Webinar Series Starting In March

SUDDEN CARDIAC ARREST is the #1 killer in the US annually and an Automated External Defibrillator (AED) is the difference between life and death for these victims.  Every minute that goes by without using an AED results in a 10% less chance of survival!

You simply can’t wait for EMS or First Responder community teams to arrive!  National average EMS response is 8-10 minutes in urban areas.

OSHA highly recommends these devices in the workplace and there are many industry-specific, federal, state and local mandates for AEDs due to the death toll of Sudden Cardiac Arrest (SCA).  But, even if you are not mandated — you should consider purchasing one of these devices.  They take survival rates from SCA from 3-7% to over 65%! PLUS, if you can use a cell phone – YOU CAN USE AN AED!

So, are there any drawbacks to owning an AED?  Yes, if you do not maintain them or implement them according to your applicable AED acquirer laws in your city/county/state.  Think Safe knows these laws and is known for providing the legal protection and solutions our clients and dealers need.

Think Safe, in an effort to help our customers and dealers understand the legalities of defibrillator ownership, is sponsoring a webinar series on AED Programs: Avoiding Liability.

The webinar runs 3 times per day in March with speakers Paula Wickham or Greg Stebral, industry experts, providing key tips and resource materials for existing AED programs or those interested in selling AEDs or purchasing AEDs for their facility or workplace.

There is no fee.  There is no software to download. You just need an internet connection (no phone). All you have to do is go to:

http://www.thinksafewebinars.com/State-and-Local-AED-Acquirer-Laws.html

Once you fill out the form (we DO NOT SELL your information) you will be provided a screen that shows open webinars and you can click on and select any times / dates with open seats.

There are many dates/times to pick from this month- we know how hard it is to push a webinar into your busy schedule but…. you’ll find value from this webinar and we look forward to seeing you online.

Business AED Package

If you have any questions or want to schedule a specific time for this webinar please contact Paula Wickham at pwickham@think-safe.com or call our offices and ask for Paula or Greg, 319-377-5125.   Making Minutes Matter!

Automated External Defibrillators (AED)s: Pediatric & Infant Use

People who are familiar with AEDs and defibrillators know that both adult and pediatric pads had to be considered pre-2010 AHA science updates[separate pads are required to allow the AED to administer different shock dosage to the heart, lower for pediatric events of course].  Having both pads available creates extra costs as both have an expiry date and need replacement after 2 years usually. We often get asked, ” Do we really need pediatric pads?”

With the 2010 Emergency Cardiovascular Care (ECC) and American Heart Association (AHA) Guidelines Updates there comes new published science on the use of AEDs on infants and children. 

Former science [pre-2010 and post-2005] suggested not to use AEDs on infants and to use pediatric pads on children under 8 years of age or under 55 pounds.  Evidence of this from prior blogs or internet posts includes: http://www.wikihow.com/Use-a-Defibrillator, which contains old outdated information summarized below.

OLD INFORMATION: Do not put adult pads on a pediatric patient and vice versa! Pediatric pads are used on children who are ages 12 and under. [this is pre-2005 information]

NEW GUIDELINES INFORMATION: http://www.heart.org/idc/groups/heart-public/@wcm/@ecc/documents/downloadable/ucm_317350.pdf   clearly updates the guidelines to show that it is acceptable to use AEDs and even adult pads on pediatric patients, including infants.  The KEY is anterior and posterior placement.  For more details, see the information below pulled directly from the recent guidelines update.

AED Use in Children Now Includes Infants

2010 (New): For attempted defibrillation of children 1 to 8

years of age with an AED, the rescuer should use a pediatric

dose-attenuator system if one is available. If the rescuer

provides CPR to a child in cardiac arrest and does not have an

AED with a pediatric dose-attenuator system, the rescuer should

use a standard AED. For infants (<1 year of age), a manual

defibrillator is preferred. If a manual defibrillator is not available,

an AED with pediatric dose attenuation is desirable. If neither is

available, an AED without a dose attenuator may be used.

2005 (Old): For children 1 to 8 years of age, the rescuer

should use a pediatric dose-attenuator system if one is

available. If the rescuer provides CPR to a child in cardiac

arrest and does not have an AED with a pediatric attenuator

system, the rescuer should use a standard AED. There are

insufficient data to make a recommendation for or against the

use of AEDs for infants <1 year of age.

