Devices that shock heart rhythm back to normal were not available 25 percent of time in emergencies
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New research presented at this year's Euroanaesthesia shows that use of public access defibrillation on people suffering cardiac arrest is associated with a large increase in chances of survival. However, despite the great potential, publicly accessible Automated External Defibrillators (AEDs) are not being used enough, concludes research by Dr Marianne Agerskov and colleagues at Rigshospitalet, University of Copenhagen, Denmark.
A new survey has found almost a fifth of Brits don't know what it is and 45 per cent are not confident enough to perform it
Up to a quarter of defibrillators installed in public places don't work, according to the agency in charge of registering the equipment.
The Automated External Defibrillator Deployment Agency has launched a new set of guidelines in an effort to stop flat batteries and software malfunctions in the units.
The agency's Graeme Pell said electronic defibrillators in workplaces, sporting clubs and other public places did not always work.
"There's nothing more frustrating than coming across somebody who's got a sudden cardiac arrest who clearly needs urgent defibrillation to save their lives and find that the defibrillator that you have in your hand, or in fact can't locate, simply won't do the job," he said.
In the United States, research has found that up to a quarter of equipment installed in public areas at any time did not work because of flat batteries, damage or software malfunctions.
Mr Peel estimated the figures were similar in Australia.
"Probably 20 to 25 per cent of defibrillators aren't working," he said.
"We also know that unless you get fibrillation on a sudden cardiac arrest patient within the first couple of minutes, then their chance of survival is very remote.
"Anecdotally, we believe that there probably are people dying unnecessarily."
Up to 33,000 Australians die from sudden cardiac arrest every year.
The agency today released a set of guidelines that helps businesses and organisations make sure equipment was ready for use in an emergency.
It is also setting a up voluntary register to keep track of all defibrillators around the country.
Mr Peel said there was one positive change already underway - defibrillators were becoming easier to use.
"You open it up and it talks to you. It'll tell you pull out the pads, where the pads have to be located and connections then basically you stand back and wait," he said.
"The battery's got to be working, the pads have got to stick, software has got to be functioning.
"There's been a huge amount of enthusiasm but not as much standardisation."
Residents from the Fulford and district area attended free, two hour Heart Start & Defibrillator awareness courses on Sunday 29th June 2014.
They learnt vital lifesaving skills, which could help keep a person alive until medical help arrives.
The course was provided by Mike Taylor (of Abacus Training), David Thomas and Mel Avis, who are all volunteer responders with the Fulford & District Community First Responder charity. ‘Heart Start’ is a national scheme that is being supported by the West Midlands Ambulance Service across Staffordshire, in association with the British Heart Foundation.
Mel Avis explained,
Participants attending Fulford & District Heart Start and Defibrillator Awareness workshop on Sunday 29th June 2014, outside the village hall, with Heart Start trainer, Mike Taylor.
Acting quickly when someone is in cardiac arrest is crucially important. Early CPR and Early Defibrillation significantly increase a person’s chance of survival. People should not be afraid to learn how to use a cPAD. They are designed specifically for use in community settings and provide a series of voice prompts and illuminated illustrations to guide the rescuer.
says Mike Taylor (of Abacus Training).
says participant, Sarah Cox
says participant, Jacqui Leach
For more information about First Aid courses or the Heart Start scheme, please contact: Mike@fulfordanddistrictcfr.co.uk or visit www.abacustraining.co.uk
Special thanks to:
About Fulford & District Community First Responders:
Fulford & District CFRs can be followed on Facebook and Twitter @FulfordCFR
Defibrillators are to be installed in every Scottish NHS dental practice.
The £1m Scottish government scheme aims to boost the survival chances for people who have cardiac arrests.
The 970 defibrillators will also be mapped by ambulance staff so call handlers can direct people to the nearest one while patients wait for paramedics to arrive.
More than 1,500 Scots died in the community last year after suffering a cardiac arrest.
A defibrillator can be used by anyone to deliver an electric shock to the chest to restore a person's heart to a normal rhythm after a cardiac arrest.
'Every second counts'
Ministers said that currently, only 5% of people who have a cardiac arrest in the community survive and every minute of delay cuts their chances.
Public Health Minister Michael Matheson said: "Every second counts when someone's heart goes into cardiac arrest and having access to a defibrillator can mean the difference between life and death.
"As these machines are becoming easier to use it is only right that the public have more access to its life-saving potential in any public place.
