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 Reality of Life…The Reality of Life…

…someday everyone

will die!

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

To better understandSudden Death andhow to counter it…

How the Heart WorksHow the Heart Works

RegularElectricalStimulation…

How the Heart Works How the Heart Works

… 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…

There is a difference between a…

Heart AttackHeart Attackand…

…Sudden Death(Cardiac Arrest)

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

Some Oxygen

0 minutes

Sudden DeathSudden Death

No brain damage at this point…

No Oxygen

10-12 minutes

Brain DeathBrain Death

IrreversibleBrain Damage!

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…

Police, Fire and/or EMS…

…can’t always be there fast

enough.

It’s About TimeIt’s About Time

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

A Variety of ApprovedAEDs Are AvailableA Variety of ApprovedAEDs Are Available

AED DeploymentAED Deployment

How Many?

Where Located?

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

AEDs Everywhere…AEDs Everywhere…

will soon be

will soon be

It’s the Right Thing to Do!

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.

Thank YouThank You

For your commitment to Safety, Health &

Life

For your commitment to Safety, Health &

LifeAny Questions?Any Questions?