OSHA Best Practice First aid & AED programs: Technology creates cost reduction and efficiency

1. Thank You!
KEY SAFETY PARTNER
SUPPORT PROGRAM
Solutions to Minimize Your Safety Incidents and Costs

2. Thank You!
Solutions to Minimize & Manage Defibrillator Program Costs

3. What is Sudden Cardiac Arrest (SCA)?
Normal heart activity: Note the spike
pattern with each beat of the heart.
Sudden Cardiac Arrest:
The heart enters a chaotic, typically
ventricular fibrillation (VF) rhythm. The spikes
disappear and a rapid, “wavy” pattern occurs
Problem: The heart cannot pump blood
effectively and the victim will collapse.
Symptoms:
• Victim is unconscious
• Not breathing spontaneously
• No pulse
Solution: CPR + EARLY defibrillation to
restore normal rhythm
www.firstvoice.us

4. How serious is SCA?
SCA: The Nation’s Leading Killer!
400,000
350,000
300,000
250,000
200,000
150,000
100,000
50,000
0
AIDS Breast Accidents Lung Stroke SCA
Cancer Cancer
Source: CDC/NCHS, National Vital Statistics System (ww.cdc.gov/nchs/dvs/LCWK9_2002.PDF)
www.firstvoice.us

5. Automated External Defibrillator (AED)
How to defeat the leading killer.
Do we need an AED? “EMS is close by.”
100
FACT: Every minute that passes
90
without defibrillation reduces survival
80 rate by 10%. Each minute of delay in
Survival ( percentage)
70 delivering a defibrillation shock to a sudden
60 cardiac arrest victim reduces the chances of
survival by 10%. The average response time
50 nationally for emergency medical personnel
40 equipped with defibrillators is 7-9 minutes.
30 FACT: An AED is necessary within 6
20 minutes to improve chances of
survival!
10
0
0 1 2 3 4 5 6 7 8 9 10
Time to Defibrillation 5% chance of survival goes to
(minutes) over 60% with an AED program
implemented at the workplace!
(www.medceu.com/tests/defibrillation.htm ) www.firstvoice.us

6. What does OSHA have to say about AEDs?
CITED BY OSHA: Workplace causes of sudden cardiac arrest
Heart attack * Electrocution * Asphyxiation (loss of consciousness and
death caused by inadequate oxygen in the work environment, such as in a
confined space)
Recommendations:
Employers should strongly consider use of AEDs at their worksites to reduce the
time to defibrillation with the goal of improving survival.

7. What does OSHA have to say about AEDs?
SUCCESS STORIES as shown by OSHA website (www.osha.gov)
About 400 workplace deaths from cardiac arrest are reported to OSHA annually.

8. What does OSHA have to say about AEDs?
OSHA Conclusions: The sooner defibrillation is started, the more likely the victim will
survive. The optimum time for defibrillation is 3 to 5 minutes after the onset of the cardiac arrest.
The AED is a safe, effective, easily learned method of treating victims of cardiac arrest.
OSHA Recommendations: At least 200 lives per year could be saved in the
workplace. Employers should consider use of AEDs at their worksites to reduce the time to
defibrillation with the goal of improving survival.

9. AEDs: What are the market trends?
(Duty or Standard to Provide Care)
All USA markets
The market has
velocity and is
accelerating
quickly. By 2011
the # of AEDs
sold will be over
500,000 units
(JAMA).
AEDs: They are
becoming a standard
of care even if they
are not required.
Shah, J. S. et al. JAMA 2006;296:655-660 Copyright restrictions may apply.

10. What about legal issues & protection?
GOOD SAMARITAN LAWS: (USERS)
Legal Research Conclusions: There have been no known lawsuits against lay
rescuers providing CPR as Good Samaritans, nor any against AED users.
Legal Protection: The Cardiac Arrest Survival Act (CASA) was part of the
Public Health Improvement Act signed into law in November 2000. The law
provides nationwide Good Samaritan protection that exempts from liability
anyone who renders emergency treatment with a defibrillator to save
someone’s life. The limited immunity in CASA extends to private, public and
federal settings.
Richard Lazar (industry AED litigation expert) states, “Current case law shows
there is more risk in not having an AED than having an AED.”
What about AED Acquirers – are they protected?