"There are almost 1,000 NHS dental practices in the centre of Scottish communities. By giving them this equipment we are providing 1,000 more chances to save a life.
"I believe that this investment will save many more lives."
The machines are expected to be in place by the end of August.
Any dental practice which has already bought a defibrillator will be compensated.
The FINANCIAL -- Each year, approximately 300,000 people suffer out-of-hospital sudden cardiac arrests (SCA) that require revival from an automated external defibrillator (AED). Although many workplaces have AEDs on site, it’s likely that a majority of workers would not be prepared to locate and use the units, according to the results of a survey commissioned by Cintas Corporation, one of the leaders in first-aid and safety programs.
The survey, conducted online by Harris Interactive among 2,019 adults ages 18 and older (of whom 916 are employed), found that 79 percent of employed adults do not know where their workplace’s AED is located.
Less than 1 in 5 (17 percent) feel confident that they could reach the nearest AED in their workplace and return to the victim quicklyEighty-six percent would not feel comfortable using the AED during an emergency such as cardiac arrestEighty-eight percent have not received training on the proper use of the workplace AED
Mike Taylor's insight:
An article from the US, but I can't see the UK being much different.
A GRANDFATHER has told how he would be "eternally grateful" to the woman who saved his life after he collapsed in a Falmouth restaurant.
John Ollernshaw, from Flushing, would have died if a member of staff from Princess Pavilion had not resuscitated him during a cardiac arrest in November.
John Ollernshaw and wife Sylvia, with Ceinwen Morgans, who performed CPR on him after he collapsed.
Catering team leader Ceinwen Morgans started CPR on the 82-year-old within minutes of the arrest, having been trained in first aid just a few weeks earlier.
Mr Ollernshaw said: "I guess I was in the right place at the right time.
"If it had happened somewhere else, who knows what the chances of finding someone who knew what to do would have been.
"I will be eternally grateful to that young lady and the fact she had completed the first aid course."
Mr Ollernshaw's wife, Sylvia, credited Ms Morgans with saving his life.
"He went straight down and the girl just started resuscitating him immediately until the paramedics came," she said. "She cracked two of his ribs in the process and she had to keep going for a considerable amount of time. It was that which saved his life.
"We have been told that if the waitress hadn't been trained he would have died before the paramedic arrived.
"It was just amazing really, it seemed like it was just instinctive for her which was marvellous."
It was the first time Ms Morgans, from Falmouth, had put her training into practical use since completing the course. She said: "It all just happened so quickly and luckily I knew what to do. Nothing can prepare you for the real thing. I think my adrenalin carried me through and I was able to just get on with it but afterwards it was a little bit traumatising.
"If there hadn't been someone like me there that day then John would have died and his family would have faced Christmas and the new year without him."
Mr Ollernshaw, a dad of two and grandfather of three, had to be defibrillated on the way to the Royal Cornwall Hospital in Truro. In the ambulance, his wife was warned he was unlikely to survive the night.
"Our local vicar came with me to the hospital and by the time we got there the staff had managed to get him going on the machines because he wasn't able to do it himself," said Mrs Ollernshaw.
He remained on life support for four days before he was able to breathe on his own, then spent almost a month in hospital, during which he underwent heart-bypass surgery.
Alison Brown, cardiac rehab nurse at the Royal Cornwall Hospitals Trust, said: "It is fantastic that he was in a public place where there was someone who had been recently trained in CPR."
People who suffer a cardiac arrest in Denmark today are three times more likely to survive than a decade ago, thanks largely to a national effort to teach people CPR, a new study says.
Denmark launched a national effort in 2005 to teach its residents to perform CPR, or cardiopulmonary resuscitation, in order to save people who suffer a cardiac arrest outside a hospital. The country gave out 150,000 instructional kits; kids began learning CPR as early as elementary school. Teens were required to learn CPR in order to get a driver’s license.
The results have been dramatic, say authors of a study in today’s Journal of the American Medical Association, or JAMA. About 300,000 people in North America each year suffer a cardiac arrest, when the heart stops beating, outside of a hospital.
In Denmark, the number of cardiac arrest victims who received “bystander” CPR — from someone other than a health professional — more than doubled, from 22% in 2001 to 45% in 2010.
In the same time period, the percentage of cardiac arrest victims who arrived at a hospital alive increased from 8% to 22%.
The percentage of patients alive after 30 days tripled, growing from 3.5% to 11%. The percentage of patients alive after one year also more than tripled, from 3% in 2001 to 10% in 2010.
