What is Sudden Cardiac Arrest? Normal heart activity: Note the regular pattern with each beat of the heart. Sudden Cardiac Arrest: The heart enters a chaotic, typically ventricular fibrillation (VF) rhythm, as shown below. Problem: The heart cannot pump blood effectively and the victim will collapse. How critical is response time to survival? Every minute that passes without defibrillation reduces survival rate by 7-10%. Symptoms:  Victim is unconscious  Not breathing spontaneously  No pulse How serious is it?  Approximately 450,000 are impacted each year in the US alone.  Can happen to anyone, anywhere, anytime.  Only 5-10% currently survive nationwide.  Survival rates above 50% have been achieved when effective CPR is applied and automatic external defibrillators (AED’s) are readily available) Are Good Samaritans protected?  There have been no known lawsuits against lay rescuers providing CPR as Good Samaritans, nor any against AED user.  The Cardiac Arrest Survival Act (CASA) was part of the Public Health Improvement Act signed into law in November 2000.  The law advocates the placement of automated external defibrillators (AEDs) in federal buildings.  Provides nationwide Good Samarian protection that In New York City, where the average exempts anyone from liability who render emergency emergency response time was 12 minutes, survival treatment with a defibrillator to save someone’s life. rates from SCA were as low as 2%.  The limited immunity provided in CASA extends to private, public and federal settings. Page 1 of 4 KB Associates Pte Ltd No 26 Changi North Crescent, 3rd Floor, Diethelm Keller Building, Singapore 499637 Tel: +65 6546 0939 ● Fax: +65 6546 3986 Email: kbadmin@kbassociates.org ● Website: www.kbassociates.org ADM/068/02-11 RC:200205925W It can happen to anyone, anytime, anywhere Studies document the value of AEDs in public places  Success of AED programs  Mclnnis et al reported a 75% SCA survival rate as a result of an AED program, vs 2-5% survival without an AED program. K.J. Mclnnis, ScD, et al. Am. Journal of Cardiology. August 1997, pgs 380-383.  Valenzuela, et al reported survival rate of 74% as a result of AED program in casinos. “Outcomes of rapid defibrillation by security officers after cardiac arrest in casinos,” NEJM, 2000.  Survival rate of 90% has been reported among vic tims of SCA. J.Hossack et al. “Cardiac arrest associated with supervised cardiac rehabilitation.” J Cardiac Rehab. 2: 402-408, 1982. In the USA, places like the gyms, fitness clubs, airlines, municipalities and others have been successfully sued for not having automated external defibrillator on their premises. Who requires AEDs?  Government sectors  Places of public assembly i.e. corporations, hotels, restaurants, places of worships, police, medical, dental.  Education institution  Sports/Health clubs What is recommended for an effective AED program?  Place a device every 1.5 minutes walking distance.  Mark AED location with clear signage.  If possible, identify first response team and insure they are trained in BLS and AED use.  Register device with local EMS. Remember time is precious.. After 10 minutes pass without the heart receiving an electrical shock, the chances of survival are less than 1% Page 2 of 4  Success of Community AED programs in saving SCA victims T Aufderheide, et al identified the following successes from community AED programs:  Washington state, increase from 7% to 26%.  lowa, increase from 3% to 19%.  Other community AED programs report survival rate of 49%. T Aufderheide, etal. Circulation Jan 16, 2006 (on-line version) Samaritan PAD What is the financial cost of not having AEDs? KB Associates Pte Ltd No 26 Changi North Crescent, 3rd Floor, Diethelm Keller Building, Singapore 499637 Tel: +65 6546 0939 ● Fax: +65 6546 3986 Email: kbadmin@kbassociates.org ● Website: www.kbassociates.org CRS/068/02-11 RC:200205925W HeartSine Samaritan® PAD Public Access Defibrillator Page 3 of 4 KB Associates Pte Ltd No 26 Changi North Crescent, 3rd Floor, Diethelm Keller Building, Singapore 499637 Tel: +65 6546 0939 ● Fax: +65 6546 3986 Email: kbadmin@kbassociates.org ● Website: www.kbassociates.org CRS/068/02-11 RC:200205925W A Solution for everyone! PDU400 PDU 400 – At home, At Work, At Play… More than 80% of Sudden Cardiac Arrests happen at home, at work or during leisure time. If an electric shock from an AED is delivered within five minutes it can increase a victim’s chance of surviving until the emergency services arrive and takeover. The HeartSine PDU 400 offers the optimal balance between price and performance. The unit has all the necessary functions along with a lower purchase cost for a single use device – making the life saving PDU 400 accessible for every household, boat, caravan or car. PAD300P HeartSine samaritan® PAD 300P – The commercial solution… For offices, factories, medical practices, hotels, transport companies, organisations, anywhere every where the chance of use is higher than at home. The replaceable Pad-Pak containing the electrodes and batteries guarantees lower follow up costs in comparison to other devices. An optional PediatricPak is available so that the unit can be used on children under 8 years or under 25kgs. PAD500P HeartSine samaritan PAD 500P with CPR Advisor – Lifesaving CPR Support… Anyone from 8-80 can deliver a shock from an AED! However many rescuers whether they are lacking in practice or professionals have difficulties performing high quality CPR. The samaritan PAD 500P with CPR advisor monitors the rescuers CPR and in real-time can let them know if they should be pushing faster, slower or harder. The unit will also let them know if their compression are good. As with all HeartSine devices there’s a metronome to help the rescuer keep time. …………….…………….…………….…………….…………….…………….…………….…………….…………….…………….…………….……………………... * Self Compensating Output Pulse Envelope technology automatically compensates energy, slope and pulse envelope for the patient. ** Efficacy of Distinct Energy Delivery Protocols Comparing Two Biphasic Defibrillators for Cardiac Arrest, Walsh, McClelland, Owens, Anderson, Turner, Adgey; The American Journal of Cardiology, Vol. 94, Aug.1, 2004 For more information, please contact us at: KB Associates Pte Ltd No. 26, Changi North Crescent, 3rd Floor, Diethelm Keller Building, Singapore 499637 Tel Email : +65 6546 0939 : kbadmin@kbassociates.org Page 4 of 4 Fax Website : +65 6546 3986 : www.kbassociates.org CRS/068/02-11 RC:200205925W