Implementation of AED/CPR in workplace -MEA Experience

Implementation of AED/CPR in workplace -MEA ExperienceAhed Al Najjar Fellow of American Heart Association

EMS Researcher/ Faculty , Director Life Support

Prince Sultan College for EMSKing Saud University najjarahed@gmail.com

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• Cardiac Arrest in numbers

• AED CPR Dubai Experience

• FIFA Nigeria Experience

• Manila Experience and others

• PAD Program requirements

• Legal issues

• Starting an AED Program

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Out of Hospital SCA

EMS treats 300,000 victims per year

. < 33% receive bystander CPR

. <8% survive to hospital discharge

Source: AHA CPR & Sudden cardiac Arrest fact Sheet – April 26,2010

Out of Hospital SCA

EMS treats 300,000 victims per year

. < 33% receive bystander CPR

. <8% survive to hospital discharge

Source: AHA CPR & Sudden cardiac Arrest fact Sheet – April 26,2010

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AHA cardiac Arrest Chain of Survival

• Immediate recognition of cardiac arrest and activation EMS • Early CPR (with emphasis on chest compressions)• Rapid defibrillation • Effective advanced Life Support • Integrated post-cardiac arrest care

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Hotels in Dubai are advised to have an

Automated External Defibrillator (AED), a

life-saving device designed to measure

heart rate and restart the heart, under a

safety programme conducted by the

Department of Tourism and Commerce

Marketing and the Department of Health

and Medical Services (Dohms).

Dubai AED Study Dubai AED Study

• Establishing the CPR AED Training within Hotel industry

• Implementing AED units• Implementing First Aid kits

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Best Case Scenario

Identify emergency/ Activate emergency response plan 30 seconds

1911 call minute

Alert ambulance and rescue squads (dispatch) 30 seconds

Responders to their units 30 seconds

5 minutes*

*Travel time varies depending on weather, traffic, distance (vertical and horizontal),

and ambulance (with defibrillator capability) availability.

Travel time to location

Unload equipment/ Distance to patient 2 minutes

TOTAL 10.6 minutes

Assess patient/ Apply defibrillator/ Deliver shock 1.1 minutes**

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An emergency drill held at a five-star hotel

illustrated the need for enough trained

personnel to handle medical emergencies

after staff failed two out of three scenarios

The drill, held at the Crown Plaza Hotel

yesterday by the Dohms ambulance

department, involved several scenarios in

which heart attacks were simulated to see

how quickly hotel staff responded.

The response time for the first emergency was 20 minutes, the second seven

minutes and the third five minutes.

In the first two scenarios, the staff could not immediately operate the AED as

they were unauthorized to use it, although they could perform cardio-pulmonary

resuscitation.

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“ First Aid Kit” PROJECT

DOHMS Recommendation

First Aid Box First Responder

AED Oxygen Stair Chair

One Box / 100 person One Bag /Medic Station

One/2 Floor One/2 Floor One / 10 Floor

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Any hotel

establishment

practicing its

activity in the

emirate of Dubai

shell provide an

Automated

External

Defibrillator (AED)

and First Aid box

at the main

reception hall of

the building, the

sports clubs

belonging to it

Hotel establishments must provide a person, available 24 hrs a day who has

completed a training course in BLS, First Aid, and CPR should not be less than 3

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Public Access Defibrillation Public Access Defibrillation Local EMS Involvement in Public Health

AED Deployment for Palawan Island

Supporting Public Health with Emergency

Responders - Mayor Hagedorn Heartbeat

Project

Goal of Implementation is to:

Prevent future un necessary calls by

identifying potentially life-threatening

conditions whenever a patient is seen by

public responders.

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Local EMS Involvement in Public Health

Go Red program for Gold Mine Company

Supporting Public Health with Emergency

Responders

Go Red Ghana – Wear Red for Women

Goal of Implementation is to:

Prevent future un necessary calls by

identifying potentially life-threatening

conditions whenever a patient is

seen by public responders.

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Local EMS Involvement in Public Health

Go Red program for International SOS

Supporting Public Health with Emergency

Responders

Go Red Kazakhstan – Wear Red for

Women

Goal of Implementation is to:

To increase the cardiac arrest awareness

and training within office environment

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Local EMS Involvement in Public Health

AED program in workplace – SHELL

Supporting Public Health with Emergency

Responders

SHELL Heartbeat Amman – Jordan

Goal of Implementation is to:

Complying with Health and Safety

company regulation.

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PAD Program requirements

Common requirements for PAD/AED program:• Trained Personnel• Local approved AEDs onlyMaintained in accordance with manufacturers guidelines• AED Related Supplies• Immediate 997 Activation upon AED use • Reporting • Physician Medical director • Rules and Regulations • Eligibility : BLS services, First Responder Services

and maintains an organized First Responder Team• Appoint service coordinator •

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Good Samaritan Laws: protect register program

Successful Litigation:

• Malfunction EQP

• No AED available

• AED available but not used or delayed

• Proper early AED use

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Facility need DeterminationOrganizational CommitmentSufficient # of Trained PersonalPlacement of / Access to AEDsMaintaining AEDs and Related suppliers Consistent timely responseRegulatory Compliance

Review

Questions/ Comments

Thanks!