Download Cardiac Science - Alberta Industrial Fire Protection Association

AIFPA
May
28th,
2011
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Creating HeartSafe Environments
Raising Survival Rates from one of the leading causes of
death in Canada.*
Mark Hermes, Cardiac Science
Justin Pellerin, Acklands Grainger
*http://www.statcan.gc.ca/pub/84-215-x/2010001/hl-fs-eng.htm
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Agenda
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“Who we are and what we do”
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Sudden Cardiac Arrest (SCA) – Background and Prevalence
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AEDs and Workplace Access Survival Rates
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Elements required to implement a comprehensive workplace
AED program
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Product review / Demonstration
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Q&A
Our companies
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Three leading companies in non-invasive cardiovascular care.
United to serve you.
CRITICARE
SYSTEMS
Opto Circuits
Vital Signs monitors,
anesthesia and
respiratory care
CARDIAC
SCIENCE
UNETIXS
VASCULAR
Cardiac diagnostics,
defibrillation and rehabilitation
Vascular diagnostic
systems
SUDDEN CARDIAC ARREST (SCA)
The #1 Cause of Death in North America*
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• 495,000 deaths per year
• 2/3 of SCA deaths occur
while at home, work or
play…
• 1/3 occur in hospitals
• 375,00 out of hospital
*Cardiovascular Health Branch, National Center for Chronic Disease
Prevention and Health Promotion, Centers for Disease Control and Prevention. Circulation. 2001;104:2158-2163.
CARDIAC SCIENCE | 4
WHAT IS SUDDEN CARDIAC ARREST (SCA)?
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• Often Referred to as a “Massive Heart Attack”
• The heart’s electrical impulses suddenly misfire. The
heartbeat becomes chaotic and rapid
Rapid heartbeat—ventricular tachycardia (VT)
Chaotic heartbeat—ventricular fibrillation (VF)
• The heart is unable to pump blood effectively, blood flow
to the brain abruptly stops, and victim quickly loses
consciousness
• Death follows within minutes unless normal rhythm is
restored
• Cardiac arrest can happen to anyone, anytime, anywhere,
at any age—children, teenagers, and adults
• Defibrillation within minutes is the only definitive
therapy for SCA
CARDIAC SCIENCE | 5
SCA – Some Common Causes:
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• Coronary artery disease
• Acute coronary syndromes
• Electrocution
• Drug toxicity and sensitivity
• Asphyxia
• Drowning
• Cardio Myopathy
• Blunt force trauma to the chest – Commotio Cordis
Sudden Cardiac Arrest
Facts
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• Cardiovascular Disease is the world’s leading cause of death.1
• Each year SCA kills more than 495,000 people per year,
including 7,000 school age children in North America.2,3
• Death from Sudden Cardiac Arrest is 96 times more likely than
death from Fire.4
• Waiting for emergency medical responders results in a 5 – 7
percent survival rate.5
• Sudden cardiac death caused by stress/overexertion was the
leading cause of death among both volunteers and career
firefighters.6
1.
2.
3.
4.
5.
5.
CIA World Factbook - Rank Order - HIV/AIDS - deaths.
Heart Rhythm Foundation website, April 2008.
AHA. 2006 Heart and Stroke Statistics Update.
National Fire Protection Association, Fire Loss in the US, 2006.
Saving Sudden Cardiac Arrest Victims in the Workplace, Occupational Safety and Health Administration, 2003.
OSHA
CARDIAC SCIENCE | 7
Sudden Cardiac Arrest
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• Over 40,000 Canadians experience cardiac arrest
every year – an average of over 110 per day*
*Heart and Stroke Foundation, http://www.heartandstroke.mb.ca/site/c.lgLSIVOyGpF/b.3674275/k.F274/Automated_External_Defibrillators_AEDs.htm
CARDIAC SCIENCE | 8
THE Cardiac CHAIN OF SURVIVAL
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• Early defibrillation is the “key link” in the chain
• Heart & Stroke Foundation:
Once a person goes into cardiac arrest, time is of the essence;
within 3-4 minutes of not receiving oxygen, the brain can suffer
permanent damage. CPR keeps the blood circulating...but it
takes defibrillation with an AED to resuscitate…”
CARDIAC SCIENCE | 9
What is an AED?
(AUTOMATED EXTERNAL DEFIBRILLATOR)
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• A small, battery-operated, portable
device that can deliver an electric
shock to the heart to restore normal
rhythm to cardiac arrest victim.
• Safe-will not deliver a shock unless
victim is in cardiac arrest.
• Uses voice and text instructions to
walk user through a rescue.
• Designed to be used by trained lay
people.
