Historic Triangle Public Access to Defibrillation Program

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• Historic Triangle Public Access to Defibrillation
  Program
• Saving Lives in the Historic Triangle
• February 2006

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Historic Triangle Public Access to Defibrillation
Program

• Williamsburg Community Health Foundation
• Provided funding to assist in the purchase and
  distribution of AEDs within the Greater
  Williamsburg Area
• Established a local task force to coordinate
  program development which includes
  representatives from
• American Heart Association
• City of Williamsburg
• Health Department
• Local school systems
• Sentara Williamsburg
  Community Hospital
• York County

• American Red Cross
• Colonial Williamsburg
• James City County
• National Park Service
• Peninsula Chapter
  Mended Hearts
• And many others

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Historic Triangle Public Access to Defibrillation
Program

• Task Force has been meeting monthly to discuss
  program needs priorities
• Created a new Logo and Slogan
• Identifies facilities which have an AED on site
• Storing AEDs in recognized cabinets
• Established a web site created a brochure for
  distribution
• Researched selected a single AED for
  distribution through this program
• Establishing criteria for site selection and
  prioritizing AED distribution
• Providing training opportunities to the facility
  staff on proper AED use

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Historic Triangle Public Access to Defibrillation
Program

• Saving Lives in the Historic Triangle
• Aims to increase awareness
• Decrease time to treatment of cardiovascular
  emergencies and illnesses
• Web site
• http//www.HistoricTrianglePAD.org

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Historic Triangle Public Access to Defibrillation
Program

• Funding from the Williamsburg Community Health
  Foundation has allowed the Task Force to purchase
  AEDs for the following locations during 2004.
• Bruton High School
• Cooley Field (Kiwanis Park)
• Griffin-Yates Center
• Historic Triangle Community Services Center
• Jamestown High School
• Lafayette High School
• Lane Auditorium Bruton Heights (CWF)
• Merrimac Center

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Historic Triangle Public Access to Defibrillation
Program

• Additional locations in 2004
• Colonial Services Board
• Colonial Williamsburg Visitors Center
• Jamestown Settlement Visitors Center
• Quarterpath Park
• Mid-County Park
• Upper County Park
• Waller Mill Park
• Williamsburg-James City County Courthouse (2)
• York County Sheriffs Office (2 patrol units)
• Yorktown Victory Visitors Center

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Historic Triangle Public Access to Defibrillation
Program

• Facilities receiving AED units in 2005
• Animal Control Officers
• James City/Williamsburg York Counties (1 each)
• Camp Skimino Girl Scout Camp
• Elementary Middle Schools in Historic Triangle
• Phi Beta Kapa Hall (College of William Mary)
• Plumeri Park (College of William Mary)
• Jamestown 4-H Camp
• Jamestown-Scotland Ferry (4 units)
• Williamsburg Indoor Sports Complex (WISC)
• Williamsburg Regional Library Bookmobile
• York River State Park

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Historic Triangle Public Access to Defibrillation
Program

• Facilities receiving AED units in February 2006
• CARES program
• Sentara Williamsburg Community Hospital
• College of William Mary Police
• Colonial Narcotics Drug Task Force
• Colonial Williamsburg Foundation Security Bike
  Team
• James City County Fire Dept.
• James City County Police Dept.
• Williamsburg Fire Department
• Williamsburg-James City County Sheriffs Dept.
• York County Fire Life Safety Dept.
• York County Sheriffs Dept.

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Historic Triangle Public Access to Defibrillation
Program

• Types of Facilities under consideration for
  future placement
• Campgrounds and recreation facilities
• Churches
• Convention Centers
• Golf courses
• Retirement Communities

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Public Access Defibrillation

• Legislation on Public Access Defibrillation
  Programs became effective July 1, 1999
• Identified needs for an effective Public Access
  Defibrillation Program
• Programs are easy to establish, train maintain
• Equipment is easy to use very effective
• Readily accessible

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Public Access Defibrillation

• What is it?
• 3rd component of the Chain of Survival

Early Early Early Early
Access CPR Defibrillation
Advanced Care
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Public Access Defibrillation

• How will it affect our community?
• Save Lives
• Employees, clients, visitors will have a better
  chance of surviving a cardiac arrest as a result
  of AEDs
• Increase Awareness
• Decrease time to effective treatment

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Why Do We Advocate AEDs?