Why: The lowest energy dose for effective defibrillation in

infants and children is not known. The upper limit for safe

defibrillation is also not known, but doses >4 J/kg (as high

as 9 J/kg) have effectively defibrillated children and animal

models of pediatric arrest with no significant adverse effects.

Automated external defibrillators with relatively high-energy

doses have been used successfully in infants in cardiac arrest

with no clear adverse effects.

If you are a school or camp or childcare provider, what does this mean?  Until new science [in 2013 or after] is released you should consider looking at your current AED program.  Do you have pediatric pads currently?  Those will expire in 2 years or less – should you replace them?  In these economic times, there are many non-profits and schools who will not have adequate budgetary capacity and it may be a topic of consideration.  Due to the new science, strong consideration can be given to this — IF you can accommodate for proper AED use communication to responders or the public who would use the device with ADULT PADS on a child under 8 years or 55 pounds.

How do you accommodate?  A simple solution: a  sticker/decal set that can be attached to your AED case and responder supplies to remind responders on WHAT TO DO for pediatric events.  The set includes directions on where to find illustrations with 2010 instructions and how to apply the ADULT pads (complete with pictures) anterior [front] and posterior [back] for pediatric events and why.  Call 888-473-1777 for more technical information on this solution.

The reason for anterior and posterior placement, simply put, is to allow the pads to shock the heart WITHOUT the pads touching – the surface area of a pediatric victim’s chest is not large enough usually to allow normal ADULT pad placement.

Simple directions and illustrations and quick references on the AED, AED instruction manual or guides, AED policy and AED protocols and CPR/AED poster you keep at your facility all will help with communication of this simple change for pediatric vs. adult use.

The ONLY exception are customers who have Philips FRx (the ONLY model to allow switching of shock level with an Infant/Child Key inserted into the AED while using the SAME SET OF PADS).  Philips FRx models offer a wonderful solution for facilities that want to be able to accommodate pediatric or adult situations without a large CONSUMABLE cost from 2 yr disposable pads for each event.  The FRx is a more expensive model with a higher purchase price – however, IF you know you are going to be primarily using the device on pediatric patients, this model would be a leading device to consider.

We are here to help.  First Voice can provide a sticker/decal/ template set to easily show on your AED and responder supplies WHAT TO DO for pediatric events.  The set includes directions on where to find illustrations with 2010 instructions and how to apply the ADULT pads (complete with pictures) anterior [front] and posterior [back] for pediatric events and why.  Call 888-473-1777 or contact your dealer for First Voice products for more information – Part number PED-DECAL01.  Pricing is only $10.00 including shipping.  Please provide your AED brand so we can make sure to ship the right decal set.

First Voice EID upgrades NOW AVAILABLE!

Talking First Aid Book / First Aid Calculator

ECC / AHA & National First Aid Science Upgrades were released in late 2010.  For more information on this see our blog post from October:

http://thinksafe.wordpress.com/2010/10/19/the-2010-guidelines-for-cpr%E2%80%A6/

Think Safe’s First Voice EID is ready for CPR/First Aid upgrades to be sent to you, our dealers and customers!

Part No. DC01: The $29 upgrade is sent in a datacard and can be easily inserted/changed by following the user instructions sent with the upgrade.  

Dealers please contact us for further information on how to provide your customers easy upgrades (email:mmaly@think-safe.com).

The First Voice EID is the only Emergency Instruction Device / Talking First Aid Book / First Aid Calculator on the market for business use, containing all first aid & CPR AHA manual current protocols.  The device is easy to upgrade through an accessible dataport on the back of the device as first aid & CPR protocols do change every 3-5 years through scientific studies and advances in first aid / CPR science.

2010 updates implemented in 2011 on the EID protocols include:  CPR updates to include compression depth & C-A-B changes for trained rescuers and hands only CPR for untrained rescuers, education & recognition of gasping vs. normal breathing, and advised AED use for infants.  First Aid updates include additional heat stroke advice, jellyfish sting updated care,  clarification on aspirin use for heart attack symptoms, both US and Canadian Poison Control contact information, bleeding wound care updates (elevation, pressure points, tourniquet, compression bandage use), additional information on when to suspect head, neck or spinal injuries, and snakebite first aid care updates.

