1. The following presentation is for use by instructors and Emergency Care Management Consultants in promoting the establishment of AED programs to Lifeguard, Aquatics Safety and Recreation, Business and Community Groups. Presented as a public service by Lifesaving Resources Inc. www.lifesaving.com

2. Automated External Defibrillators “A sudden death need not be permanent.” “A sudden death need not be permanent.”

3. Developed by AED Instructor Foundation Helping those who help save lives

4. The Reality of Life… …Someday everyone will die!

5. PrematureDeathPrematureDeath Peter Safar, MD

6. CommunityEMSServices EmergencyDepartments Specialty Medical Centers (Cardiac, Trauma, Burn) Serious Illness & Injury

7. But despite EMS advances… Sudden Deaths continue to increase. 350,000 300,000 250,000 200,000 150,000 100,000 50,000 Annual Deaths (U.S.) Sudden Cardiac Arrest Lung Breast Traffic AIDS/ Cancer Cancer Accidents HIV CAUSES OF DEATH Stroke Disease or Incident Murder

8. generating generating producing producing resulting in resulting in O2O2O2O2 O2O2O2O2

9. There is a difference between Heart Attack and Sudden Death?

10. BlockedCoronaryArtery DamagedHeartMuscle The “S-A” Node The heart’s own “pacemaker” HeartbeatContinues to Beat

11. Signs & Symptoms ( Patient may have one or more…) Signs & Symptoms ( Patient may have one or more…) Chest Pain/Discomfort Chest Pain/Discomfort Radiation to Arm, Neck or Jaw Radiation to Arm, Neck or Jaw Profuse Sweating Profuse Sweating Difficulty Breathing Difficulty Breathing Fearful, Confused or Irritable Fearful, Confused or Irritable Denial of Symptoms Denial of Symptoms Chest Pain/Discomfort Chest Pain/Discomfort Radiation to Arm, Neck or Jaw Radiation to Arm, Neck or Jaw Profuse Sweating Profuse Sweating Difficulty Breathing Difficulty Breathing Fearful, Confused or Irritable Fearful, Confused or Irritable Denial of Symptoms Denial of Symptoms Continues to Have Heartbeat & Breathing Continues to Have Heartbeat & Breathing Heart Attack

12. “V-Fib”ChaoticQuiveringbut NO Heartbeat “V-Fib”ChaoticQuiveringbut V-fib

13. Patient Symptoms when in Ventricular Fibrillation UnconsciousUnconscious No Effective Heart ActionNo Effective Heart Action No BreathingNo Breathing Looks Terribly Sick & DiscoloredLooks Terribly Sick & Discolored Resulting in… UnconsciousUnconscious No Effective Heart ActionNo Effective Heart Action No BreathingNo Breathing Looks Terribly Sick & DiscoloredLooks Terribly Sick & Discolored Resulting in… Life or Death is now a matter of TIME No Oxygen to the Brain or Body Organs

14. Some Oxygen OxygenSome 0 Minutes

15. No Oxygen OxygenNo 10-12 Minutes

16.  PHYSICAL  CHEMICAL  ELECTRICAL  PHYSICAL  CHEMICAL  ELECTRICAL

17. Most Dangerous Complication

18. 80-90% 80-90% of sudden deaths are caused by V-fib 80-90% 80-90% of sudden deaths are caused by V-fib R I P R I P

19. The Only Correction for V-fib V-fib De-fib

21. Police, Fire & EMS Services

22. Chain of Survival Early Early Early Early Access CPR Defibrillation Advanced Care EarlyDefibrillation © American Heart Association

23. Survival is reduced by 10% for each minute that defibrillation is delayed Survival Rate (percent) Time to Defibrillation (minutes) 0 20 40 60 80 100 51015202530

24. The Solution The Solution to Sudden Death The Solution The Solution to Sudden Death ShockingAEDAED

25. Safe Safe Simple Use Simple Use High Success Rate High Success Rate Safe Safe Simple Use Simple Use High Success Rate High Success Rate

26. AED s ONLY Advise Shocks If there is a shockable rhythm AED s ONLY Advise Shocks If there is a shockable rhythm

27. AEDsAEDs  Readiness  Visual  Audible

28. WellIllustrated

29. CPR (only) ……………………… 0 - 2% CPR (only) ……………………… 0 - 2% EMS/ER …………………… 5 - 15% EMS/ER …………………… 5 - 15% CPR + AED …….. 30 - 70% CPR + AED …….. 30 - 70% CPR (only) ……………………… 0 - 2% CPR (only) ……………………… 0 - 2% EMS/ER …………………… 5 - 15% EMS/ER …………………… 5 - 15% CPR + AED …….. 30 - 70% CPR + AED …….. 30 - 70%