• Public Access Defibrillation Saves Lives
• Improves chances for survival due to Sudden
  Cardiac Arrest
• Proven track record
• American Airlines
• Delta Airlines

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Extent of the Problem

• 1.1 million heart attacks
• 480,000 deaths due tocoronary heart disease
• 95 of sudden cardiac arrest victims die before
  reaching the hospital
• Over 300 cardiac related deaths have occurred in
  the Greater Williamsburg area since 2001

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AEDs and Ventricular Fibrillation

• VF is the most frequent initial rhythm in sudden
  cardiac arrest
• VF is a useless quivering of the heart that
  results in no blood flow
• Defibrillation is the only effective treatment
  for VF
• Successful electrical defibrillation diminishes
  rapidly over time

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Time and AEDs

• Survival reduced by 10 each minute
• i.e., 50 survival after 5 minutes
• Rapid defibrillation is key
• CPR helps extend survival time

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Historic Triangle Cardiac Arrests - 2003
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Historic Triangle Cardiac Arrests - 2004
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Historic Triangle Cardiac Arrests - 2005
List of 2005 Cardiac Arrests is being revised.
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Automatic External Defibrillators (AED)in
Historic Triangle
Locations Prior to Program Initiative
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Automatic External Defibrillators (AED)in
Historic Triangle
Current Locations after the Initiative
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How to Prepare for an Emergency

• Learn how to recognize emergency warning signs
• difficulty breathing
• chest or upper abdominal pain or pressure
• fainting
• sudden dizziness
• weakness or change in vision
• confusion or altered level of consciousness
• sudden, severe pain
• severe or persistent vomiting
• suicidal or homicidal feelings

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Learn What to Do Until Help Arrives

• CPR
• Choking rescue procedures
• Basic first aid
• Never move anyone who is unconscious or has been
  struck on the head
• Do not give the victim anything to eat or drink
• Maintain body temperature

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Questions to Answer before Calling 911

• Is the victims condition life threatening?
• Could the condition get worse and become
  life-threatening on the way to the hospital?
• Does the victim need the skills or equipment of
  paramedics or EMTs?
• Would distance or traffic conditions cause a
  delay in getting to the hospital?

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Information to Provide 911 Dispatcher

• Name
• Address
• Phone Number
• Location of victim
• What is the problem?
• REMEMBER Stay on the phone until the dispatcher
  tells you to hang up!

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Recognize Emergency and Call 911

• Airway obstruction
• Universal distress signal, blue skin
• Respiratory arrest
• Not breathing but has pulse
• Cardiac arrest
• Not breathing and no pulse

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Information to Provide 911 Dispatcher

• Name
• Address
• Phone Number
• Location of victim
• What is the problem?

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Signs of Cardiac Arrest

• Unresponsive
• Not breathing
• No pulse

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Priorities and the AED

• A Airway
• B Breathing
• C Circulation
• D Defibrillation

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Special Considerations

• Is victim lying in water?
• Is victim less than 8 years old?
• Is victim wearing a transdermal medication patch
  on his or her chest?
• Does victim have a pacemaker or an implanted
  defibrillator?

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Operation of AED

• POWER ON the AED
• ATTACH pads
• ANALYZE rhythm
• SHOCK (if advised)

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Electrode Pad Placement

• Right electrode pad
• To the right of the breastbone
• Below the collarboneabove the right nipple
• Left electrode pad
• Outside the left nipple, upper edge of the pad
  several inches below the left armpit

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Effective Adherence of Pads

• Sweaty chest
• Dry with a towel
• Do not use alcohol
• Hairy chest
• Shaving may be needed

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AED Safety

• No patient contact during analysis and shock
• Warn bystanders
• Im clear
• Youre clear
• Everybodys clear
• Perform a visual inspection
• Press to shock

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AED Web Sites On the Internet

• Home page for Historic Triangle Public Access to
  Defibrillation Program
• http//www.HistoricTrianglePAD.org
• Home page for AEDs American Heart Association
• http//www.proed.net/ecc/Cpr_aed/cpr_aed_menu.htm
• Home page for American Red Cross
• Colonial Virginia Chapter
• http//www.cvc.redcross.org
• York-Poquoson Chapter
• http//www.york-poquoson.redcross.org

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For More Information

• Contact us at [phone]
• Web site www.HistoricTrianglePAD.org

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Questions ??