HEARTSafe Community


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HEARTSafe Communities exist in many areas of the US and abroad. HEARTSafe helps communities save lives by improving response and care for cardiac arrest victims.

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HEARTSafe Community

  1. 1. Traffic Signs and theHEARTSafe Community Program-HEARTSafe Program- An Innovative Approach to Saving Lives? David B. Hiltz, NREMT-P David.hiltz@heart.org Cell: 401-524-0858
  2. 2. OBJECTIVES•Review case for support•Explain describe HEARTSafe•Examine unique program attributes•Expose attendees to HEARTSafe concept•Inspire and enable proliferation•Be a part of improving outcomes
  3. 3. “Sudden death from ischemic heart disease has been described as the most important medical emergency and since 60 to 70 percent of sudden deaths caused by cardiac arrest occur before hospitalization, it is clear that the community deserves to be regarded as the ultimate coronary care unit”American Heart Association (1980). Standards and guidelines for cardiopulmonaryresuscitation and emergency cardiac care.Journal of the American Medical Association, 244, 453-509.
  4. 4. “Although technology, such as that incorporated in automated external defibrillators (AEDs), has contributed to increased survival from cardiac arrest, no initial intervention can be delivered to the victim of cardiac arrest unless bystanders are ready, willing, and able to act. Moreover, to be successful, the actions of bystanders and other care providers must occur within a system that coordinates and integrates each facet of care into a comprehensive whole, focusing on survival to discharge from the hospital.”(Circulation. 2010;122[suppl 3]:S640 –S656.)© 2010 American Heart Association, Inc.
  5. 5. “Many more people could potentially survive out-of-hospital cardiac arrest if regional systems of cardiac resuscitation were established.”(Circulation. 2010;121:709-729.)© 2010 American Heart Association, Inc.
  6. 6. “To maximize the chance of a successful resuscitation outcome,CPR must be started as soon as possible after a victimof SCA collapses. Improved survival rates depend on a publictrained and motivated to recognize the emergency, activateEMS or the emergency response system, initiate high-qualityCPR, and use an AED if available.” (Circulation. 2008;117:000-000.) © 2008 American Heart Association, Inc.
  7. 7. Gosh…I used to know CPR….. He looks like a lawyer… Someone elsewill help…right? Huh? I think he is Can I catch a breathing… disease just by looking?
  8. 8. The “incentive”
  9. 9. Massachusetts HEARTSafe•July 2002•Population and criteria based•Basic criteria (4 link COS)•More than 50% of 351 cities and towns designated
  10. 10. Heartbeats ExplainedBy assigning Heartbeats, the aggregate total can beadjusted based on total population. This makes it possibleto “scale” for communities of all sizes.Heartbeats also permit “weighting” for certain criteria suchas citizen CPR.
  11. 11. HEARTSafe Ireland•Modeled after the Massachusetts program•Broader application
  12. 12. Maine HEARTSafe•Criteria and population based•Initiated in 2006•Bronze, Silver, Gold and Platinum designations•Over 50% of population living in designated communities•Some promising research
  13. 13. Connecticut HEARTSafe•Established in 2006•Massachusetts program identical twin•Exponential growth•New resource CD/DVD
  14. 14. HEARTSafe Communities
  15. 15. Rhode Island HEARTSafe•Most comprehensive criteria to date •EMD* •Citizen CPR •LEA-D •Early defibrillation strategies •EMS 12 lead ECG and ACLS education•Established 2010•Trial project complete: 2 municipalities designated
  16. 16. Dutchess County HEARTSafe•Criteria based•Initiated in 2007•Targets•40 community and municipal organizations designated
  17. 17. Ulster County HEARTSafe•Initiated 2008•Identical twin- Dutchess County•Recreated “Bob” video
  18. 18. Allina HEARTSafe•Started in 2001•First designation in 2009•Criteria and population based•3rd designation
  19. 19. Danbury Hospital•Employee campaign•First HEARTSafe region in Connecticut•Enabling early defibrillation•CPR education for care givers of at-risk
  20. 20. “Defibrillators headed for police cars” JUST WHAT THE DOCTOR ORDERED: The Warwick Police Department recently added seven AEDs (automated external defibrillators) to the departments supply of life-saving equipment. Seen at yesterdays press conference are from left: Dr. Paul McKenney, Captain Raymond Gallucci Jr., Col. Stephen McCartney, Dr. Joseph Spinale, chief of cardiology at Kent Hospital and the president of the Kent HeartSafe Foundation and Mayor Scott Avedisian. September 30, 2010
  21. 21. Causal relationship…Where is your data?
  22. 22. Don’t let the absence of evidence spoil a perfectly good idea!
  23. 23. Observations•Power of the signs•“Uptake” and proliferation•Many common elements•Evolution•Adaptability•Ease of integration•Supportive charactersistics
  24. 24. So, you want to start a HEARTSafe Program?
  25. 25. “Open up the can”
  26. 26. Gather your best players
  27. 27. Get Health onboard early
  28. 28. Establish the criteria!
  29. 29. Don’t forget…
  30. 30. Design your assets
  31. 31. Launch!
  32. 32. Your questions are invited!
  33. 33. And have some fun along the way!PLAY BLOOPER ROLL FROM CONNECTICUT PSA VIDEO SHOOT