Please contact us today for your upgrade:

(email:pwickham@think-safe.com or 888/473/1777)

SafetyMate Trade-in: $50 Value!

Or, if you have an outdated SafetyMate model

NOW is the time to upgrade to First Voice:

$50 REBATE on ANY SafetyMate exchanged

& First Voice EID (AVU5001) ordered!

Expires:  3/31/2011

What are the reoccurring budget items for my AED program?

There are 5 potential budget items that affect your AED program.  Note that any non-compliance, where necessary, leads to a break down in your AED program and does open you to potential for legalities.  Once you have an AED program, remember to budget for these items where applicable!

1)       Electrode Pads – The majority of the AED models on the market have a 2 year electrode pad life.  The date of the expiration is clearly marked on the pad package, an example is shown on this posting for the Philips FRx Rugged AED.  Some AED models do have 3.5 yr expiry dates up to 5 yr expiry dates, however. Dates vary due to packaging mechanisms but be sure to follow manufacturer guidelines and expiration dates provided.  The electrode pads will dry out and prevent proper AED functioning/use if they are not replaced as needed.  Pads range in price from $35-$120, depending on make and model owned.

2)       Batteries – The majority of the AED models on the market have a 3-5 year warranty and lifespan.  The date of the expiration is also clearly marked on the battery.  Various models will warranty the devices for xx years AFTER initial install so be sure to clearly mark your records on WHEN you install the battery for these models.  Also, the HeartSine Samaritan and Physio Conrol / Medtronic CR Plus Lifepak or Lifepak Express models have a combo pack you purchase with battery/pads being replaced simultaneously.  Defibtech / Cintas does sell a model that has a suggested annual replacement of an off-shelf 9V battery (this ensures their AED performs proper self-testing).  AED batteries range in price from $75-$400, depending on make and model owned.

3)       Training – AED acquirer state laws many times dictate that you have to ensure expected users are trained in American Heart or Red Cross or equal CPR & AED certified courses (American Safety & Health Institute, Medic First, Health & Safety Institute, Emergency Care & Safety Institute, American Health Association, etc).  These certifications range depending on which training org you use but every 1-2 years the certification expires and needs to be renewed.  Courses can be obtained locally at Red Cross locations or through the American Heart Association network but also there are over 100,000 instructor throughout the US alone and there are local training centers that can provide a competitive price for CPR & AED, First Aid, and Bloodborne Pathogen or Universal Precautions plus other more advanced or supplemental add-on training classes.  Various online solutions are also available.  Think Safe has a listing of US training centers and online solutions; contact us at or info@think-safe.com if you would like to contact a local trainer in your area.

4)       Program Manager Software / Database – AED acquirer state laws many times also dictate that the AED has to be maintained to manufacturer and industry standards.  This standard generally a 30 day check.  Many companies have their own database solution for ensuring equipment is checked regularly and records of these checks are kept on file (big companies).  If you do not, there are online solutions that are inexpensive but key in helping to not only auto-notify your AEDs are checked to standards but also the log and records of all AEDs are filed and backed up regularly for legal protection.  A nice comprehensive  UNLIMITED user solution at $25-$50/location (customer) can be seen here, showing it’s full capabilities:  http://www.firstvoice.us/FirstVoiceAEDManagerVideo/tabid/751/Default.aspx

5)       Medical Oversight – AED acquirer state laws in approximately 20 states requires a licensed physician or “certified healthcare provider” to oversee the AED program.  This is NOT an Rx!  Proper Medical Oversight includes sign-off by the appropriate license owner referred to in that state law on:  AED/CPR training of the organization (who is trained, how often, what they are trained on); AED placement and markings; AED communication; AED policy; AED maintenance & upkeep procedures.  Contact Think Safe at if you are not sure if your state requires medical oversight.  Medical Oversight costs anywhere from $75/AED to $350/AED or some companies chose to hire medical direction and pay a retainer annually.  Think Safe has a national network of medical directors and can provide a quote for efficient medical oversight for your organization, charging you for locations ONLY where mandates require it. In some cases, we can connect you with a local FREE source for medical oversight.  Call for more details.  AED distributors/dealers are encouraged to call as well.

Think Safe [VIEW OUR BIO] is a certified Women-Owned Business (WBENC) providing first aid & defibrillator expertise to clients since 2004. Known for technical assistance to customers on: [State AED acquirer laws] [AED funding sources and grants] [AED program management solutions] including [Medical Oversight] [& Online AED database / record-keeping compliance software].