11. What about legal issues & protection?
AED Acquirer State Laws
Legal Research Conclusions: There have been no known lawsuits against
companies using an AED at the workplace, nor any against AED users. (links below)
http://www.firstvoice.us/LinkClick.aspx?fileticket=Nq%2bHwPFqXUI%3d&tabid=301&mid=1731
http://www.firstvoice.us/LinkClick.aspx?fileticket=ocZ8O%2bb71CU%3d&tabid=301&mid=1731
Legal Protection:
Each state has their own AED acquirer civil liability immunity laws
Varying standards exist in each state
VALUE ADD: First Voice does/can provide these laws to you
Examples of compliance requirements:
•Maintenance standards of AED manufacturer must be followed
•EMS Notification
•Medical Oversight by healthcare provider or licensed physician may apply
•CPR/AED Certified Training standards must be followed

12. Proper
AED Program
Implementation
Is KEY!
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e the
sur !
T! ke y
AN d ma rgenc
O RT hase eme
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IMP Pur in an
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On USE
are
www.firstvoice.us

13. We provide an effective & legally-protected
AED turnkey program solution through First Voice…
Procurement decisions – Equipment Related Tasks & Costs (brand, case, etc)
Training decisions (online or in person) and notifications to staff
Communication to staff and new hire tools – FREE!
Medical Oversight / Direction services, when and as needed
Administration duties of AED checks/maintenance “ease”
Safety & Responder Team training drill assistance
Easy compliance solution “visibility” with online 24/7 access by anyone
E-minder solutions and hierarchy reporting for AED program transparency
www.firstvoice.us

14. An effective AED turnkey program solution…
Select a vendor that can provide long term solutions:
• Comprehensive AED market knowledge (http://www.firstvoice.us/Resources/AEDInfoPage/tabid/301/Default.aspx)
• Efficiency analysis of AED program
• Cost of Ownership Analysis by Manufacturer – Short AND Long Term!
• Warranty & Durability Assessment by Manufacturer TARY!
LIMEN rs
• Prescription Rx (FREE!) COMP te
E D Po s
• Technical Support CPR/A ining
tra
Online als
• Liability Protection Experts (for acquirers) art dec
E vac Ch Tags
ion
Program Management Solutions (expiration date notice) Inspect s
•
st
• Regulatory Updates Checkli ….
re
• State Mandate Compliance for AED owner Civil Liability Immunity laws And mo
• Medical Direction
• Post Event Review Assistance
• Reporting and Documentation Assistance
• Training Assistance (Certified and Product Related Implementation Training)
Red Colored = Value-added program benefits provided by Distributor for First Voice
www.firstvoice.us

15. Where should the AED be placed?
Next Step:
Site Assessment Survey
Get your complimentary site assessment survey today!
NO Cost! Free survey to identify your needs
www.firstvoice.us

16. How do AEDs fit with existing programs?
www.firstvoice.us

17. Thank You!
Solutions to Minimize First Aid & Defibrillator Program Costs

18. First Voice product line is provided by Think Safe, Inc. (manufacturer)
• Technology-savvy solution provider to the industry; established in 2003
• Expert Medical Board includes Physicians & EMS with 300+ years cumulative experience
• Certified WBENC – Supplier Diversity Tier 2 Spend
• AWARDS: SAXCIES Best New Safety Product; Best New Software Pocket PC Magazine
• ANSI Review Panel for Z308 first aid standards
• Protocol Compliant with all major training organization standards (AHA, Red Cross, NSC, HSI, ASHI,
Medic, ECSI, American Health, EMS Safety, European First Aid Manual, ECC, ILCOR, etc) with in-house extensive
technical standards experts
• Multi-lingual product mix
• Proprietary patented products that provide complete & cost-saving solutions
• Certified AED Program Provider for various insurance companies
www.firstvoice.us

