AED in the MEAA region

1. Implementation of
AED/CPR in workplace MEA Experience
Ahed Al Najjar
Fellow of American Heart Association
EMS Researcher/ Faculty , Director Life Support
Prince Sultan College for EMS
King Saud University
najjarahed@gmail.com

2. Public Access Defibrillation
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Cardiac Arrest in numbers
AED CPR Dubai Experience
FIFA Nigeria Experience
Manila Experience and others
PAD Program requirements
Legal issues
Starting an AED Program

3. Public Access Defibrillation
Out of Hospital SCA
EMS treats 300,000 victims per year
. < 33% receive bystander CPR
. <8% survive to hospital discharge
Source: AHA CPR & Sudden cardiac Arrest fact Sheet – April 26,2010

4. Public Access Defibrillation
AHA cardiac Arrest Chain of Survival
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Immediate recognition of cardiac arrest and activation EMS
Early CPR (with emphasis on chest compressions)
Rapid defibrillation
Effective advanced Life Support
Integrated post-cardiac arrest care

5. Public Access Defibrillation
Dubai AED Study
Hotels in Dubai are advised to have an
Automated External Defibrillator (AED), a
life-saving device designed to measure
heart rate and restart the heart, under a
safety programme conducted by the
Department of Tourism and Commerce
Marketing and the Department of Health
and Medical Services (Dohms).
• Establishing the CPR AED Training
within Hotel industry
• Implementing AED units
• Implementing First Aid kits

6. Public Access Defibrillation
Best Case Scenario
Identify emergency/ Activate emergency response plan
911 call
30 seconds
1 minute
Alert ambulance and rescue squads (dispatch)
30 seconds
Responders to their units
30 seconds
Travel time to location
5 minutes*
Unload equipment/ Distance to patient
2 minutes
Assess patient/ Apply defibrillator/ Deliver shock
*Travel time varies depending on weather, traffic, distance (vertical and horizontal),
and ambulance (with defibrillator capability) availability.
1.1 minutes**
TOTAL 10.6 minutes

7. Public Access Defibrillation
An emergency drill held at a five-star hotel
illustrated the need for enough trained
personnel to handle medical emergencies
after staff failed two out of three scenarios
The drill, held at the Crown Plaza Hotel
yesterday by the Dohms ambulance
department, involved several scenarios in
which heart attacks were simulated to see
how quickly hotel staff responded.
The response time for the first emergency was 20 minutes, the second seven
minutes and the third five minutes.
In the first two scenarios, the staff could not immediately operate the AED as
they were unauthorized to use it, although they could perform cardio-pulmonary
resuscitation.

8. Public Access Defibrillation
“ First Aid Kit” PROJECT
DOHMS Recommendation
First Aid Box
First
Responder
One Box / 100 person
One Bag /Medic
Station
AED
Oxygen
Stair Chair
One/2 Floor One/2 Floor One / 10 Floor

9. Public Access Defibrillation
Any
hotel
establishment
practicing
its
activity in the
emirate of Dubai
shell provide an
Automated
External
Defibrillator (AED)
and First Aid box
at
the
main
reception hall of
the building, the
sports
clubs
belonging to it
Hotel establishments must provide a person, available 24 hrs a day who has
completed a training course in BLS, First Aid, and CPR should not be less than 3

10. Public Access Defibrillation

11. Public Access Defibrillation
Nigeria – FIFA Experience

12. Public Access Defibrillation
Local EMS Involvement in Public Health
AED Deployment for Palawan Island
Supporting Public Health with Emergency
Responders - Mayor Hagedorn Heartbeat
Project
Goal of Implementation is to:
Prevent future un necessary calls by
identifying potentially life-threatening
conditions whenever a patient is seen by
public responders.

13. Public Access Defibrillation
Local EMS Involvement in Public Health
Go Red program for Gold Mine Company
Supporting Public Health with Emergency
Responders
Go Red Ghana – Wear Red for Women
Goal of Implementation is to:
Prevent future un necessary calls by
identifying potentially life-threatening
conditions whenever a patient is
seen by public responders.

14. Public Access Defibrillation
Local EMS Involvement in Public Health
Go Red program for International SOS
Supporting Public Health with Emergency
Responders
Go Red Kazakhstan – Wear Red for
Women
Goal of Implementation is to:
To increase the cardiac arrest awareness
and training within office environment

15. Public Access Defibrillation
Local EMS Involvement in Public Health
AED program in workplace – SHELL
Supporting Public Health with Emergency
Responders
SHELL Heartbeat Amman – Jordan
Goal of Implementation is to:
Complying with Health and Safety
company regulation.

16. Public Access Defibrillation
PAD Program requirements
Common requirements for PAD/AED program:
• Trained Personnel
• Local approved AEDs only
Maintained in accordance with manufacturers
guidelines
• AED Related Supplies
• Immediate 997 Activation upon AED use
• Reporting
• Physician Medical director
• Rules and Regulations
• Eligibility : BLS services, First Responder Services
and maintains an organized First Responder Team
• Appoint service coordinator
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17. Public Access Defibrillation
Legal issues
Good Samaritan Laws: protect register program
Successful Litigation:
• Malfunction EQP
• No AED available
• AED available but not used or delayed
• Proper early AED use

18. Public Access Defibrillation
Starting an AED Program
Facility need Determination
Organizational Commitment
Sufficient # of Trained Personal
Placement of / Access to AEDs
Maintaining AEDs and Related suppliers
Consistent timely response
Regulatory Compliance

19. Review
Questions/ Comments
Thanks!