Those findings are impressive, says Michael Sayre, a professor of emergency medicine at the University of Washington and a spokesman for the American Heart Association.
Although other studies have looked at smaller, community efforts to promote CPR, Sayre says the new study is striking because it involved an entire country.
Thanks to efforts by the heart association, Washington and a handful of other states now require students to take a CPR class before graduating from high school, Sayre says.
Still, study authors say that Denmark’s CPR initiative can’t take all of the credit for improving survival.
That’s because Denmark also made other important changes aimed at increasing survival after a heart attack, such as improving the care provided both by hospitals and emergency medical services.
“Teaching bystanders the importance of CPR can make a difference,” says Suzanne Steinbaum, director of the program on women and heart disease Lenox Hill Hospital’s Heart and Vascular Institute, in New York.
Performing CPR is actually easier than ever, Steinbaum says. That’s because the heart association now recommends a “hands-only” CPR procedure, in which bystanders concentrate on performing chest compressions, instead of alternating compressions with mouth-to-mouth breathing.
“Those who witness a cardiac arrest and start CPR can actually change the outcome of what happens to the victim,” she says.
Portable, heart-shocking defibrillators are not fail-safe.
Like any machine, automated external defibrillators, or AEDs, need to be maintained. Batteries run down and need to be replaced.
Electrode pads that attach to a patient’s chest also deteriorate and have to be replaced every year or so. Circuitry can fail. And maintenance can be spotty.
SHNS photo courtesy American Red Cross Universal symbol and sign for an AED — a heart with a lightning bolt in the middle.
The U.S. Food and Drug Administration has received more than 45,000 reports of “adverse events” associated with failure of AEDs between 2005 and 2012, although only some of the events involved the fully automated devices put in public areas. The others were defibrillators limited to medical use. Manufacturers also conducted more than 80 recalls during the seven-year period.
The number of AEDs sold in the U.S. has been rising steadily, from around 100,000 a year in 2010 to between 500,000 and 1 million this year, according to the Sudden Cardiac Arrest Foundation and industry officials. There are about 2.5 million deployed.
“Survival from cardiac arrest depends on the reliable operation of AEDs,’’ said Dr. Lawrence DeLuca, a professor of emergency medicine at the University of Arizona in Tucson.
He led a 2011 review of more than 40,000 AED malfunctions reported to the FDA between 1993 and 2008. The analysis found that 1,150 deaths occurred during those failures.
No one knows exactly how often someone attempts to use an AED, but with an average survival rate of 2 percent to 4 percent from sudden cardiac arrest outside a hospital, according to studies, the devices help save roughly 3,500 to 7,000 lives each year, although not all of the rescues are performed by untrained bystanders. If AEDs were more widely available, the number of saved lives could triple or more, experts say.
“AEDs can truly be lifesavers, but only if they are in good working order and people are willing to use them,’’ said DeLuca, who had a personal experience with batteries failing on a device when he was trying to revive a fellow guest at a resort in 2008.
It took nine minutes to retrieve a second AED, which did work. The patient was not revived.
Problems with pads, cables and batteries accounted for nearly half the failures — mistakes that could have been due to poor maintenance. Forty-five percent of failures linked to fatalities occurred when the device was attempting to charge (power up) and deliver a recommended shock to someone in cardiac arrest, DeLuca said.
But there also were incidents reported to the FDA when the devices shut down without analyzing a patient’s heart rhythm.
Regulators and watchdogs believe some victims were not revived when the machines failed, but it’s difficult to say whether any particular patient would have had heartbeat restored.
The FDA said the most common malfunction reports involved design flaws and manufacturing of the devices using poor-quality parts such as capacitors and software.
AED failures have raised enough concern that the FDA is ending the medium-risk status that AEDs have had since they first became widespread more than 20 years ago.
Now, they’ll be classified high-risk equipment that reflects their use to support and sustain human life — and their greatly increased sophistication over the years. Manufacturers will have to provide more safety evidence and FDA inspectors will be allowed to inspect plants where parts are made.
The tighter rules don’t mean the public should lack confidence in the lifesaving devices. Dr. William Meisel, the FDA’s chief scientist for devices, stressed the essential role AEDs play when he announced the new rules in March.
“These devices are critically important and serve a very important public-health need,” Meisel said, noting that none were being taken out of service beyond the recalls manufacturers have already issued. “Patients and the public should have confidence in these devices and we encourage people to use them under the appropriate circumstances.”
