Transcript Sudden Cardiac Arrest - Colorado Rural Electric Association

Cardiac Science
CREA Loss Control AED Seminar
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Loss Control Seminar
July 17th, 2012
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Agenda
• Introduction to Sudden Cardiac Arrest
• AED Overview and Demonstration
• Understanding Compliance &
Implementing an AED Program
• Cardiac Science CREA Solutions
• Q&A
Sudden Cardiac Arrest
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• During cardiac arrest, the
heart’s electrical impulses
suddenly misfire.
• Cardiac arrest rarely converts
spontaneously. It’s ultimately
a defibrillator that saves lives.1
• Survival rates decrease by 7-10% for
every minute that passes without
defibrillation.2
• Each minute the brain goes without
oxygen diminishes the likelihood the
victim will return to a “normal life.”
1AHA
website, April 2008.
Arrest,” from the American Heart Association Web site, http://www.americanheart.org/presenter.jhtml?identifier=4481.
2Cardiac
Sudden Cardiac Arrest Survival
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10% decrease in survival for every minute of delay*
* American Heart Association, Chapter 4: Defibrillation. In: Cummins RO, ed. Textbook of Advanced Cardiac Life Support. Dallas, TX: American
Heart Association; 1994:1-2.
CARDIAC SCIENCE | 4
Sudden Cardiac Arrest (SCA)
Statistics
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Cardiovascular disease is the world’s leading cause of death.
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SCA is a leading cause of death in North America.1
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13% of all workplace fatalities are due to sudden cardiac arrest.
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50% of victims have no previous symptoms of coronary heart disease.5
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Death from Sudden Cardiac Arrest is 96 times more likely than death
from Fire.6
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According to the AHA, Electrical Workers are especially at risk
as exposure to electrical current can precipitate Ventricular
Fibrillation (VF)
The Cardiac Arrest Chain of Survival
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5.
6.
Heart Rhythm Foundation website, April 2008.
American Cancer Society. Cancer Facts and Figures 2006.
CIA World Factbook - Rank Order - HIV/AIDS - deaths.
AHA. 2006 Heart and Stroke Statistics Update.
American Heart Association. 2006 Heart and Stroke Statistical Update. Dallas, Texas: American Heart Association, 2006.
National Fire Protection Association, Fire Loss in the U.S. During 2006; AHA. 2008 Heart and Stroke Statistical Update.
Why you can’t wait for help
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• > 95% of cardiac arrest
victims die before reaching
the hospital.1
• Waiting for EMS results in a
5–7% survival rate.2
• The average call-to-shock
time for a “typical community”
is 9 minutes.3
• Median response time is 6.6 minutes in midsized
urban communities.4
• In rural areas, it is likely impossible for EMS to respond
to a Cardiac Arrest emergency within the 3-6 minute
window.
1“Cardiac
Arrest,” from the American Heart Association Web site, http://www.americanheart.org/presenter.jhtml?identifier=4481.
Sudden Cardiac Arrest Victims in the Workplace, Occupational Safety and Health Administration, 2003.
3Mosesso VN Jr, Davis EA, Auble TE, Paris PM, Yealy DM. Use of automated external defibrillators by police officers for treatment of out-of-hospital cardiac arrest.
Ann Emerg Med. 1998;32:200-207.
4Braun O, McCallion R, Fazackerley J. Characteristics of midsized urban EMS systems. Ann Emerg Med 1990 May;19(5):536-46.
5Lombardi G, Gallagher J, Gennis P. Outcome of out-of-hospital cardiac arrest in New York City: the pre-hospital arrest survival evaluation study. JAMA. 1994;271:678-683.
2Saving
Sudden Cardiac Arrest Survival
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10% decrease in survival for every minute of delay*
* American Heart Association, Chapter 4: Defibrillation. In: Cummins RO, ed. Textbook of Advanced Cardiac Life Support. Dallas, TX: American
Heart Association; 1994:1-2.
CARDIAC SCIENCE | 7
AEDS SAVE LIVES
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WHEN CARDIAC ARREST OCCURS
APPROXIMATE
SURVIVAL RATE
Where AEDs Are NOT Present
Outside of the hospital
6%*
Where AEDs Are Present
In a casino
In an airplane/airport
In the workplace
74%†
40%-60%††
58%†††
*2006 Heart and Stroke Statistical Update. Dallas, Texas: AHA, 2006..
†American Heart Association and Emergency Cardiac Care 2000 Guidelines, JAMA
††Chicago Department of Aviation, 2002
†††Cardiac Science, Inc. Internal Data, 2007
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Cost to your organization
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Wage & productivity losses
Medical expenses
Administrative expenses
Management & employee time
Overtime/contract labor
Loss of experience
A fatality costs
~$1.3 million*
Cost of recruitment
Training
Remediation
Legal costs
*The National Safety Council 2008 estimates: http://www.nsc.org/news_resources/injury_and_death_statistics/Pages/EstimatingtheCostsofUnintentionalInjuries.aspx
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AED Legislation:
Good Samaritan Laws
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Good Samaritan Laws now include AED language to
encourage AED programs and protect AED users.
• The Federal Cardiac Arrest Survival Act (2000)1 provides liability
protection
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All 50 U.S. states and DC limit the liability of rescuers and others
involved with an AED program
To date, there have been no cases reported where someone was
held liable for using an AED
Most state laws require:
• Medical oversight
• EMS notification
• Training
• Record keeping/tracking
1Federal
Cardiac Arrest Survival Act (2000): www.aed.com/pdf/survival_act.pdf
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The general assembly hereby declares that it is the intent of the
general assembly to encourage the use of automated external
defibrillators for the purpose of saving the lives of people in
cardiac arrest.
13-21-108.1. Persons rendering emergency assistance through
the use of automated external defibrillators - limited immunity.
(3) (a) In order to ensure public health and safety, a person or entity
who acquires an AED shall ensure that:
• There are Written plans in place concerning the placement of AEDs,
• Training of personnel
• pre-planned coordination with the emergency medical services system,
• medical oversight,
• AED maintenance, identification of personnel authorized to use AEDs
• reporting of AED utilization, which
• written plans have been reviewed and approved by a licensed physician
Partial overview, excerpted from: HB 1463
What is an AED?
(AUTOMATED EXTERNAL DEFIBRILLATOR)
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• A small, battery-operated, portable
device that can deliver an electric
shock to the heart to restore normal
rhythm to cardiac arrest victim.
• Safe-will not deliver a shock
unless victim is in cardiac arrest.
• Uses voice and text instructions to
walk user through a rescue.
• Designed to be used by trained lay people.
• Uses sophisticated software to recognize the problem, analyze
it, and advise treatment
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The Powerheart AED G3 Plus
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Special Pricing on Cardiac Science
Powerheart AED G3 Plus
Powerheart G3 Plus Automatic AED
• Includes 2 sets of pads, carry
case and Ready Kit
• Retail price: $2,095
• NRECA national discount program
price: $1,349
• Over $700 in savings!!!
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Open Q & A
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Questions for Cardiac Science
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Thank you for your time today!
Presenter will be available
for any questions