19. Mission Statement:
First Voice is committed to using
technology to develop, manufacture
and provide innovative products
and solutions which improve training
and access to CPR or first aid care
and other essential care during
emergency situations.
www.firstvoice.us

20. First Voice provides effective
but affordable solutions
that allow companies
to have BEST IN CLASS
first aid programs
(including AED programs)
yet allow cost-reduction
strategies to be taken
into consideration.
www.firstvoice.us

21. Which tools reduce costs of injuries?
Tool: Used for:
AED SCA events (17%) Heart-related events are
First Aid Kit Minor wounds, minimal trauma only 17% of workplace
Responder Bag Most traumas medical emergencies
First Voice SET Over 30+ major traumas & minor situations
First Voice EID Training & coaching for real-time events
CPR Ezy CPR quality feedback for real-time & training Heart
Other
17%
Training Products OSHA compliance; Civil liability immunity
83%
US Bureau of Labor Statistics
www.firstvoice.us

22. What happens in the workplace?
Types of Injuries Falls
Struck By
• A pool of 1,000 workers will Overexertion
experience 99 injuries per year
Motor Vehicle
10% chance of injury
Cut/Pierce
Bite/Sting
• Over 27 million unintentional
injuries annually in U.S.* Multiple Inj.
Foreign Body
Other
Transport
Poisoning
*DOES NOT INCLUDE employee medical-illness related emergencies (stroke, heart, diabetes, seizure, etc.) that occur in the workplace
www.firstvoice.us

23. What are the costs of injuries?
Annually there are…
• 3.7 million disabling injuries in U.S. workplaces
• 4500 U.S. employee deaths in the workplace
• Over $150 BILLION total costs for
injuries/deaths at work
• $38,000 avg. cost per injury NOT including lost
productivity (in actual out-of-pocket costs per
incident)
National Safety Council &
US Bureau of Labor
Statistics
www.firstvoice.us

24. AEDs are the “buzz” right now
But…Heart events are only 17%
of workplace first aid events...
The WHITE BOX
• Industry has not changed in 50+ years
• Problems and risks exist with standard programs
• Can the white box or kits be improved?
• Duty to provide care expectations exist
• Should your AED integrate with first aid kits?
www.firstvoice.us

25. • What do you need?
• Who should respond?
• What regulations?
A serious life-threatening injury or emergency can often lead to death if the rescuer does what is intuitive instead of
what is necessary. First aid training studies show that within 6 to 9 weeks 50% of the first aid skills are
forgotten.
Better response = decreased
work comp and disability costs
www.firstvoice.us

26. We understand the problems
and risks in every day
first aid and responder programs
** See Technical Sales Sheet (ERP Efficiency) LINK:
http://www.firstvoice.us/LinkClick.aspx?fileticket=OoU8GPn4zl8%3d&tabid=302&mid=1462
Page 1: Overcome risks of traditional first aid programs
Page 2: How we create efficiencies - OVER 20% efficiency!
www.firstvoice.us

27. What is the First Voice EID?
Emergency Instruction Device (EID):
A first aid calculator – it tells you what to do, step by step, via Yes/No prompts for ALL
incidents resulting in ER visits or hospitalizations**U.S. Bureau of Labor Statistics
www.firstvoice.us

28. Easy as 1 – 2 – 3 !

29. What is a SET System? It’s as easy as 1.2.3…
Self-contained Emergency Treatment (SET):
Implements EID with color-coded prepackaged supplies (PPE & medical; BBP kits) in one
case. Best in class SETs include an AED.
Alleviates existing problems with workplace first aid kits!
www.firstvoice.us