David Lloyd Leisure’s health clubs do business throughout Europe; the company has 80 sites in the UK alone. With more than 440,000 members the company gets 25 million club visits a year. Since 1998, the David Lloyd Leisure staff has used AEDs to save the lives of more than 100 people.
There’s no legal requirement in the UK for fitness clubs to have automated external defibrillators (AEDs) on the premises. But the health and safety experts at David Lloyd Leisure insist on having AEDs readily accessible at every one of their busy clubs. This policy, along with staff training in AED use, has made a world of difference. Since 1999, David Lloyd Leisure has saved more than 100 lives.
“Our feeling is every fitness facility should have an AED, even if there’s no legal requirement,” says Caleb Brown, of the health and safety office at David Lloyd Leisure. “AEDs have become so affordable, and the response element is something which is really easy for a health club to do — they’ve already got team members available.”
One of Europe’s largest health and fitness businesses, David Lloyd Leisure started its AED program in 1998. At first, this simply meant ensuring that the reception desk at every facility had a defibrillator at hand.
A staff member from David Lloyd Leisure Brooklands with their Powerheart AED. Staff at the club used the AED to revive a member in 2010.
The return on investment in terms of lives saved was immediate, and the company nurtured the AED program. Brown, who joined the company in 2000, has been involved in the development of the company’s AED training program as part of overall safety training. Today, an AED is brought immediately to the scene of any health incident at one of the clubs.
While the survival rate for people who suffer outside-of-hospital sudden cardiac arrest in the United Kingdom is less than 20 percent, the survival rate for someone who suffers cardiac arrest or another serious health incident at one of the David Lloyd Leisure clubs reached 88 percent in 2012.How They Chose Powerheart AEDs
All David Lloyd Leisure clubs are equipped with at least one AED, and one large, six-story site has two defibrillators on the premises. All the AEDs — with the exception of devices at clubs recently acquired from other companies — are Cardiac Science Powerheart AED G3s. The Powerheart AEDs were chosen because they’re highly portable and easy to use, with long-lasting medical-grade batteries and Rescue-Ready technology that conducts an automatic self-check of the main components (battery, hardware, software, and pads) every day. When it’s nearing time to replace a battery, a Rescue Ready indicator on the AED turns red and sounds an alert.
“The Powerhearts are so easy to look after, and the maintenance system is brilliant,” Brown says.
In the aftermath of any incident in which an AED was required, the club replaces the used pads with a set of spares. Brown, or one of his health and safety team colleagues, then visits the club to download data from the AED for hospital use, write up an incident report, and supply a new set of spare pads.Training: Key to a Successful AED Program
Brown, who took on a leadership role in the AED program in 2006, has designed training for club employees that enables them to respond with maximum speed and efficiency when a cardiac incident occurs.
“Because of the voice prompts, even an untrained bystander can use an AED,” Brown points out. “With a training program, you give people the ability to react faster in an event, which is going to increase chances of survival.”
Ambulance response time in urban areas in the UK is usually under 8 minutes, Brown noted, but for a sudden cardiac arrest victim that is often too late. Brown’s goal has been to train David Lloyd Leisure staff to get the AED to the victim, and the defibrillator pads on the victim’s chest, within 1 minute.
Once the pads are attached, the AED can diagnose the heart rhythm, and, if appropriate, administer a shock. The AED’s voice prompts coach the team through every step of the process, including administering CPR. The AEDs are programmed in accordance with the latest resuscitation guidelines, and David Lloyd Leisure bases its training on those same guidelines.
“I believe that some businesses overestimate the amount of training that is required for a successful AED program,” Brown says. “Our training is only two hours for an employee, once a year. With just that basic training, in the vast majority of incidents requiring an AED, we are able to get the pads onto the chest in less than a minute.”
In 2012, the company’s survival rate for incidents in which an AED was deployed reached 88 percent.
“The training I received in using the AED enabled me to use the AED with confidence and the clear voice prompts helped to keep me calm,” one of the rescuers reported after the incident. “It’s an amazing feeling to know that the actions I took resulted in a life being saved.”
Sudden Cardiac Arrest (SCA) is a life-threatening condition that must be treated within minutes if the victim is to survive. The only therapy which can treat the life-threatening arrhythmia that occur during SCA is defibrillation; the earlier the better. Various studies have determined that for every minute defibrillation is delayed survival falls rapidly. In one study it was determined that this fall in survival was around 7 to 10% while the British Heart Foundation (BHF) have concluded that the fall in survival percentage is 14%.
