Dr Ng Yih Yng delves into the finer aspects of Automated External Defibs. Find out more at singem.blogspot.sg

1. Registry for AED
integration (R-AEDi)
&

2. R egistry
for
A utomated
E xternal
D efibrillators
i ntegration

3. R-AEDi : Mission
To CREATE
a COMPREHENSIVE
National AED
Registry (and CPR
trained persons!)

4. More than
suffer cardiac arrest
1,700
EVERY YEAR
in Singapore

5. 2.4%
Overall Survival rates
In Singapore
Survival drops 7-10% every minute

6. Survival of witnessed cases
12.1%Singapore
29.8%Taipei
30.8%Seoul
57%King County,
Seattle
Data courtesy of PAROS study 2012 and Seattle Dept of Public Health annual report 2012

7. CPR
2.2x
can improve
survival by

8. Only
Perform
CPR
20%Of
bystanders

9. Public AEDs
AED
can improve
survival by

10. Only
By Public
AEDs
1%
are
shocked

11. Why is an AED Registry Needed?
• You have to find it to be able to use it!
– 4% of cases in the US use PADs
• AEDs needed maintenance
• Accurate DATA makes placement effective and
efficient
http://www.jems.com/article/technology/using-aed-registries-increase-bystander

12. Public Access Defibrillation - Japan
Citation: Kitamura T, et al. Nationwide Public-Access
Defibrillation in Japan. New Engl J Med, 2010;362:994-1004

13. Key Highlights
• 6.2% of witnessed cases had Public Access
Defibrillation
• Survival with good neurological outcome was
31.6% with PAD vs 14.4% overall.
• When AEDs increased 14 per km2
– Time to shock 3.7 mins  2.2 mins
– Survivors increased from 2.4  8.9 per 10 million

14. R-AEDi : Goals
To EDUCATE
The public on the
SIMPLICITY of
performing CPR and
using AEDs

15. How can we make it better?
Community Pre-hospital Hospital
Early Recognition Early CPR Early Defibrillation Advanced Care Post Resus Care
“Witnessed” Bystander PAD High quality EMS Hypothermia

16. Challenges to surviving OHCA in Singapore
What’s
that?
Agonal Breathing
20
%
Bystander CPR rate
Where?
Public AED?
1
million
cars!
Road congestion

18. "Do More with Less"
?
Improve
recognition of
OHCA
• Awareness
Willingness to
start CPR
• Training
• Dispatch Assisted
CPR
Find the nearest
AEDs
• Standards
• Technology Activate CPR
trained rescuers
• Technology
Additional AEDs
where risk is
high
• Research

19. Raising AwarenessHome News Show Sports SSS Backstage M'sia Cup Subscribe Join us
Isn't that our big boss doing
CPR?
January 11, 2014 -­ 1:12am
363 people like this. Be the first of your friends.Like
By:
TNP PHOTO: Gavin Foo
Dr Ng Yih Yng (above, far left), 39, was cycling with his family when he
noticed a crowd had gathered near the end of the East Coast Park
connector on Dec 15.
There were people helping the man. They had been doing
cardiopulmonary resuscitation (CPR), but stopped because they
thought he had a pulse.
Dr Ng, who is the chief medical officer of the Singapore Civil Defence
Force (SCDF), said: “I checked him again and I realised that he did not
have a pulse. He had agonal breathing, which was the breath of a
dying man.”
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20. R-AEDi : Goals
Comprehensively
MAP all
AEDs
In the Country

21. MapMedical Device
Regulation
Safety
Legislation
Distributors
Building
Owners
Building Audits
Volunteers
Crowdsourcing
Multi-Prong Approach
Regulate
Tackle at source
Government
Involvement
Community

22. R-AEDi : Goals
To INCREASE
Public USAGE of
AEDs
for greater survival

23. Making CPR and AEDs Less daunting

24. Standards

25. R-AEDi : Goals
To INCREASE
AWARENESS
Of existing AED
LOCATIONS

26. Finding them and Rating Them

27. Using it for response

28. AED App Strategy
BuildingPublicAEDDatabase
• R-AEDi standards
• Fire Safety
Managers
• MOM WSHA act
• Ops Terrain Map
• Crowdsourcing
by
“Gamification”
• NCDCC
• Lionhearters
• Public
HelpingBystanders
• ‘1-click’
• Call 995
• Turn to speaker
• Find nearest AED
• Summon rescuer
• CPR Coach
• Use as CPR
practice tool
CreatingaRescuerNetwork
• Register CPR
trained persons
• Download App
after trg
• Navigate rescuer
to bystander
• Reminder of trg
expiry date

31. Bystander
calls 995 for
OHCA
AED
location
CPR trained
person’s
geolocation
Dispatcher coaches
bystander to do chest
compressions
App/995 recruits
additional
rescuer(s) helps to
get AED
CPR trained persons
arrive to help
performed better CPR
and AED is dpeployed
Successful bystander CPR +
defibrillation

32. Where is the cardiac arrest? Are there
enough AEDs in those areas?

33. R-AEDi : Goals
To IMPROVE
National Standards
of AED
MANAGEMENT

34. AEDs should
not be this
hard to find

35. Or this
hard to
take out

37. This hard to reach
Courtesy of Dr. Dana Elliot

39. And it
would be
great if
it were
there…..

40. The Beginning of a community driven AED
registry

41. Are YOU
R-AEDi
ng_yih_yng@scdf.gov.sg
r-AEDi@scdf.gov.sg

42. THANK YOU
R-AEDi