References available or drop us a line  [888.473.1777]

School Mandates for AEDs slowed by economy

I recently read this article:  http://www.northjersey.com/news/health/111835889_Defibrillator_bill_stalled_over_funds.html

There are several very good points made in this article.

Of note is that these lifesaving devices can be purchased for $1000 or under and AED packages (cabinet, etc) are $1000 to $1500.  And, companies and facilities should want to purchase and maintain the devices under their own lead, not based upon being MANDATED to buy.

I know of several MANDATED customers (schools, fitness clubs, gyms, etc) where they – without hand holding and an easy database solution that is inexpensive – DID NOT hold up their end of the bargain historically due to the absence of an AED program Champion.    Pads expire, Batteries expire, devices go unchecked and management is crossing their fingers [and toes] that the device works when it is needed at their location (if it is even remembered to be used).

The key is that these devices save lives, they should not be mandated, they should be affordable and easy to maintain.  THEY SAVE LIVES and let’s not forget that Sudden Cardiac Arrest is the biggest killer annually in the U.S.

How can you fund an AED?  There are grants – email us for a copy of “THE FOUNDATION OF FUNDING AEDS” – FREE, COMPLIMENTARY and no strings attached!

EMAIL:   grants@think-safe.com (subject – COPY OF FOUNDATION OF FUNDING AEDS)

How can you make sure the AED is constantly in compliance and checked regularly for under $25 – 50/yr at your location?  info@firstvoice.us or check out this link:

http://www.firstvoice.us/Products/FirstVoiceAEDProgramManager/tabid/727/Default.aspx

It seems that the answer to placing the devices are not mandates but rather, proper funding and program solutions for the long term!   We can always be reached at  as well at the contact info below, and we are happy to give you our technical insights into accessible funding sources and cost reductions, where applicable!

Making Minutes Matter

Think Safe Blog /grants@think-safe.com (888.473.1777)

The 2010 guidelines for CPR….

The American Heart Association (AHA) on October 18, 2010 has unveiled its new guidelines on Cardiopulmonary Resuscitation (CPR), which aim to improve rescue time and make the process easier. The “2010 American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care” went online on October 18, 2010 in AHA’s publication, Circulation (http://circ.ahajournals.org/).

No worries, your First Voice manufactured equipment is not obsolete! All First Voice manufactured products and software are fully upgradeable.

Think Safe will work diligently to update our First Voice audio and text prompts, instruction manuals, and any other materials for the 2010 CPR guideline updates.  It will take all major training organizations 6-9 months to release updated training materials to instructors.  All First Voice modifications and updates will be available before December 31, 2010 and we will post updates on our blog and provide email notifications of any upgrade completions and how to notify your customers for their upgrade.

What are the changes in CPR?  Here is a summary of the CPR updates to help you understand differences in protocol and new training requirements.

Starting CPR with chest compressions helps save lives

Emphasizing that every second counts, the new guidelines recommend that instead of first opening an unconscious person’s airway and breathing into his mouth, rescuers—whether onlookers or emergency experts—should initiate chest compressions immediately to revive victims of a sudden cardiac arrest.

The stress on the primacy of chest compressions over oral resuscitation led the AHA to revise the standard CPR procedure from the familiar ABC (Airway-Breathing-Compressions) to CAB (Compressions-Airway-Breathing).

“For more than 40 years, CPR training has emphasized the ABCs of CPR, which instructed people to open a victim’s airway by tilting their head back, pinching the nose and breathing into the victim’s mouth, and only then giving chest compressions,” Michael Sayre, M.D., co-author of the guidelines and chairman of the American Heart Association’s Emergency Cardiovascular Care Committee, said in an AHA press release. “This approach was causing significant delays in starting chest compressions, which are essential for keeping oxygen-rich blood circulating through the body. Changing the sequence from A-B-C to C-A-B for adults and children allows all rescuers to begin chest compressions right away.”

C-A-B takes into account that, in the first few minutes of a cardiac arrest, some amount of oxygen remains in the lungs and bloodstream of the patient. Chest compressions can pump that blood to the victim’s brain and heart sooner. In contrast, the traditional “old” A-B-C method delays the start of chest compressions; the rescuer has to tilt the victim’s head to open up the airway and apply breaths to commence mouth-to-mouth.