A VIDEO reconstructing how a man was saved by a heart-starting defibrillator will be used to encourage more organisations to install the life-saving machines.
Debra Chaffin, 59, was at risk for a sudden cardiac arrest, but fortunately she had the protection of a wearable defibrillator, a white undergarment that she credits with saving her life.
EVERY high school in the Capital will be equipped with a life-saving defibrillator to ensure that thousands of teenagers never suffer the terrible fate of teenage footballer Jamie Skinner.
City chiefs have teamed up with the Scottish Ambulance Service to spend more than £34,000 on the vital devices for all 23 secondary schools in Edinburgh, following months of campaigning by the Skinner family and the Evening News.
The move has been hailed as a “great legacy” for super-fit Jamie, who suffered a fatal cardiac arrest while making his debut for Tynecastle FC at Saughton in December 2013.
His heartbroken family has fought tirelessly for better defibrillator provision, teaming up with the News to launch the Shockingly Easy campaign in July to ensure the heart-start machines are installed in every sports club in the Lothians.
Schools Minister David Laws backs Mail on Sunday campaign to introduce vital CPR lessons in schools
Lib Dem MP Sir Bob Russell, chairman of the all-party parliamentary group on first aid, said he hoped the other two main parties would also add the proposals to their pre-Election manifestos.
THE heroic actions of a quick thinking woman from Alcester and her friend saved a cyclist's life when he collapsed on a country road.
The man was cycling along Fish Hill near the Cotswold village of Broadway last March when he collapsed.
Fortunately he was spotted on the side of the road by Gemma Guedes, 30, from Alcester, and her friend Katie Nightingale, who were only travelling down the road by chance after taking a wrong turn on their way to take Gemma's pet puppy for a walk.
The pair spotted the man receiving CPR from a fellow cyclist and immediately remembered that there were defibrillators kept at the nearby Farncombe Estate, where they both used to work.
"It was very worrying to see someone receiving CPR as it was the first time that I have ever been in that situation," said Mrs Guedes. "We were just very lucky that Farncombe Estate was so close and that they have trained people to use the defibrillator."
The friends called ahead and were met by security supervisor Tony Haines, of Pensham, near Pershore, who had grabbed a defibrillator.
They dashed back to the stricken man with Mr Haines - an experienced St John Ambulance volunteer - in tow and used the defibrillator to re-start his heart.
He was then rushed to Worcestershire Royal Hospital, where grateful medics confirmed the cyclist would not have survived without the defibrillator and their quick-thinking actions.
"When we arrived the man was starting to turn blue around the lips - Tony gave him a single shock and his heart re-started. After a few minutes the man started talking, which was a huge relief to everyone.
"We waited for the Air Ambulance to arrive and once the man was airlifted to the hospital you could feel that everyone felt a great sense of achievement," added Mrs Guedes.
Mr Haines said he was glad the estate had the vital life-saving equipment . Both he and St John Ambulance are now urging more places, especially in isolated rural locations, to get equipment of their own.
Mr Haines said: “We gave the man a single shock and his heart restarted. Within a few minutes he was talking, it was amazing.
“This incident just goes to show what a difference a defibrillator can make and I would urge as many organisations as possible to have one on hand in case of emergency.”
ALL new schools are to be equipped with life-saving defibrillators to cut the number of child heart deaths.
ALL new schools are to be equipped with life-saving defibrillators to cut the number of child heart deaths.By: Marco GiannangeliPublished: Sun, March 9, 2014
Defibrillators will be supplied to schools to cut down child heart attack deaths [GETTY]
The move, supported by Education Secretary Michael Gove, will be announced in Chancellor George Osborne’s Budget later this month.
More than 270 pupils die after suffering heart attacks at school every year but, according to charity Sads, only 80 of 30,000 schools have automated external defibrillators, which cost £1,500.
Sick youngsters given an electric shock to the heart with the life-saving devices are 50 per cent more likely to survive a coronary than those who have to wait for an ambulance. The odds in rural areas are 75 per cent.
The initiative is being spearheaded by Conservative MP Andrew Percy, a trained first responder who has helped raise funds to buy defibrillators for six schools in his Brigg and Goole constituency. It is backed by the British Heart Foundation, Red Cross, St John Ambulance and Oliver King Foundation.