• Uses sophisticated software to
recognize the problem, analyze it,
and advise treatment.
SCA Survival:
Time to Defibrillation is the Key Factor
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10% decrease in survival for every
minute of delay*
* American Heart Association, Chapter 4: Defibrillation. In: Cummins RO, ed. Textbook of Advanced Cardiac Life
Support. Dallas, TX: American Heart Association; 1994:1-2.
CARDIAC SCIENCE | 11
Common Misconceptions
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• CPR Alone Saves Lives of Cardiac Arrest Victims.
• Calling 911 Will Save Your Life.
Reality -- All four links in the Chain are needed to
raise survival rates.
AEDS SAVE LIVES
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APPROXIMATE
WHEN CARDIAC ARREST OCCURS SURVIVAL RATE
Where AEDs Are NOT Present
Outside of the hospital
5 - 7%*
Where AEDs Are Present
In a casino
In an airplane/airport
In the workplace
74%†
40%-60%††
58%†††
*Gillum RF. Sudden coronary death in the United States: 1980-1985. Circulation. 1989;79:756-765.
†American Heart Association and Emergency Cardiac Care 2000 Guidelines, JAMA
††Chicago Department of Aviation, 2002
†††Cardiac Science, Inc. Internal Data
CARDIAC SCIENCE | 13
Alberta Promotes Workplace AED
Programs
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Alberta Promotes Workplace AED
Programs
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Work Safe Alberta says the use of Automated External Defibrillors
(AEDs) at the workplace should be integrated into a company’s first aid
program and emergency response plan at the site.
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AEDs are approved for sale as medical devices by Health Canada,
Medical Devices Bureau (MDB).
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AEDs can be effective at improving survival from sudden cardiac arrest
due to ventricular fibrillation when their use is incorporated into an
emergency response system that includes early recognition of
emergency, early notification and access of emergency medical
services, early cardiopulmonary resuscitation, early defibrillation, and
early advanced cardiac life support, the Alberta agency says. (see
Cardiac Chain of Survival).
*http://www.cos-mag.com/200808151402/health-page/health-page-stories/alberta-promotes-workplace-aed-use.html - Canadian Occupational
Safety Magazine
Heart & Stroke Foundation
Recommendations Regarding AED use
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“The Heart and Stroke Foundation is working diligently to ensure
widespread access to AEDs in homes and workplaces, and in public
areas such as airports, airplanes, and casinos.”
(1) In considering authorizing the use of AEDs at a work site, an employer should
ensure assessment of specific needs of the work site including; whether AEDs
can be safely used (e.g. not to be used in a flammable environment) the
population at risk - identify hazards of the workplace that increase risk of sudden
cardiac arrest existing emergency response and availability of emergency
medical services
(2) The employer should ensure AEDs are integrated into the existing emergency
response and First Aid programs.
(3) Anyone using an AED must be competent therefore; the employer must ensure
appropriate training in AEDs for equipment that is present at the worksite.
(4) The employer should ensure there is a quality assurance program in
place that includes regular maintenance and inspection of equipment,
record keeping and program evaluation.
ELEMENTS REQUIRED TO CREATE
A HEARTSAFE ENVIRONMENT
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• Commitment from senior management
• AED technology that is reliable,
easy to use, and maintenance-free
• Facilities adequately equipped
with AEDs that are properly located
• Appropriate number of employees
trained in CPR and AED use
• Management system and program to document
training, manage AED deployment, provide medical
direction, and ensure program compliance with
regulations
CARDIAC SCIENCE | 17
Fire & EMS
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• Thought Leaders & Key Stakeholders in the Community
• Example – San Diego, 81 Lives Saved. Partners:
San Diego
Medical Services
FF Local 145
Cardiac Science
City of San Diego
County of San Diego
AED Considerations
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Is it reliable?
Will the AED work when I need it?
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Is it easy to use?
Will it be easy to use for a lay responder in a stressful situation?
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Does it have the best technology available?
Will the AED deliver the most effective treatment?
Demonstration:
Powerheart AEDs by CARDIAC SCIENCE
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• Exclusive RESCUEREADY® technology assures
first time, every time shock delivery
• Simple, easy to use, one or zero-button operation
• Maintenance-free
• Intuitive and comprehensive voice and
text prompts guide you through the rescue
• The most advanced technology available—
awarded over 80 patents
• Industry’s first four-year, full replacement battery guarantee
• Expanded product line for all types of users: lay users and
professionals
CARDIAC SCIENCE | 20
Demonstration
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Questions?
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Thank You
• Mark Hermes, Cardiac Science
• Justin Pellerin, Acklands Grainger