Total Package Provided
We recommend your program include emergency oxygen
in addition to the defibrillator, CPR training and proper planning.
Over the past few years
the slogan "CPR + AED + 911 = SAVE, has become common knowledge
in public access defibrillation. Granted there have been saves. But,
the question is whether there could have been more saves or better outcomes
(see case study).
It is our opinion that
the slogan overlooks several major problems in attending to victims
possibly in sudden cardiac arrest, they are:
·
the victim may not be in
ventricular fibrillation, e.g. the victim is breathing although not
perceived by the rescuer, in which case the defibrillator is of no
value. More than likely the responder won't know until the AED advises
whether or not a shock is indicated shock. That process may take several
minutes during which the victim is without a supplemental oxygen source.
·
the victim may be hypoxic
(oxygen deprivation) and not respond to defibrillation.
·
the victim may revert back
to ventricular fibrillation because of an inadequate oxygen supply,
post defibrillation.
·
defibrillation with CPR has been touted
as equivalent to oxygen assisted defibrillation. No distinction has
been made.
The Old Way
The first
sequence of photos is taken from a brochure illustrating one of the
defibrillation processes.
a
b
c
a The victim is without
a supplemental oxygen source during a substantial part of the defibrillation
process, particularly if multiple shocks are required.
b CPR cannot be given
while the defibrillator is analyzing the victim's cardiac rhythm.
c It is difficult to perform
mouth to mask CPR while someone else is prepping the victim for the
AED.
A Better Way
The second set of photos
shows the defibrillation process using the
AUTOMATED First Aid Oxygen unit.
a
b
c
d
a Take AED/Oxygen --- b Take Mask --- c Place on face --- d Defibrillate the victim
The above pictures illustrate supplemental O2 from the emergency oxygen
unit is being drawn into the lungs
if the victim is breathing or blown in if assisted by CPR. On successful
defibrillation, the victim is breathing O2 enriched air.
and not just air!
Deployment
Establishing an automated external defibrillator program is an important
step toward preventing death from sudden cardiac arrest in your organization
and your community. In addition to purchasing AEDs,
there are several other steps involved in implementing and managing
a comprehensive AED program.
Physician Oversight
Physician prescription and oversight are important elements of an AED
program. The U.S. Food and Drug Administration requires
a prescription to purchase an AED, and most states also require that
a physician oversee an AED program.
Training
Certified training is an essential element of any successful
AED program.
Response Planning
A professionally
developed deployment and emergency response plan will help ensure the
swiftest possible response time to a cardiac arrest patient. Based on
information gathered through site surveys, safety response teams, and
facility management, the plan will identify internal notification issues,
appropriately trained responders and emergency services notification.
The plan will also identify opportunities to develop general emergency
awareness among all employees.
Site Surveys
Cardiac arrest survival is dramatically affected by response times,
and each setting has unique considerations. Whether predominantly outdoors,
in a busy urban high rise, a large manufacturing plant, or in a remote
rural community, these settings can present challenges to providing
effective emergency response for sudden cardiac arrest. We will assist
you in determining the optimal placement and number of AEDs
needed to give Sudden Cardiac Arrest (SCA) victims the best possible
chance of survival.
AED Maintenance
Establishing an automated external defibrillator program is an important
step toward preventing death from sudden cardiac arrest in your organization
and your community, and AED maintenance is critical.