WHY COMMUNITIES NEED AN ORGANIZED STRATEGY TO IMPROVE CARDIAC ARREST OUTCOMES
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Looking to promote HEARTSafe in your community? These slides may help! For annotated slides with notes, contact the Citizen CPR Foundation HEARTSafe Program Director david@code1web.com
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WHY COMMUNITIES NEED AN ORGANIZED STRATEGY TO IMPROVE CARDIAC ARREST OUTCOMES
- 3. (SCA)STRIKES DOWN OURFELLOW CITIZENS ANTICIPATE 1 CASE OF SCA FOR EVERY 1,000 RESIDENTS EACH YEAR
- 4. NOTMANY SURVIVE ONLY 1 IN 10 SCA VICTIMS SURVIVE
- 5. MOREPEOPLE CANSURVIVE! MANY SCA VICTIMS CAN SURVIVE!
- 9. DATA COLLECTION We Can’t Improve What We Don’t Measure
- 10. INCREASED CITIZENCPR TRAINING CPR CAN DOUBLE OR TRIPLE SURVIVAL RATES
- 11. “TELEPHONE” CPR “JUST IN TIME” CPR INSTRUCTIONS BY 911
- 12. RECOGNITION and PROMOTION RECOGNITION OF LIFESAVING EFFORTS AND PROMOTION OF CITIZEN CPR
- 21. BENEFITS
- 23. CONTACT THE CITIZEN CPR FOUNDATION https://citizencpr.org/ FOR ASSISTANCE
Editor's Notes
- Sudden cardiac arrest (SCA) is a condition in which the heart suddenly and unexpectedly stops beating. If this happens, blood stops flowing to the brain and other vital organs. SCA usually causes death if it's not treated within minutes.
- An average community can anticipate one case of sudden cardiac arrest each year. For example, a community with a population of 25,000 can anticipate 25 cases of SCA a year, or one a week.
- Improving survival from cardiac arrest is not complicated, but it is not easy. The very nature of cardiac arrest requires bystanders to be ready, willing, and able to act. Additionally, to be successful their actions in combination with care provided by our EMS, fire and first responder agencies must occur within a system that coordinates and integrates each facet of care into a choreographed group effort, focusing on neurologically intact survival to discharge from the hospital.
- We need to do more to prepare and support the lay public to provide bystander CPR and improve our rapid defibrillation capabilities in order to maximize the probability for successful resuscitation in the initial minutes after cardiac arrest.
- A lead organization (e.g., police, fire, EMS provider, hospital or municipal office) is designated to oversee and coordinate the HEARTSafe efforts.
- The community has a plan for the collection and analysis of cardiac arrest data. Enrollment in CARES is recommended - access to CARES data for your city/town or locally developed and compatible methods are acceptable.
- Because of the value of immediately initiated CPR, we must work to train more citizens in CPR. All forms of training are acceptable including hands-only CPR, certification training at any level and views of approved ultra-brief instructional videos.
- Our community should develop and implement strategies to increase public awareness of sudden cardiac arrest and encourage bystander intervention. Examples include public demonstrations with hands-on practice, improving access to certification courses, utilization of social media and ultra-brief instructional videos, billboards, newspaper articles and other innovations.
- Schools and municipal buildings have effective emergency response plans for cardiac arrest. In addition to having well thought out plans, we encourage periodic drilling as a means to identify areas needing improvement.
- Permanent placement of AEDs in public or private locations where many people congregate or may be at higher risk for cardiac arrest such as shopping malls, supermarkets, theaters, health clubs, parks, recreational centers, transportation centers and other appropriate venues. AEDs placed at athletic fields, parks, beaches and public gathering spots should be accessible on a 24/7 basis whenever possible. We are strongly encouraging this and there now exists a variety of purpose built enclosures that enable AEDs to be kept in secure and weatherproof enclosures.
- Permanent placement of AEDs in public or private locations where many people congregate or may be at higher risk for cardiac arrest such as shopping malls, supermarkets, theaters, health clubs, parks, recreational centers, transportation centers and other appropriate venues. AEDs placed at athletic fields, parks, beaches and public gathering spots should be accessible on a 24/7 basis whenever possible. We are strongly encouraging this and there now exists a variety of purpose built enclosures that enable AEDs to be kept in secure and weatherproof enclosures.
- First Responder agencies (law enforcement/fire department) are defibrillation capable, with appropriate training, device maintenance plan, dispatch policies, event debriefing, and medical direction. By doing so, time to first compressions and first shock can be dramatically improved.
- The local Emergency Medical Services (EMS) provider practices “high-performance” CPR and has supportive protocols, technology and equipment for resuscitation and effective post-resuscitation care.
- Local EMS provider agency has a QI process for cardiac arrest data review, facilitated debriefing, access to patient outcome data and active medical direction and provides appropriate feedback for improvements to community preparedness and response.
- The community has established secondary public health measures supporting cardiovascular wellness, such as education, prevention, and systems of care for stroke and myocardial infarction.
- The Citizen CPR Foundation’s HEARTSafe Community program is designed to create communities of heroes and survivors by improving action and response to cardiac arrest through training, preparation and response protocols. The program includes criteria that supports the cardiac arrest “chain of survival,” then encourages a participating community to put that chain of survival into action. In fact, this program includes all of the measures we have just discussed including:: Widespread CPR instruction Public access defibrillators Aggressive resuscitation protocols for first responders and area hospitals Communities that strive to become “heart safe” must meet the criteria established by the Citizen CPR Foundation. When a community meets the HEARTSafe designation, they receive signage they can post to demonstrate their commitment to citizen health and safety. In addition to their checklist, the Citizen CPR Foundation has also created a resource and implementation guide along with coaching by members of their HEARTSafe Program Advisory Committee. All of this at no charge to our community.
- In addition to saving the lives of our residents and visitors, we also get bragging rights in the form of traffic grade road signs if we meet designation criteria.