Giving initial chest compressions was found to trim off 30 critical seconds in rescue time and potentially helps save the patient’s life.

Hands On

A couple years ago, the American Heart Association recommended that untrained bystanders use hands-only CPR for an adult victim who suddenly collapses. The new guidelines make this the official policy and include health-care professionals as well. The process also applies for children and infants but excludes newborns.

The AHA hopes that with the updated rules, more people will volunteer to help a heart attack victim. Experts have noted the reluctance of passersby to give aid out of panic, uncertainty about their lifesaving skills, and squeamishness of mouth-to-mouth breathing. With hands-only CPR, the steps are streamlined: Call 911 and push hard and fast on the center of the chest until help arrives.

NEW Guidelines Summary

Here are the new 2010 guidelines from the AHA:

1. Before starting, shake the victim’s shoulders and shout to get his reaction. If the victim is unresponsive, call 911, which should now instruct callers by phone to start chest compressions when cardiac arrest is suspected.

2. Removal of “look, listen, and feel for breathing” from the sequence.  Instead, Begin chest compressions. At least 100 per minute from the previous instruction of close to 100. Compressions must also be strong enough to depress the chest by at least 2 inches in adults and 1.5 inches in infants. This will allow blood and oxygen to keep flowing to the brain until medics arrive.

3. Make sure to fully release the chest before beginning the next compression. Avoid leaning on the victim’s chest so it can return to the starting position.

4. For rescuers with no CPR training, continue chest compressions until help comes.

5. For trained health professionals, open the airway after 30 chest compressions and begin mouth-to-mouth breathing. Give two breaths and then resume chest compressions. Continue sets of 30 chest compressions and two breaths until help arrives.

The last resuscitation guidelines were publicized in 2005. For more information on the new rules, check out the heart association’s video “2010 Guidelines for CPR” on YouTube.

There are devices, like the First Voice Emergency Instruction Device (EID) that provide instruction via audio and text for emergencies including CPR – from scene safety to assessment to administration of chest compressions and breaths (if appropriate) to proper PPE for rescuers and cleanup.  The First Voice EID retails at $249US and is available from safety and first aid dealers nationally.  Visit www.firstvoice.us for more information or:

http://www.firstvoice.us/Products/EmergencyInstructionDevice/tabid/285/Default.aspx

Various Think Safe EID brands/models can be purchased in over 6 languages and with US or European protocols (compliant with all major training organizations and easily updateable via datacard replacement ports).  Please contact us for full details on model/part numbers and language configurations at or email us at info@think-safe.com for more information.  Think Safe – Making Minutes Matter and saving more lives with effective CPR and CPR Training!

Sources:Circulation (http://circ.ahajournals.org/)

Why do we need AEDs in camps or at schools?

June 2010

What is the scoop on AEDs and Sudden Cardiac Arrest?

We are talking about the nation’s leading killer; killing more people than strokes, AIDS and breast cancer in the US annually.  Each year, between 300,000 and 400,000 Americans experience sudden cardiac arrest (SCA) outside of a hospital.

About 10,000 to 20,000 are children!  SCA affects people of all ages!

On average in the U.S., just 6.4% of SCA victims survive. Cardiopulmonary resuscitation (CPR) and early defibrillation with an automated external defibrillator (AED) take chances of survival to over 65%. In fact, early defibrillation (within 2-4 minutes ideally) with CPR is the only way to restore the SCA victim’s heart rhythm to normal. For every minute that passes without CPR and defibrillation, the chances of survival decrease by around 10%. However, there are not enough AEDs to provide this life-saving treatment, resulting in lost opportunities to save more lives. Tragically, per a NIH study in 2007, 64% of Americans have never even seen an AED. AED PROGRAMS CAN AND DO IMPROVE SURVIVAL RATES. Communities with comprehensive AED programs that include training of anticipated rescuers in both CPR and AED use have achieved survival rates of 65 percent or higher.