30. How do First Voice tools reduce costs?
ONE ER visit saved (for minor injuries)
Not all minor first aid injuries need an ER visit
The Average Cost of an ER Visit is $1,000 - $3,300
JUST ONE use by the client will pay for:
•EID 4x
•SET system 1-3x
•SET+AED system 1x
•PLUS the system has an asset life that keeps on giving returns for 20+ years!
Occupational Health Clinics & Hospital Systems like St. Luke’s or Allen
Occupational Health or Tri-State Occupational Health are recommending First
Voice to help control costs yet ensure proper protocols are followed; especially as the
on-staff nurses at plants decrease.
www.firstvoice.us

31. How do First Voice tools reduce costs?
Studies by Liberty Mutual show a 30% reduction in disability costs from decrease in
soft tissue damage due to more accurate/timely response
Average laborer wage of
$20.25* x (30% savings) x 6 days x 8 hours
= $291.60 Average Savings PER USE
DOES NOT Include impact of overtime wages from replacement worker and lost production at plant
*Per May 29, 2009 Bureau of Labor Statistics
In 2008, the U.S. median wage was $15.57 per hour or $32,390 per year. Many of the occupations with wages
near the U.S. median were office and administrative support, construction and extraction, or production
occupations. Benefits increases the average cost per hour of labor to $20.25.
In 2008, the U.S. median number of days off work from soft tissue injuries was 4-8 days (average of 6).
www.firstvoice.us

32. All types of Responder Kits available
Vary based upon company preference (EMT on staff likes custom fill kit)
Vary based upon type of case (environment-proof options)
www.firstvoice.us

33. OSHA “Best In Class” first aid program solutions
*Just 15 minutes of refresher training brings back vital knowledge
contained in a 4-hour initial training course* (*American Heart Association)
BONUS! EID and SET Systems are designed for TRAINING integration
Turnkey 15 minute SHORTS programs…
ONLINE Training and Blended Training - CERTIFIED!
Complete Leave Behind In-house Training Drill Kits
OSHA Topic Centered Training Modules (Heat Stress)
OSHA Compliant / Certified
Reduce Costs and Improve Confidence
AVERAGE Savings per location - $10,000/year!
www.firstvoice.us

34. How do First Voice tools reduce costs?
Utilize full First Voice product line offering (including online certified training
and training systems by First Voice) to decrease program training costs
WHILE improving skills retention.
Cost Savings From Hybrid Training (forming a “responder team” and decreasing # trained)
Example 1: Ethanol Plant in Central Midwest
Total savings from Year 1 alone:$7,181
Cost Savings From Hybrid Training (training all employees still)
Example 2: Ethanol Plant in Lower Midwest
Total savings from Year 1 alone:$2,963
These examples summarizes how these production facilities have gone with a hybrid
training program using online first aid/CPR courses followed by onsite skills
assessment testing and verification and First Voice equipment. The facility will also do
minimally quarterly in-house training with First Voice equipment. As a bonus, the plant
will utilize First Voice for their responder’s confidence during actual incidents. The
majority of the savings are from labor savings due to decreased training time needs.
Liberty Mutual and American Heart Association have validation studies showing ROI
on training and how more frequent and shorter training has been proven effective.
http://www.firstvoice.us/LinkClick.aspx?fileticket=9QsIx6PoFtQ%3d&tabid=302&mid=1462 www.firstvoice.us

35. Helping you reduce costs and create efficiencies…
What is the next step?
•Preparing key recommendations and needs assessment =
site needs of each facility (First Voice site assessment survey)
•Full Response Program “gap assessment” any other tools to implement at
same time (to create efficiencies)
•Preparing Final Site Assessment Survey showing budget impact and options
•Implementing rollout plan as needed for products that make sense and
provide value (training, AED placement, medical direction, etc)
•Continual updates and care as needed; we make it easy!
www.firstvoice.us

36. Thank You!
KEY SAFETY PARTNER
SUPPORT PROGRAM
Solutions to Minimize Your Safety Incidents and Costs