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March 5, 2014

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Automatic External Defibrillators (AEDs): Pediatric & Infant Use

February 5, 2014


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. 

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?”

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of this from prior blogs or internet posts includes: http://www.wikihow.com/Use-a-Defibrillator, which contains old outdated information summarized below.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. Please provide your AED brand so we can make sure to ship the right decal set.

To find out how you can get your AED Pediatric Decal set, fill out the form below!


UNDEAD…. ????

January 11, 2014
First Voice - Making Minutes Matter

http://www.firstvoice.us  – Making Minutes Matter

CPR will save a life…..

You have to just check this out for yourself! 

http://www.youtube.com/watch?v=ApmPQDAzYyM


More Lifesaving Stories… (Giving Thanks)

December 5, 2013

The Think Safe online marketing team just had a meeting and decided that we are long overdue for a recent blog post.  Topic: Being Thankful.

It is a good time to be thankful with Thanksgiving just having past us by and the Christmas holiday upcoming.  Life is precious and in just minutes, can be taken away….or, given back.  Three examples:

Think Safe Client Location – Life Saved:  Riverside CA Anytime Fitness …read all about it at:  http://clubindustry.com/blog/members-saved-clubs-have-plenty-be-thankful

Think Safe Client Location – Life Saved:  Plainfield, IN Skyzone Franchise.  A man in his 50’s is successfully saved at trampoline part and PAYS IT FORWARD by donating AED to Indianapolis Children’s Museum

Think Safe Client Location – Successful AED use event:  New Jersey Fitness facility – AED is used to successfully shock man in his 50’s that collapses from sudden cardiac arrest. 

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SCA Survivor Sue Young

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SCA Survivor Patti Farrell

These are just a few of the successes we have had in recent months.  How prepared are you for these types of emergencies?  As the year comes to a close, the Think Safe marketing team wishes all of our clients and associates a safe and prepared New Year to come! Thank you for your business and for your trust.  

Contact Think Safe at:

4080 1st Avenue NE

Main Office 110

Cedar Rapids, IA 52402

888-473-1777

info@think-safe.com

Making Minutes Matter!


AED4ME – WHY WAIT?

May 29, 2013

It’s that time again! It is National AED/CPR Awareness Week. Sudden Cardiac Arrest (SCA) is the nation’s largest killer and can happen to anyone. It kills more people annually than AIDS, breast cancer and strokes. Over 300,000 people die annually from SCA and approximately 95% of these victims never reach a hospital in time.  Just how prepared are you in case of an emergency?

How can you tell if someone is having a heart attack? When sudden cardiac arrest occurs, the victim collapses, becomes unresponsive to gentle shaking, stops normal breathing and after two rescue breaths, still isn’t breathing normally, coughing or moving.

How can you or your organization be more prepared?

  • Learn CPR! By immediately giving CPR to a cardiac arrest victim, you can double their chance of survival. The logic is simple; the more number of people who learn how to perform CPR, the more lives can be saved.  There are plenty of ways to learn CPR, including online or instructor led (and blended courses).
  •  Purchasing an Automated External Defibrillator (AED) is the best life insurance policy anyone can buy, increasing survival rates from 10% to over 60% — IF an AED is used within the first 2-4 minutes after a victim suffers from SCA and collapses. Contact Think Safe for a distributor nearest you and for pricing on these devices that can be bought for around $1,000-$1,500.

You may think this won’t happen to anyone you know or yourself, but think again. SCA is the leading cause of death in the United States. It could happen to any one of us, no matter what age, race, or gender. It does not discriminate!

Even President and CEO of Think Safe, Paula Wickham, has been hit close to home. Her cousin, (in her late 30’s) Tracy Hjelle- College Softball Coach, suffered a coronary artery dissection in the summer of 2012 while boarding a bus for a Luther College softball game. Luther Head Trainer Kris Agena, catcher Kelsey Kittleson, and outfielder Shari Huber, were quick to perform CPR. With the help of an AED, Tracy’s life was saved!  Find out more about this young woman’s story…

You don’t really notice how significant the reality of these statistics is until it affects your personal life. It starts putting things into perspective to be prepared and get informed. Don’t become educated or take action after it is too late!

In honor of National AED/CPR Awareness week, Think Safe is offering free customized online AED Training Access to those who email or call and reference the CPR/AED Week Promo code:  AED4ME.  Hurry, the offer is for a limited time only.

To take advantage of this special offer and find out more about AED programs or CPR and AED training,  contact Think Safe at 888-473-1777 or complete the following form. We are here to help!


October is National Sudden Cardiac Awareness Month

October 27, 2012

While the month of October may be ending, the nation’s leading silent killer will remain standing. Sudden Cardiac Arrest (SCA) kills 1,000 people PER DAY in the United States alone. That is approximately 1 life every minute.

When an organization reviews their Emergency Response Plan (ERP) they should consider addressing life-threatening emergencies that are likely to occur at their facility.SCA should be a topic that is covered during review of the organization ERP if the local EMS or first responder teams can not get to the VICTIM (from time of their collapse, not from time of the 9-1-1 call) in well under 4-6 minutes. With national averages for EMS response being 8-10 minutes in urban areas and higher than that in rural areas; it is highly likely that almost any organization should consider the implementation of an Automated External Defibrillator (AED) program to offset the risk of death occurring from any SCA event at their facility.

Here are some key facts on why any workplace or organization where people pass through, congregate, and work should consider AEDs.

1) Many victims of SCA did not know they were at risk, and could not recognize warning signs, if any had been present. In fact, two-thirds of SCA deaths occur without any prior indications of heart disease. Anyone can experience sudden cardiac arrest, including healthy infants, high school athletes, and healthy athletes or people in their 30s and 40s who have no sign of heart disease. There are certain populations that have been shown to be at higher risk but SCA is a silent and deadly killer that is non-discriminatory in that it will take the life of any age, any rage or any gender of person. This fact is vital because the victim can not be equipped to properly save their life if they do not know they have a heart condition.

2) CPR alone is not enough. Ninety-five percent of victims of SCA die because they do not receive medical attention in time. Currently, defibrillation delivered within the first 6 minutes of an SCA accounts for the 5 percent survival statistics. Survival can be as high as 90 percent if treatment is initiated within the first 4–6 minutes after SCA. The rate decreases by about 10 percent each minute longer. Those who receive a life-saving shock from an Automatic External Defibrillator (AED) have a good long-term outlook.

3) There are Good Samaritan Laws to protect users of AEDs and organizations like Think Safe can provide you a turnkey AED Acquirer/Owner package that puts the right AED program in place at your facility to protect you from any liability risks. With the purchase of any equipment at your facility, the costs and risks of keeping it maintained have to be considered. That should not be any different with the purchase of an AED. However, easy to use cloud based SAAS self-maintenance low-cost tracking solutions such as www.firstvoicemanager.com exist to ensure that someone at your facility does the AED check regularly and has a readily available servicing log with the click of a mouse.

While good quality CPR is important to saving the life of anyone who is unresponsive, for SCA events it is important and essential to have an AED. Think Safe has AED complete packages available for close to $1,000 that include an AED Administrator Toolkit, training, servicing and any tool needed for your AED implementation and management.

For more information on Sudden Cardiac Arrest (SCA) and how to be better prepared contact Think Safe at 888-473-1777 or or complete the form below. Ask to see our First Voice Manager webinar or our AED Acquirer webinar — guaranteed to be comprehensive and educational regarding proper AED program implementation and easy long term care!

 

http://wp.me/prthb-fk


Webinar Series Starting In March

March 8, 2012

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!

If you’d like us to contact you, please complete the following form.  We are happy to assist you!