Does An CPR Work?
CPR works on the principal that compression on the sternum causes a change in the pressure in the chest cavity which makes blood flow. There is a change in pressure in the Venae Cava, the Aorta, and the pulmonary vasculature which moves blood. The blood flow will allow for cerebral perfusion, thus keeping the brain alive.
CPR may resuscitate a victim who is a child or an infant. In the case of an adult who is unconscious and in ventricular fibrillation, the only way to resusitate the victim is the electrical shock which can be obtained by a defibrillator or an AED.
A person can go
up to 10 minutes without a heartbeat. There are few victims that survive after that time frame has passed. For each minute which elapses
and a victim has no heart beat, or CPR being perfomed, 10 % of potential survivability is lost.
is an AED protocol necessary?
It is important that an AED protocol is established for your program. We recommend that each protocol must include indications for AED use, contraindications, procedures for its use, reporting procedures, maintenance, and quality assurance procedures.
I Need A Prescription?
A written doctor's prescription is legally required for the use of an AED. The law does not allow a prescription to be valid after one year. Additional prescriptions may be purchased annually at $500 per year use. Note: After one year, user assumes all legal liability regarding possession of a medically controlled device without a doctor's order.
Do We Implement An AED Program?
The first step is to work with the principal people within your establishment. It is also important to involve people such as a medical director, occupational nurse, human resources director, security director, or a safety/CPR training coordinator in program planning. Factors to take into account when instigating an AED program are:
1. Facility security
3. Size of facility
4. Number of employees and visitors
is the ideal location for an AED?
The AED should placed in a visible and easily accessible location where a five-minute response time can be achieved. The AEDs convenient carrying case allows for easy mobility and the available wall mount accessory allows for stationary placement. Listed are recommended areas for AED placement:
· In a medical clinic (if available).
· In a reception or common area
· Near a fire extinguisher.
· With a safety response team member.
· With a security officer.
· On board a corporate jet
· Football stadium
Public Places Have AEDs?
At O'Hare Airport in Chicago and DFW in Dallas, the AED stations are hanging on the walls spaced within one minutes' walking distance for public access to defibrillators. Since O'Hare Airport is putting the AED in the hands of the general public, AEDs are evolving into a standard of safety, not unlike fire extinguishers.
Public Access to Defibrillators?
"The placement of AEDs in the hands of large numbers of people trained in their use may be the key intervantion to increase the survival chances of out-of-hospital cardiac arrest patients . . . " (JAMA. 1992;268:2291.) Without warning, sudden cardiac arrest (SCA) can afflict anyone, anytime. SCA kills 350,000 people in the U.S. alone each year. The evidence is well defined that the chance of surviving a cardiac arrest declines by approximately 10% for each minute without defibrillation. Beyond 12 minutes, the chance of survival is 2% to 5%.
In its publication, Guidelines 2000 for CPR and Emergency Cardiac Care, the American Heart Association recommends defibrillation within five minutes for emergency response outside the hospital. Recently published studies in the New England Journal of Medicine further support the recommendation with results that show 74 percent survival rates for victims defibrillated within three minutes. Other research confirms this.
Can't We Just Call 911?
Realistically, there is a very good chance emergency medical services (EMS) cannot respond fast enough to save someone in cardiac arrest, particularly in congested urban areas, high-rise buildings, large facilities or in rural areas. In fact, the national average response time is 10-12 minutes, so even the best EMS responders could have difficulty arriving in time. Besides traffic, consider the time needed to make it through building security and all the way to a victim.
Additional Training Is Required?
Regulation on the use of AEDs is common, and minimum training requirements vary from state to state. In many cases, a simple course including CPR and AED training is all that is required. The National Safety Council® and other training organizations, such as the American Red Cross, also offer training programs.
Can We Get Education Resources and Materials?
We can provide seamless AED training throughout the United States. Our large physician instructor network have all had orientation to the FirstSave AED and have been approved to provide quality education to our customers.
CPR Works provides American Heart Association training textbooks and materials that are used to provide the educational tools necessary for increasing public access defibrillation.