7Training necessary to utilize all available equipment Training neededBLSPALSACLSIV/IO accessAirway managementTraining necessary to utilize all available equipment
8Training neededRECEPTION DESK EMERGENCY CARD (example) The following signs and symptoms may signal an emergency: ● Extremely labored breathing ● Blue or pale color (cyanosis) ● Noisy breathing (wheezing or stridor) ● Altered mental status ● Seizure ● Agitation (in the parent) ● Vomiting after a head injury ● Uncontrolled bleeding If you feel a patient has symptoms that may signal an emergency, alert the following office staff: .
18This is not considered the standard of care AED in your office?This is not considered the standard of careRecommendations in the literature for high risk officesOthers stated highly essential for any office that cares for childrenPublic access programs place where will be used once in 5 years
19Buying an AED Cost Ease of use Maintenance and upkeep AEDs vary widely in price, but typically start at about $800 to $1,500; both the initial cost of the unit and ongoing replacement costs (for batteries, carrying case, chest pads, and training materials) should be consideredEase of useAll newer AEDs have voice and visual prompts; some units function with a single buttonMaintenance and upkeepMost units come with batteries that will last up to three to five years; chest pads often need to be replaced every two years
20Buying an AED Safety Self-testing Training availability All AEDs are extremely safe and are designed not to deliver a shock when it is not indicatedSelf-testingAll AEDs do some form of self-testing; if the unit will rarely be used, a product that does more frequent and extensive self-testing is desirableTraining availabilitySome AEDs can be converted into a training tool with an adapter, whereas others require the purchase of an AED trainer unitUse in childrenSome AEDs are certified for use in children as young as 12 months and have child-size chest pads or an attachment that decreases the voltage delivered.
21Identify your unique needs What are the most common emergencies in your practice?How often have office emergencies occurred in your practice?What is your office setting (freestanding office, clinic based, health center based, hospital based, other)?Are there resources outside your office on which you could call during an office emergency (eg, security, other medical or dental professionals in the same building, hospital code team)?
22Identify your unique needs How far is your office from a site of definitive care, such as the nearest ED, or the nearest pediatric center?How long does it take EMS to respond?What is your patient population?PediatricGeriatricDiabeticSpecial needs
23Develop a protocol to recognize and respond to office emergencies Have a planDevelop a protocol to recognize and respond to office emergenciesAssign responsibilities to each staff memberPractice by having mock drills regularly
25Routinely restock supplies Track office emergency occurrences Stay CurrentRoutinely restock suppliesTrack office emergency occurrencesWhat could have been done better?What would you have liked to have?Keep all office staff training currentAdapt to changing technologies
26Am Fam Physician. 2007 Jun 1;75(11):1679-1684 ReferencesAm Fam Physician Jun 1;75(11):Canadian Family Physician October 2009 vol. 55 no e4Pediatrics Vol. 120 No. 1 July 1, 2007 pp (doi: /peds )accessed June 1, 2012