Mr Percy told the Sunday Express: “It is a national scandal that children are dying unnecessarily in this country because there are not enough public access defibrillators. A relatively small one-off investment could have a lasting legacy, which is why for me it is a complete no-brainer.”Related articlesBoy’s school shooting Tweet was spotted by Dunblane victim’s fatherHigh School of Dundee pupil was not bullied into suicide say parentsIslamic boys' school bars women from applying for job as science teacher
Oliver King was just 12 when he died of a cardiac arrest while taking part in a school swimming race in 2011.
A year after Oliver’s death his family set up the Oliver King Foundation, which wants to see defibrillators installed in all schools, sports centres and other public buildings.
Oliver’s father, Mark, said: “We are losing children who are fit and healthy every week to cardiac arrests.
“When my own son died we waited more than 20 minutes for the ambulance to arrive and it was a seven-minute journey to hospital. I know that had there been a defibrillator on site, he would be here today.
“My question to the Government is why is there a postcode lottery with children’s lives with there being defibrillators at some schools and not others?”
Despite several campaigns to increase numbers of defibrillators in public places - and the English government's acknowledgement of their life-saving role - public access to them is low, as is understanding of their use, says a new UK study. The findings imply it would be a different story if defibrillators were as accessible and as well understood as fire extinguishers.
Estimates from the British Heart Foundation (BHF) suggest around 60,000 out of hospital cardiac arrests occur in the UK every year.
A defibrillator - also called an automated external defibrillator or AED - is a device that delivers an electric shock to the heart of someone who is having a cardiac arrest. Prompt use of an AED can shock the heart back into rhythm.
Acting quickly when someone is in cardiac arrest before the ambulance arrives can save their life. Every minute without CPR and defibrillation reduces their chance of survival by 10%.
The aim of the new UK study was to find out how available AEDs were, given the effort that has been put in over the last 10 years to promote and deploy them in public places, such as shopping centers and train stations.
The study was conducted by researchers from the University of Southamptom, working with the South Central Ambulance Service, and it is published in the journal Heart.
Seattleites can join in a life-saving scavenger hunt. Players will compete to identify and report the locations of Seattle’s automatic external defibrillators, or AEDs, for a cash reward. Prizes range from $50 to $10,000.
AEDs are electronic briefcase-size devices designed to allow bystanders on scene at a medical emergency to help someone who has collapsed with loss of mechanical activity of the heart, or cardiac arrest.
“Our list of AED locations may be incomplete. We are seeking the public’s help to learn where more of these devices are,” said Dr. Graham Nichol, University of Washington professor of medicine in the Center for Pre-Hospital Emergency Care at UW Medicine’s Harborview Medical Center.
AEDs are cost-effective lifesavers that are often placed where cardiac arrests are most likely, such as airports, sports clubs and shopping malls, according to Nichol, who explained why it is important for a bystander to be able to locate an AED immediately.
“Cardiac arrests are a leading cause of death in the United States but can be treated if recognized and responded to quickly with an AED.”
Often cardiac arrest is due to ventricular fibrillation, in which the lower chambers of the heart quiver instead of contracting in a steady beat. AEDs simplify analysis of the heart rhythm. This enables lay people to recognize and treat ventricular fibrillation before emergency medical services providers arrive. Each device has voice and visual prompts that guide bystanders through the necessary steps.
More than 1.2 million AEDs are now in public places in the United States, and about 180,000 more are installed each year. Sometimes bystanders cannot find the nearest AED during a medical emergency. That’s where the My HeartMap Seattle challenge comes in. Game players will assist UW clinicians by reporting the location of AEDs in community settings throughout Seattle.
Here are the basic rules of the game.The contest starts Tuesday, Oct.15, and ends Friday, Nov. 15. Complete your free registration to participate in the contest. When you locate an AED in Seattle, report a brief description of it on the contest website, including the building address for the AED, its location within the building, and whether the device appears to be ready for use. A $10,000 grand prize will be awarded to the individual or team that identifies the most unique AEDs. “Unique” means no other player or team has already found the AED. The grand prize will be “unlocked” when at least one individual or team identifies 500 AEDs or all contest participants collectively identify 750 AEDs. Twenty $50 prizes are also available. Twenty AEDs in the city of Seattle have been pre-selected by the research team as “Golden AEDs.” These are unmarked, and those who are first to report a “Golden AED” will win $50. You can follow MyHeartMap Seattle on twitter (@cprnation, #MyHeartMapSeattle) or at the CPR Nation website.
