPR does not deteriorate during the resuscitation period

- CPR Advisor provides reassurance in an stressful situation that the rescuer is providing the best CPR possible

Excuses not to use CPR Advisor

2. The hospital/paramedics advised me to buy Zoll/Philips/Cardiac Sciences

- Of course they did! They are all extensively trained on how to use these devices!

- But if you have minimal training they are complicated to use

- The minimally trained user may have never used this device before

- Is the accelerometer in the right position?

- It is un-natural to use an accelerometer

- It can be painful to use an accelerometer

Excuses not to use CPR Advisor

Excuses not to use CPR Advisor

3. But we get training on how to do CPR – we don’t need CPR feedback

- Published studies have shown that CPR quality - among trained in-hospital professionals – can decrease in as little as 3 months

- This is why hospitals, typically have CPR refresher courses every six months

- Even trained professionals benefit from real-time CPR feedback

Key points to remember

• A shock on its own is not always enough – Chain of Survival

• The quality of CPR directly relates to survival outcomes

• Competitor CPR feedback technologies require additional sensors – confuse the user if NOT EXTENSIVELY TRAINED

• A shock AND high quality CPR can lead to survival rates of up to 75%

So if you want something more than just a shock box…….

If you want a resuscitation defibrillator…….

HeartSine samaritan PAD 500P

……..not just a defibrillator