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PROJECT HEART RESTART and LINKING AEDS to 911

PROJECT HEART RESTART and LINKING AEDS to 911. Mark L. Johnston, Coordinator Project Heart ReStart The Christ Hospital. Mark Johnston Coordinator, Project Heart ReStart , The Christ Hospital FF-P, Madeira & Indian Hill JFD. Paramedic/Firefighter – 30 Years CPR Instructor – 34 Years

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PROJECT HEART RESTART and LINKING AEDS to 911

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  1. PROJECT HEART RESTART and LINKING AEDS to 911 Mark L. Johnston, Coordinator Project Heart ReStart The Christ Hospital

  2. Mark JohnstonCoordinator, Project Heart ReStart, The Christ HospitalFF-P, Madeira & Indian Hill JFD • Paramedic/Firefighter – 30 Years • CPR Instructor – 34 Years • ACLS Instructor – 24 Years • EMS Instructor – 24 Years • BA Public Administration, Miami University

  3. EMS before it was known as “EMS”…

  4. Fire Department EMS

  5. Outline of Program • Background of Public Service goal/mission • What AEDs do/why they work • Who has them? • How they are maintained? • Connecting community readiness to emergency response

  6. Public Service Mission • Public servants goal is to work themselves out of a job • Citizens want to be empowered!

  7. About Project Heart ReStart • Community outreach program • Mission to reduce death rate from sudden cardiac arrest • Places AEDs in non-profits; promotes placement in all public places where people gather • Provide training and support

  8. What is an AED? • Automated External Defibrillator • Designed to deliver an electric shock to the heart under prescribed conditions • Simplified operation makes it easy for ANYBODY to use • Used by professional rescuers and untrained laypersons • Electric shock can restart the heartbeat of a pulseless victim

  9. Examples of AEDs

  10. More AEDs

  11. More AEDs…

  12. Why are AEDs Important? • No Bystander CPR – very, very low chance of survival (0-2%) • Bystander CPR Only – moderate chance of survival (5-25%) • Bystander CPR & AED – best chance of survival (35-74%)

  13. Rate of Bystander Participation • Bystander CPR? • AED used prior to arrival of EMS?

  14. What’s required of owning an AED? • Physician prescription/medical control • Trained personnel • Emergency response plan • Maintained in working order • Registered with local EMS

  15. Concerns of the AED Owner • Theft • Untrained personnel will fail to use it correctly • It will be forgotten in a real emergency • Could hurt somebody with it

  16. .

  17. REAL Problems with Public AEDs • Not properly maintained • Nobody knows where they are • EMS doesn’t know where they are

  18. .

  19. . .

  20. Rescuers know where the FDC is; why not the AED? .

  21. How Can We Correct This? • AED Registry • Common medical direction • Common training • Link to 911 Center

  22. .

  23. How Can We Make It Work? • Required registration • Technology • Universal protocol with EMS • Expanded community training • Empower community responders

  24. Put it all together • Victim collapses • Bystander recognizes collapse, calls 911 • 911 Operator takes info—enters code • Software recognizes code—simultaneously activates map for operator & notifies citizen responders • Operator provides feedback to caller: “An AED is in the hallway on the second floor near the restroom” for example. • If citizen doesn’t know CPR, dispatcher can also provide instructions • Citizen responder arrives with AED and shock delivered before EMS arrival

  25. How is this paid for? • Hospital Support • Public Health Support • Grants/Private Funding

  26. Who Benefits? • Cardiac Arrest victims • AED Owners • Emergency Medical Services • Hospitals • Society

  27. Conclusion • An AED doesn’t do anybody any good if it doesn’t work or can’t be found quickly • The community must know and be willing to perform CPR on cardiac arrest victims

  28. Questions?

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