What if.. you are at the grocery store and you hear a loud crash - - PowerPoint PPT Presentation

“How to…

SAVE A LIFE”

Randy Fischer, BA, NREMT-P Operations Director

Children’s Hospitals & Clinics of MN University of Minnesota Medical School EMSC Resource Center of MN American Heart Association Emergency Training Associates MedTrain

Ottertail County Chapter – Fergus Falls, Minnesota

What if…..

• …you are at the grocery store and you hear a loud crash in the next isle. You turn

the corner and find a young woman on the ground and unconscious, not moving.

• …you are on vacation and your family is in the hotel swimming pool area. A

frantic mother runs screaming for your help because her child is motionless at the bottom of the pool.

• …you are at work and a coworker has not felt good all day. She says her back

hurts and some pain in side. She suddenly collapses in her chair, unresponsive and not breathing.

• …you are at church on a hot summer day and a middle aged man in the front row

is sweating profusely, rubbing his chest and left arm. He then suddenly falls to the floor, unconscious, not breathing and no movement.

• What are your immediate actions? Do you know what to do?

Do you know…HOW TO SAVE A LIFE?

50000 100000 150000 200000 250000 Annual incidence House fire Prostate cancer Breast cancer Car accidents Sudden cardiac arrest

Sudden Cardiac Arrest (SCA) …a public health crisis

What is Sudden Cardiac Arrest (SCA)?

 Electrical system in the heart malfunctions  Heart unexpectedly and abruptly stops beating  Different than a heart attack.  Usually caused by an abnormal heart rhythm called Ventricular Fibrillation  Results in death if not treated immediately.

Why is early CPR and Defibrillation so important?

90% 64% 59% 45% 34% 7% 20%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% Survival rate

Cardiac rehab centers Chicago airports Casino study Rochester, MN Seattle, WA National average

• Nationally less than 7%

now survive

• Time to CPR and

defibrillation is critical.

• If even 20% survive,

50,000 lives could be saved each year

• More people can survive.

Time to defibrillation - Critical!

Transport To Hospital Victim Collapse 5 10 15 20 9-1-1 Called Call Dispatched 1st Responder On-Scene Paramedics On-Scene Public CPR and AED Applied 1st Responder Applies AED

Every minute delay in defibrillation is a 10% decrease in survival for the SCA victim.

What is an AED?

Device that “Looks” for a shockable heart rhythms. Delivers a defibrillation shock only if needed. Will not shock if not needed. SAFE! Small, portable, about the size of laptop computer. About $1,500 per unit.

LIFEPAK CR Plus AED Cardiac Science Powerheart G3 - AED Philips – Heartstart AED Philips – OnSite AED (below) Defibtech AED Zoll – AED Plus

Automatic External Defibrillator - AED

Liability risk of using an AED

• President Clinton in 2000 initiated a bill (Cardiac Arrest Survivor Act)

that grants legal immunity to good Samaritans who use AED’s.

• Since then, most states have rewritten their own good Samaritan laws to

include language about the use of AED’s.

• Minnesota Statute includes AED specific language
• A plaintiff in a fitness facility received a $2.5 million award after a

lawsuit charging the facility for not meeting a member’s emergency- response needs when the plaintiff had a heart attack and there was no AED available.

(Chai versus Sports Fitness Clubs of America, Circuit Court, 17th Judicial District, Broward County, FL)

• Represents a shift toward requiring fitness-related facilities and

possibly other institutions to have AED’s available. UnderstandingAEDProgramLegalIssues1104F.pdf

ACTIONS – to save a life

• Call 9-1-1 immediately – (If unconscious/unresponsive)
• Open Airway
• Check Breathing – Give 2 breaths
• Check Circulation – Begin Chest compressions 30:2

CCR – Cardio-cerebro resuscitation (Chest compressions alone)

• Defibrillation - Turn AED “ON” and follow prompts
• Meet the Ambulance
• Do Not Drive yourself to the hospital.

– Endangers others, adrenaline response, hospital preparation, stress on the heart, cant help patient if your driving.

• ALS Capabilities – Paramedic procedures, medications & safe rapid

transport.

Defibrillation

If person is unconscious, not breathing or moving.

• Turn the AED on. – Follow prompts.
• Attach pads
• Allow the AED to analyze the heart rhythm
• Push the SHOCK button if the AED tells you to do so.
• Resume CPR if indicated: Shock – CPR – Shock – CPR CPR

Guidelines - 2005

– Hard and Fast compressions – 30:2 (Compressions to Ventilations) – Minimize interruptions – Complete recoil

• Age: Adult pads > 8yo. Pediatric Pads: < 8yo.
• No Pediatric Pads? Use the Adult pads

AED - Special Considerations

Water

• Do not deliver a shock when a victim is
• Lying in water or covered with water.
• (Water may cause the shock to flow over the skin from one pad to the other.) If the victim

is lying in a small puddle of water or snow but he chest is not covered with water, you can give shocks.

Medicine Patch

• Do not put AED pad over a medicine patch.
• Patch may block some of the shock and/or burn the victim.

Implanted Pacemaker or Defibrillators

• Do not put and AED pad over the implanted pacemaker or defribrillator

Hairy Chest

• If patients chest is hairy, shave the area with the razor in the AED carrying case. Obtain

good contact with the bare chest. (Dry, Clear, Contact.)

Develop Your Program

• Select an AED / purchase
• Develop Response plan
• Conduct training

– Response group, CPR and AED certification – All members, AED /CPR Awareness

• Raise public awareness

– “How to Save a Life”

Everyone should learn CPR & AED skills.

It is the most important First Aid.

• Prevention: Controlling/Reducing risk factors in your home or workplace.
• Recognition: Signs and symptoms of emergency conditions.
• Action:
• Heart Attack, Stroke, SCA
• Choking, difficulty breathing
• Bleeding, cuts, injuries
• Falls, fractures
• Unconscious – drugs, diabetic, head injury, seizures
• Other ???

Steps to “Save a Life” – Take a CPR class!

Training Programs CPR, AED & First Aid Certification

• Community Awareness programs
• “HOW TO SAVE A LIFE”

FREE ½ – 1 hour Presentations

• CPR/AED/FA Certification courses
• Provided at your site or ours.
• Upcoming Courses:
• Business Safety Training
• Planning, coordination, & implementation.
• Professional level training
• Healthcare & Emergency Personnel
• AED Sales

Randy Fischer, B.A., NREMT-P

Operations Director

218-731-8216 rfischer@ringdahlems.com www.ringdahlems.com

Ottertail County Chapter 214 E Junius - PO Box 462 Fergus Falls, MN 56538 218-731-8216 - fischers@info-link.net www.suddencardiacarrest.org 866-972-SCAA (7222)