30. Part of an On-site Emergency Medical Response Plan Part of an On-site Emergency Medical Response Plan Public Access Defibrillation

31. MedicalControlMedicalControl On-site Drills & Review On-site Drills & Review AED Acquisition & Maintenance & Maintenance AED Acquisition & Maintenance & Maintenance Procedures & Protocols Procedures & Protocols EMSServicesEMSServices MedicalFacilitiesMedicalFacilities Site Survey & Needs Analysis Site Survey & Needs Analysis Incident Review TrainingTraining

32. A variety of units A variety of units areavailable

33. 32 How Many ? Location ? How Many ? Location ?

34. On-siteEmergencyResponse EmergencyMedicalSystemEmergencyMedicalSystem CommunityEMSServices EmergencyDepartments Specialty Medical Centers (Cardiac, Trauma, Burn)

35. Who is or can be trained to use an AED? Who is or can be trained to use an AED? Flight AttendantsFlight Attendants Security GuardsSecurity Guards FirefightersFirefighters UshersUshers Corporate Emergency Response TeamsCorporate Emergency Response Teams Cruise Ship PersonnelCruise Ship Personnel Flight AttendantsFlight Attendants Security GuardsSecurity Guards FirefightersFirefighters UshersUshers Corporate Emergency Response TeamsCorporate Emergency Response Teams Cruise Ship PersonnelCruise Ship Personnel LifeguardsLifeguards Mall WorkersMall Workers PolicePolice Golf ProsGolf Pros Health Club EmployeesHealth Club Employees StudentsStudents Office StaffsOffice Staffs PhysiciansPhysicians LifeguardsLifeguards Mall WorkersMall Workers PolicePolice Golf ProsGolf Pros Health Club EmployeesHealth Club Employees StudentsStudents Office StaffsOffice Staffs PhysiciansPhysicians

36. Physician’s Prescription/Order Physician’s Prescription/Order Medical Director AEDs & the Law AEDs & the Law “Good Samaritan Law” Protection “Good Samaritan Law” Protection Medical Control Medical Control Current Case Law ? Current Case Law ? “Good Samaritan Law” Protection “Good Samaritan Law” Protection Medical Control Medical Control Current Case Law ? Current Case Law ?

38. AED Program

39. Prevent Premature Death Prevent Premature Death But it also Extends Life and Productivity Extends Life and Productivity Enhances Employee & Client Morale Enhances Employee & Client Morale Enhances Employee & Client Loyalty Enhances Employee & Client Loyalty Promotes Personal Safety & Health Promotes Personal Safety & Health Limits Liability Exposure Limits Liability Exposure …and if death occurs Comfort, Support & Closure for Family Comfort, Support & Closure for Family Prevent Premature Death Prevent Premature Death But it also Extends Life and Productivity Extends Life and Productivity Enhances Employee & Client Morale Enhances Employee & Client Morale Enhances Employee & Client Loyalty Enhances Employee & Client Loyalty Promotes Personal Safety & Health Promotes Personal Safety & Health Limits Liability Exposure Limits Liability Exposure …and if death occurs Comfort, Support & Closure for Family Comfort, Support & Closure for Family

40.  CPR and an AED Prior State of Health Prior State of Health Severity of the Event Severity of the Event Specialty Medical Care Specialty Medical Care (Quality & Availability) (Quality & Availability) Prior State of Health Prior State of Health Severity of the Event Severity of the Event Specialty Medical Care Specialty Medical Care (Quality & Availability) (Quality & Availability) Immediate Life Support Immediate Life Support

41. RapidDefibrillationRapidDefibrillation Continued Life Support ABCS CARE Continued Life Support ABCS CARE TimelyDefinitiveCareTimelyDefinitiveCare Initial Life Support ABCS CARE Initial Life Support ABCS CARE EffectiveCPREffectiveCPR EarlyRecognitionEarlyRecognition Make the Right Call Make the Right Call SystemofSurvivalSystemofSurvival An On-site…

42. For use by… For use by…

43. PrematureDeathPrematureDeath What are you going to do about it?

44. When Hearts & Brains Are Too Good to Die Sudden Death Can Be Interrupted & Life Can Be Extended

45. For Your Commitment To Safety, Health & Life Lifesaving Resources Inc. www.lifesaving.com For Your Commitment To Safety, Health & Life Lifesaving Resources Inc. www.lifesaving.com