The AED scavenger hunt aims to build public awareness about AEDs, which are commonly contained in a clear glass wall box, sometimes near a fire extinguisher. The spot is generally marked with a symbol of an electrical charge passing through a heart shape.
The contest is modeled after a similar Philadelphia County project at the University of Pennsylvania, which in turn adapted an approach from the Defense Advanced Research Projects Agency for its Red Balloon Challenge. Dr. Raina Merchant, University of Pennsylvania assistant professor of emergency medicine, directed the My HeartMap Philadelphia Challenge. She is the director of the Penn Medicine Social Media Lab and an expert in the use of digital strategies to educate the public on at-the-scene emergency aid. Merchant is collaborating with UW scientists on the My HeartMap Seattle Challenge.
“This is an exciting collaboration that could have a real impact on access to emergency care in Seattle and other regions throughout the country,” noted Merchant.
During the MyHeartMap Philadelphia challenge, participants submitted data about AED locations via a website and a phone app. Some 313 individuals and teams reported more than 1,400 AEDs. Prizes were given for reporting the most AEDs found or for being the first to report the location of specific previously selected devices.
“Most people realize that AEDs are simple enough to use,” Nichol said. “Just follow the voice and visual prompts. They are designed to provide a shock only when needed.”
An AED is usually activated by opening its lid. The commands then begin with visual, recorded and text instructions for baring the patient’s chest and sticking on the pads. Then the machine asks everyone to step back while it analyzes the heart rhythm. It repeats the request to stand clear if it decides to administer a shock. If the rhythm suddenly normalizes before a shock is delivered, the machine will report a rhythm change and announce that no shock will occur.
Most machines also instruct in CPR and coach the timing of compressions and breaths.
“My HeartMap Seattle will help us improve care for patient with out of hospital cardiac arrest,” Nichol said. “The methods and results of this AED scavenger hunt in Seattle will be applied to scavenger hunts in other large cities throughout the United States. In the future, we will have a comprehensive record of AED locations throughout the country.”
My HeartMap Seattle is funded by the U.S. Food and Drug Administration, Zoll Medical Inc., Philips Healthcare Inc., Physio-Control Inc., HeartSine Technologies Inc. and Cardiac Science Inc.
The collaborating sponsors include the American Heart Association, Medic One Foundation, Nick of Time Foundation, University of Pennsylvania and University of Washington.
Sudden cardiac arrest — when, without warning, the heart instantly stops beating — kills 350,000 Americans of various ages and occupations a year, according to the American Heart Association.
Yet now, with high school sports teams beginning their fall seasons, now is when we are most aware of these fatalities because of a tragic drama: A young football player in peak condition, who has never flunked a physical or shown the faintest symptom of cardiac problems, suddenly collapses.
Death is usually all but instantaneous — but it is not necessarily inevitable, not if a device called an Automated External Defibrillator, or AED, and someone willing to use it are close at hand.
Sudden cardiac arrest is not the same as a heart attack, which usually is caused by blocked arteries and often gives some advance warning. Sudden cardiac arrest occurs when the electrical impulses that control the heart suddenly misfire.
The mild electric shock from an AED “resets” the heart and allows it to resume normal function. Bystanders revive several thousand people this way each year. More widespread use of the devices could save at least 20,000 more, according to the American Red Cross.
Since their introduction in the 1950s, AEDs have become smaller, simpler and basically foolproof; in one study, sixth-graders mastered them quickly and easily. There are about 2.5 million AEDs in the country, far short of the 30 million experts say are needed just to cover metropolitan areas and far short of the Red Cross goal of having every person in America within four minutes of an AED.
There are no good reasons why AEDs are not now widely and readily available. They should be and the solution may require a certain amount of public outcry and political attention.
Uniform national standards need to replace the often complex and inconsistent state and local rules on where and how AEDs are placed — ordering that they be placed prominently, like fire extinguishers, and regularly maintained.
The AEDs should clearly display the good Samaritan legal exception — all states have them — that protects from liability for injury or wrongful death people who voluntarily and in good faith try to save a life.
Says one manufacturer of AEDs, “It’s kind of blunt, but the bottom line is that when you’re in cardiac arrest, you’re dead before you hit the ground. There’s no way you can cause that victim any more harm using that device. You’re trying to bring them back.”
Unlike TV hospital dramas, AEDs do not have paddles that administer massive jolts. Two adhesive leads attach to the chest and the shock, if the machine’s diagnostics say one is needed, scarcely causes the patient’s chest muscles to twitch — and the newer devices will talk the user through the process.
