1) The document provides training on how to use an Automatic Electronic Defibrillator (AED) for emergency responders at 101 Grove Street. 2) It outlines the chain of survival and procedures for checking a victim, performing CPR, and using an AED including attaching pads and following audio prompts. 3) Key details covered include what a sudden cardiac arrest is, how ventricular fibrillation occurs, and importance of early defibrillation for increasing chances of survival.

1. Automatic Electronic Defibrillator (AED) Training: 101 Grove Emergency Evacuation Teams Shawn Holle Safety Analyst DPH Occupational Safety & Health

2. 101 Grove Street AED Program Don’t Worry…This One is EASY! Medical Director AED Program Coordinator CPR Trained & Certified Emergency Evacuation Teams Institutional Police Officers (IPOs) Voluntary Responders Yes…You Are That Cool

3. Chain of Survival Where Do We Fit? Early Access Early CPR Early Defibrillation Early Advanced Cardiac Life Support ACLS

4. 101 Grove Street Procedures Call 911 & Send for AED Check For Responsiveness Check Airway, Breathing, Circulation (ABC) Start Cardiopulmonary Resuscitation (CPR) Apply AED if Required

5. W hy CPR? Lets Buy Some Time CPR Provides Circulation of Oxygenated Blood to Heart & Brain Delays Brain & Heart Muscle Death Primes Heart for Defibrillation (AED)

6. Checking Victim Status Assess Responsiveness: Shake & Shout Get Helper to Call 911 & Get AED Open Airway by Head Tilt & Chin Lift Look, Listen, & Feel For 10 Seconds (ABC) If Unconscious & Breathing Normally, Turn Person Into Recovery Position Check for Continued Breathing & Circulation If Circulation Detected Continue Rescue Breathing & Recheck Every Minute

7. Unconscious & Not Breathing 2 Rescue Breaths ( 2 Sec ond s) Look…Listen…Feel (ABC) ( 10 Seconds) No Circulation: Use Ratio 2 Breaths / 15 Compressions Continue CPR Until: Circulation & Breathing Resume Doctor or Qualified Healthcare Professional Takes Over Another Rescuer Takes Over Unable to Continue

8. What is an AED? Automatic Electronic Defibrillator Delivers Electric Shock to Heart AED Analyzes Heart Rhythm IF VF Detected, Advises Shock! Audio & Visual Prompts Guide User

9. IS IT SAFE? Safe If Used Correctly Trained Rescuers Have Saved Lives Works When Irregular Heartbeat is Detected Timing is Everything

10. AED Defibrillation You Want it When & Only When? Unresponsive N ot Breathing No Circulation No Pulse

11. Heart Problems: Sudden Cardiac Arrest (SCA) Heart Unexpectedly & Abruptly Stops Pumping Blood Usually Caused by Abnormal Heart Rhythm Called Ventricular Fibrillation (VF) Heart Muscle Begins to Die

12. Ventricular Fibrillation (VF) What Is It? Abnormal Heart Rhythm Associated With SCA Caused by Abnormal & Rapid Electrical Activity in Heart Heart Quivers & Does Not Pump Blood Short Duration & Degrades to Asystole (Flat Line) if Not Treated Quickly Every Minute of VF Decreases Chance of Bringing Someone Back by 10%

13. AED Walkthrough NO Recovery Position YES Check Responsiveness Shake & Shout Open Airway Head Tilt/Chin Lift Check Breathing Look/Listen/Feel

14. AED Walkthrough Attach AED Cardiac Arrest NO PULSE PULSE Circulation Present Continue Rescue Breathing Check Circulation 10 Seconds Check Circulation Every Minute Chest Compressions 100/min. ratio 15:2 Compressions to Rescue Breaths

15. AED Walkthrough Stop CPR Press Analyse +/- Check Pulse CPR for 1 minute Shock x3 as necessary Shock Advised (VF, VT) No Shock Advised CPR for 3 minutes 1 Minute CPR Post Defibrillation

16. General Considerations Wet Patients Medication Patches Implanted Pacemakers Young Patients (Under 8) Chest Hair: May Have to Shave It!—Glove UP! Remove Victim Clothing: May Have to Cut Them Off Always Ensure that No One is Touching Patient During AED Use

17. AED Location: Room # 100, Facilities

18. Floor Team & IPO AED Responsibilities: Recap Call 911 & Send for AED Check For Responsiveness Airway, Breathing, Circulation, (ABC) Start CPR Apply AED if Required Notify AED Program Coordinator Right Away!

19. Liability Training: CPR & AED Every 2 Years Written Program Good Samaritan Laws

20. Why AED? Time Matters 80% chance of success 60% chance of success 20% chance of success Virtually 0% chance of success 1 2 3 4 5 6 7 8 9 10 11 MINUTES

21. Hands On AED Application