How does this affect camps?  [American Camping Association**]

Illinois in 2009 passed an AED law for “recreational areas” that includes sports fields or recreational areas, affecting schools and camps.  Also, organizations that are involved in camping – such as the YMCAs, Boy Scouts or Girl Scouts have been placing AEDs in an increasing number of facilities and camps. This is setting an expectation to provide care amongst the population and camp attendees.  With AEDs becoming more readily available, the potential exists for increased litigation from not having an AED on premises if there is a SCA event at the camp facilities. With AED prices dropping, more products to choose from, and the possible consequences of living in our litigious society, the time for a camp to purchase an AED is now. This is especially true of those camps in remote areas where medical response is delayed.

Why should I be a champion for AEDs?   Can’t we just call 911?

The national average for EMS response in the US is 8-10 minutes.  It is recommended (for best chances of survival) AEDs be used early on and ideally within 2-4 minutes.  There is a very good chance emergency medical services (EMS) cannot respond fast enough to save someone in cardiac arrest, particularly in congested urban areas, high-rise buildings, in remote rural areas, or large facilities.

What constitutes gross negligence isn’t spelled out in the law. Per product liability attorneys specializing in AED case law, organizations that have heavy traffic are more at risk if they fail to comply with “standards to provide care” and don’t have an AED at all.  Any manager or camp director at any large or high traffic facility should consider ramifications of not having at least one on premises in the event of Sudden Cardiac Arrest (SCA).  It is most likely their own job they are putting on the line and they should argue hard for them.  As a value-add for those directors whom can’t get top down management on board and funding is an obstacle; they should get hard copy evidence on file from their management if they can not get approval for purchase.  The old “CYA” policy!

** [Special note:  in January 2010 American Camping Association put the following revised accreditation standard into place for all camps except non-medical religious camps (camps where participants by religion do not allow modern medical intervention or treatment such as the Christian Science Church). Standard HW-17 now states: Does the camp have access to an AED (automated external defibrillator) available to the majority

Think Safe Camp Responder Bag (FV845) with Rugged AED

of the camp population, within the timeframe recommended by authoritative sources, and managed by trained personnel? The AED may be located on the camp property or available through another provider. ]

Think Safe can help your organization with AED funding and placement assistance:  AED grants.  Contact our AED GRANT DEPARMENT at grants@think-safe.com for more information and best pricing or match funding for your AED purchase needs.

Contact our industry experts at 888-473-1777 for our special CAMP AED PACKAGE or funding/grant assistance!

20 Year Reunion with 1st person saved by AED in Wisconsin!

Has it been that long?…..

[AEDs have been on the market about 20 years! Their prices have gone from $5,000 to $1,200-$1,500.  Their weight and size has been cut in half at least.  Yet, there is one commonality - they are still lifesaving equipment!]

Twenty years ago Wednesday, Waukesha Wisconsin firefighters Todd Laurent and Jeff Schulz saved Chuck Krebs’ life, using what was a brand new defibrillator at the time.  Chuck and his wife Jackie spent Wednesday evening thanking the men who saved him.

Chuck is the first person in Wisconsin saved by a defibrillator!  He had a heart attack and collapsed while at work inside his garage in Waukesha.  He was pronounced dead, but the firefighters arrived promptly and used the defibrillator to bring Chuck back to life.  Chuck returned to a normal life thanks to his heroes.  To read more:   

http://www.todaystmj4.com/news/local/89081037.html

AED Site Risk Assessment

Many times we get asked at Think Safe the question, “How much risk do I have for someone  having a Sudden Cardiac Arrest (SCA) here?”

Due to the number of deaths every year and SCA events that occur, we like it when people appear to be educated that it is only a matter of time – at some point we are all likely to experience or witness a SCA event.  Again, we are talking about the nation’s biggest killer; affecting over 300,000 people in the US annually and killing more people than all forms of cancer combined!

The following information might provide you some helpful insight to determining your levels of risk.  What are the most likely places to have SCA events occur? Some studies have shown a higher incidence in certain locations, listed below.

· Airports
· Community/senior citizen centers
· Dialysis centers
· Ferries/train terminals
· Golf courses
· Health centers/gyms
· Cardiology, internal and family medicine practices, and urgent care centers
· Jails
· Large industrial sites
· Large shopping malls
· Nursing homes
· Private businesses
· Sports/events complexes

Watch for our next blog post on AED Site Risk Assessment for key questions to ask.

Automated External Defibrillator Programs

To see more information about how to assess your risk, contact us at 888-473-1777 or info@think-safe.com.  We can provide you a complimentary (NO CHARGE) AED site risk assessment survey.  If you would like, we can send a local rep to your facility for a NO CHARGE placement assessment as well.