An American public that had no problem mastering smartphones should have even less difficulty with AEDs once they are highly visible and readily accessible.Click here to edit the title
A DEFIBRILLATOR has been installed in a rural red call box after locals bought the kiosk from BT for a pound.
AN old phone box has been transformed into a potential lifesaver after being purchased by villagers for £1.
A defibrillator, which gives the heart an electric shock in some cases of cardiac arrest, has been installed in the red call box.
And as the nearest accident and emergency department is 20 minutes' drive away, the machine could mean the difference between life and death.
The call box in Arnprior, Stirlingshire, was bought by the community from British Telecom under the company’s Adopt a Kiosk scheme.
Funding for the defibrillator came from various organisations, including Stirling Council and the Sandpiper Trust, who aim to provide Scotland’s rural doctors and nurses with emergency medical equipment.
A BT spokesman said: “We’re very pleased to hear that the villagers of Arnprior have found a new lease of life for one of our old, rarely used boxes.
“Over the years, many people have described their local phone box as a lifeline. Now that everyone has a phone at home or a mobile, that’s no longer true.
“But kiosks fitted with defibrillator machines could be real life savers for the community in the future.”
The Scottish Ambulance Service and the Community Heartbeat Trust, a charity dedicated to the provision of defibrillation services to local communities, gave their help to the project.
Backing also came from the community council and Stirling Council’s Community Pride fund. Villagers were given advice and training on how to use the defribillator.
And children from the local primary school will be on hand to help open the lifesaving installation on Monday.
A spokesman for the Sandpiper Trust said they were delighted to have been involved in the Arnprior project.
He said: “It has become increasingly clear over the past decade since the trust was set up that working together with all these organisations is what saves lives.
“We are also pleased that the children of Arnprior School have been involved in this project.”
More than 100 traditional red kiosks in Scotland have been adopted by their local communities for £1.
Arnprior is the second community in Scotland to have a defibrillator fitted in their call box.
Glendaruel Village, Argyll, was the first in 2011.
A defibrillator is a life saving device that issues a electrical shock to the heart in some cases of cardiac arrest. This process is called defibrillation and can help save lives. Cardiac arrest happens when the heart stops pumping bloody around the body. At this time it is critical that defibrillation happens as soon as possible.
This electrical shock depolarizes a critical mass of the heart muscle, terminates the arrhythmia, and allows the natural rhythm of the heart to be re-established by the body’s organic pacemaker, in the sinoatrial node of the heart.
According to the British heart foundation for every minute that a patient is not giving defibrillation their chances of survival decrease by 14 per cent. In fact research also show that’s providing a shock within five minutes of the patient collapsing provide the best chance of survival.
Defibrillators can come in many forms and sizes. These can be external, transvenous, or implanted. This will all depend on the device used. The most common devices are called automated external defibrillators (AEDs) and because they automate the defibrillation process, by automation of the treatable rhythms, meaning that bystanders or people with very little or no training at all can use them.
Because of the importance of the defibrillators and the low numbers available, it is vital that these devices are strategically placed within an area. These are often placed where an ambulance would find it difficult to get to - i.e., placed with traffic congestion, poor infrastructure, or where large crowds gather.
Defibrillation was first successfully performed in 1899 by two physiologists in Switzerland. It was found that small electrical shocks could induce ventricular fibrillation in dogs. However, it wasn’t until 1933 that a serious alternative to injecting powerful drugs straight to the heart. Dr Albert Hyman came up with the invention of a hollow needle, an insulated wire to the heart to deliver the electrical shocks.
These days Defibrillators have come a long way from the Hyman days. In order to use the AED, the machine is turned on and then a voice prompt will instruct the rescuer on what to do. The voice prompts the rescuer to place the pads into position on the chest and these then detect if a shock is needed by reading activity in the heart.
Defibrillation should never be seen as an alternative to to CPR, which can help by time before defibrillation is needed. The British Heart Foundation state that if more GP surgeries were equipped with defibrillators that survival could be increased by up to 60 per cent if the patient is treated immediately after entering cardiac arrest.
AED’s are often placed in highly visible areas and it is not recommended that these should be placed in locked or code restricted cabinets as this makes them inaccessible in time of emergency where the time taken is of essence. AED’s are often brightly coloured, and are often encased in protective cases. When these protective cases are opened nearby staff are alerted by a buzzer.