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AED\'s in the Work Place


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Helps to understand why an AED is essential in the Workplace.

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AED\'s in the Work Place

  1. 1. Are YOU Ready for a Cardiac Emergency?<br />Presented by:<br />Joel Thiebaut<br />
  2. 2. The Odds<br />45 per hour<br />Source: American Heart Association, 2003<br />
  3. 3. Fact vs. Fiction<br />Stereotype<br />Reality<br />Gender<br />Male<br />Male and Female<br />Age<br />Old<br />Any Age<br />Overweight<br />Smoker<br />High cholesterol<br />RiskFactors<br />Often No Clear <br />Risk Factors<br />Medical<br />History<br />Often No <br />Cardiac History<br />Heart Attack<br />Presenting<br />Symptoms<br />Chest Pain<br />Dizziness<br />Often No <br />Symptoms<br />
  4. 4. The Healthy Heart<br />stimulates a mechanical event…<br />...resulting in coordinated heart pumping, and regular pulse.<br />Main Pumping <br />Chambers<br />A Series of Events<br />An electrical event…<br />
  5. 5. Sudden Cardiac Arrest<br />A Heart in Distress<br />Uncoordinated, very fast heart rhythm <br />Ventricular fibrillation (VF)<br />Ineffective heart pump<br />Unconscious, no breathing, no pulse<br />Death certain without defibrillation<br />Red Wings defenseman Jiri Fischer <br />
  6. 6. The Cardiac Chain of Survival<br />
  7. 7. The Case for Early CPR<br />CPR circulates oxygen enriched bloodthroughout the victim whose heart isno properly pumping<br />Early CPR will prolong VF (the window of time during which defibrillation can occur) <br />CPR alone will not eliminate VF<br />An interruption in CPR is associated with a decreased probability of conversion ofVF to another rhythm<br />AHA Circulation. 2005;112:IV-35-IV-46, Part 5<br />
  8. 8. The Case for Early Defibrillation<br />100<br />Optimal Response Time for most EFFECTIVE AED usage<br />90<br />Chances of survival reduced 7% to 10% each minute<br />80<br />70<br />60<br />% Survival<br />50<br />40<br />30<br />20<br />10<br />0<br />Time (minutes)<br />1<br />3<br />5<br />7<br />9<br />0<br />8<br />6<br />4<br />2<br />Cummins RO, et al. Guidelines 2005 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care (Circulation. 2005;112:IV-35-IV-46)<br />
  9. 9. Defibrillation plus CPR – A Critical Combination<br />An AED detects an abnormal rhythm and sends an electrical current to stopthis rhythm to allow the heart torestart with a normal beat<br />After the shock is delivered, thenimmediately resumeCPR until the victimbegins to move <br />An AED will reanalyze the victim every 2 minutes. This analysis should take less than 15 seconds<br />AEDs are of no value for arrest not caused by VF <br />AHA Circulation. 2005;112:IV-35-IV-46, Part 5<br />
  10. 10. An Actual Event<br />32 sec<br />
  11. 11. 22 sec<br />
  12. 12. OSHA Best Practices Guide<br />All worksites are potential candidates for AED programs because of the possibility of SCA and the need for timely defibrillation.<br />The training program should be designedor adapted for the specific worksite and may include first-aid instruction in … performing CPR and using an AED.<br />Instructor-led retraining for lifethreateningemergencies should occur at least annually.<br />
  13. 13. Q & A about an AED<br />What if the victim has a pulse and I can’t feel it?<br />Can I hurt someone using the AED?<br />Is there legal liability?<br /><ul><li>Can not make things worse
  14. 14. All AEDs are designed to shock only when needed
  15. 15. Product indemnification policy
  16. 16. Good Samaritan laws, CASA act, AHA standard of care</li></li></ul><li>The Features of An AED<br />Listening to an AED<br />Appropriate Storage<br />Proper Placement<br />Maintaining the Equipment<br />Questions and Answers?<br />