Your SlideShare is downloading. ×
0
Chain of survival
Chain of survival
Chain of survival
Chain of survival
Chain of survival
Chain of survival
Chain of survival
Chain of survival
Chain of survival
Chain of survival
Chain of survival
Chain of survival
Chain of survival
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Chain of survival

1,013

Published on

The importance of AED in the chain of survival

The importance of AED in the chain of survival

Published in: Health & Medicine, Business
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
1,013
On Slideshare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
0
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Kenneth Tran, B.Pharm, M.D October 2008
  • 2. Chain of survival
  • 3. Resuscitation success vs Time
  • 4. Incremental benefits by 4 links
  • 5.
    • > 70% of sudden cardiac arrest cases occur out of hospital
    • training and equipping lay volunteers to use an AED in community settings doubled the number of survivors after an out-of-hospital cardiac arrest compared with training in cardiopulmonary resuscitation (CPR) alone, from 15% to 30% survival to hospital discharge
      • Hallstrom AP et al. The Public Access Defibrillation (PAD) trial. N Engl J Med . 2004;351:637-646.
    • People who survive sudden cardiac arrest have an excellent prognosis:
      • 83% survive for at least one year, and
      • 57% survive for five years or longer.
    Why AED is important
  • 6. Sudden death and survival rate Why AED is important VF 62% VT 7% Brady/asystole/PEA 31%
  • 7. Why AED is important Repartition of patients who died during Holter monitoring
    • Ref.:
    • Bayes de Luna, Ambulatory sudden cardiac death: mechanisms of production of fatal arrhythmia on the basis of data from 157 cases . Am Heart J. 1989; 117: 151–159
    • Olshausen KV et al. Sudden cardiac death while wearing a Holter monitor. Am J Cardiol 1991; 67:381-386.
    VT>VF 62% VF 8% Torsade 13% Bradyarrhymthmia 17%
  • 8. Shake and shout Reposition
  • 9. Airway Head-tilt, chin-lift Jaw-thrust
  • 10. 2 rescue breathes 400 – 1000 ml 1 sec/breath Look, listen, feel 5-10 sec
  • 11. CPR Checking carotid pulse
  • 12.  
  • 13. Causes of sudden cardiac death

×