The Think Safe First Voice product line includes a comprehensive AED package that protects our distributors and customers and includes:  AED Administrator Toolkit, AED inspection tag, AED Inspection Checklist, AED Acquirer State Civil Liability Immunity Laws Compliance Checklist, and more….  www.firstvoice.us

AEDs: Use by Hospitals, Nursing Homes and Healthcare Providers

Just what is the standard or duty to provide care of healthcare, long-term care or elderly care providers for Automated External Defibrillators (AEDs)?

From my consistent research and study of the AED industry, the standard appears to be that many nursing homes, elderly housing complexes or assisted living facilities still do not have an AED policy or program.   In 2007 a summary study within the industry showed:

http://www.jamda.com/article/S1525-8610%2807%2900207-1/abstract

Contrarily, here is an Ohio-based midwest article on AEDs & some facilities who have decided to implement AED programs:  http://www.redorbit.com/news/health/358076/many_nursing_homes_lack_device_to_restart_heart_portable_defibrillators/

Now, not taken into consideration is the question regarding “duty to provide care” – and what is really the up-to-date 2010 standard to provide care as it relates to AEDs or CPR in these facilities?

*  Are there any industry mandates taking place? What is the healthcare industry doing about AEDs?

*  What are the trends for DNR orders or Attempted CPR- are the number of DNR orders going up or down as a % of population being admitted to healthcare facilities?  Should nursing homes or long-term care facilities have solid AED programs in place due to a decreasing % of DNR orders and more patient preferences to attempt CPR?

In January 2010 there was a great article I read that showed how UCLA is implementing AED programs across their system, due to the improvement in SCA survival they offer. UCLA Article

Nursing Studies Show AEDs improve SCA response times (this is an additional Nurse.com article on SCA & AEDs in the industry)

I have also read many articles/studies in recent years on in-hospital SCA survival versus out-of-hospital survival and perhaps UCLA is trying to improve SCA survival and change the statistics, which show IN-HOSPITAL survival is lower than OUT-OF-HOSPITAL per many studies.  The above link shows the obstacles facing nurses and staff and why AEDs may be a welcome addition to healthcare facilities.

Regarding long-term and elderly facility industry practices such as DNR advanced directives

Paula Wickham, AED Industry Expert

are followed.  But, methods for identifying CPR status need improvement to enable accurate identification and prompt resuscitation of residents who want CPR:

http://www.gnjournal.com/article/S0197-4572%2898%2990117-3/abstract

It is known that ACPR is infrequently performed in long-term care setting and is rarely successful (successful being defined as admission to the hospital alive).  Survival (defined as discharge from the hospital) is also rare but survival does occur though. All nursing homes are not required to offer ACPR and many nursing homes in the United States, as well as in other parts of the world, do not offer ACPR.

In my assessment from my research, agencies such as the American Bar Association’s Commission on Law & Aging show that about two-thirds (2/3) of the adult population does not have an advanced directive or DNR.  I could not find any recent studies to answer my DNR questions on DNR preferences.

Recent mandates or pending mandates and “encouraged use” Bills have passed in recent years in the following states that are for assisted living facilities or long-term and medical facilities:  Texas, New Jersey, New York, Nevada, Florida and others.

Perhaps it will some day become an expectation for all long-term facilities to have an AED and perform CPR but for now, it appears that each facility has to make their own decision but for sure they should consider their state’s legislation or pending legislation as it affects licensing for their facility.

One exerpt of a study states, “Surveys have shown that many elderly in different parts of the world want to be resuscitated, but may lack knowledge about the specifics of cardiopulmonary resuscitation (CPR). Data from countries other than the US is limited, but differences in physician and patient opinions by nationality regarding CPR do exist.”  In the essence of observing the opinions of those elderly that do want to be resuscitated – perhaps there will be some marketing advantage to employ by organizations that implement AED programs.

This article was written by Paula Wickham, President of Think Safe and AED industry expert.  Think Safe has an entire staff of technical experts for AED bills, laws and mandates.  If you would like more information on AED mandates or pending mandates for your long-term or elderly care facility, you may reach us at 888-473-1777 or by emailing info@think-safe.com and requesting a copy or link to your state’s requirements.