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

Ottertail County Chapter – Fergus Falls, Minnesota “ 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 E mergency T raining A ssociates MedTrain

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? R.Fischer-2006

Sudden Cardiac Arrest (SCA) …a public health crisis 250000 House fire 200000 Prostate cancer 150000 Breast cancer 100000 Car accidents 50000 Sudden cardiac arrest 0 Annual incidence R.Fischer-2006

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. S h o c k a b le C h a rg e C o m p le te S h o c k 1 , 2 0 0 J S h o c k Ad vis e d 1 5 :0 4 :3 1 P a d d le s P a d d le s S e g m e n t 1 P o s ts h o c k N o n s h o c k a b le An a lys is 2 S e g m e n t 2 N o S h o c k Ad vis e d N o n s h o c k a b le 1 5 :0 4 :4 2 P a d d le s M e d tro n ic P h ys io -C o n tro l R.Fischer-2006

Why is early CPR and Defibrillation so important? • Nationally less than 7% Cardiac rehab 90% 90% now survive centers 80% Chicago • Time to CPR and airports 70% 64% 60% 59% defibrillation is critical. Casino 50% study 45% • If even 20% survive, 40% 34% Rochester, 50,000 lives could be 30% MN 20% 20% saved each year Seattle, WA 10% 7% • More people can survive. 0% Survival rate National average R.Fischer-2006

Time to defibrillation - Critical! 1 st Responder Paramedics On-Scene On-Scene 1 st Responder 9-1-1 Call Applies AED Called Dispatched Victim Transport Collapse To Hospital 10 20 0 5 15 Public CPR and AED Applied Every minute delay in defibrillation is a 10% decrease in survival for the SCA victim. R.Fischer-2006

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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. R.Fischer-2006

Automatic External Defibrillator - AED LIFEPAK CR Plus AED Philips – Heartstart AED Cardiac Science Powerheart G3 - AED Philips – OnSite AED (below) Zoll – AED Plus Defibtech AED R.Fischer-2006

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, 17 th Judicial District, Broward County, FL) • Represents a shift toward requiring fitness-related facilities and possibly other institutions to have AED’s available. UnderstandingAEDProgramLegalIssues1104F.pdf R.Fischer-2006

ACTIONS – to save a life • Call 9-1-1 immediately – (If unconscious/unresponsive) • Open A irway • Check B reathing – Give 2 breaths • Check C irculation – Begin Chest compressions 30:2 CCR – Cardio-cerebro resuscitation (Chest compressions alone) • D efibrillation - 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. R.Fischer-2006

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 R.Fischer-2006

AED - Special Considerations • 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 Water give shocks. • Do not put AED pad over a medicine patch. • Patch may block some of the shock and/or burn the victim. Medicine Patch • Do not put and AED pad over the implanted pacemaker or defribrillator Implanted Pacemaker or Defibrillators • 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.) Hairy Chest R.Fischer-2006

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” R.Fischer-2006

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! R.Fischer-2006

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 R.Fischer-2006

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) Randy Fischer, B.A., NREMT-P Operations Director 218-731-8216 rfischer@ringdahlems.com www.ringdahlems.com