AED Plus The Best Support For Rescuers
CPR Required The latest European Resuscitation Council (ERC) Guidelines, issued in 2010, are clear: successful defibrillation requires high-quality CPR performed at the proper depth and rate. When it s time for CPR, the AED Plus with Real CPR Help provides the best support to help save a life. The CPR hand-placement landmark contains a sensor that detects and measures chest compressions.
Whether a shock is advised or not, the 2010 Guidelines say that rescuers should focus on delivering high-quality CPR. 1 If no shock is advised, only high-quality CPR can potentially save a victim. That s because only good CPR can restore the heart rhythm to one required for a shock to work. Even when an AED says Shock Advised, high-quality CPR should begin immediately after shock delivery. Once shocked, the heart struggles for blood as it tries to reorganize and restore its natural beat. By moving blood through the heart, and back into the heart muscles themselves, CPR provides critical help to the struggling heart. Without this help, a shock alone may prove ineffective, and the victim may not be resuscitated. Audio prompts match the displayed text. Knowledge Is Power The ERC 2010 Guidelines recommend that rescuers push hard to a depth of at least 5 centimeters (or 2 inches) but no deeper than 6 centimeters at a rate of at least 100 compressions per minute. But how do you know you re reaching that depth and rate? You shouldn t have to guess you should know. Only an AED that offers real-time CPR feedback provides the best support for saving a life. The importance of early, uninterrupted chest compressions is emphasised throughout these guidelines. 2010 ERC Guidelines, p. 1220
An AED that Helps You Perform High-Quality CPR Only ZOLL s AED Plus is equipped with Real CPR Help technology. The sensor in the pads lets the AED see each chest compression and lets you know how you re doing. It guides you, with prompts and a real-time bar gauge, to the recommended depth and rate of compressions. A Fully Compliant AED The AED Plus is the only AED that helps you fully comply with the ERC s 2010 Guidelines because it is the only AED that lets you know when compressions are 5 to 6 centimeters deep. ZOLL updated its Real CPR Help technology to comply with the new Guidelines for compression depth during CPR, reflecting the increase from 4 to 5 centimeters deep to 5 to 6 centimeters deep. To be sure that your CPR complies with the 2010 Guidelines, you need to know when your chest compressions are 5 to 6 centimeters deep. Only the AED Plus can assure this level of compliance. How It Works Immediate CPR can double or triple survival from VF OHCA [out-of-hospital cardiac arrest]. 2010 ERC Guidelines, p. 1223 The CPR-D-padz Electrode senses and reports the motion of the chest compressions to the AED Plus. Audio and text prompts relay compression quality. The compression depth bar gauge lets you see the depth of each compression in real time. The adaptive metronome detects compression rate and guides you to at least 100 per minute. The compression depth bar gauge helps you to achieve the recommended depth of between 5 and 6 centimeters.
What It Means to See Because the AED Plus can see your compressions, you can see, hear, and read how well you are performing CPR. THE CASE FOR AEDs RESCUER ACTIONS Not yet started? Stopped? Too slow? Not deep enough? Performing good CPR? Want to see how you re doing? AED PLUS SUPPORT START CPR CONTINUE CPR Adaptive metronome speeds you up PUSH HARDER GOOD COMPRESSIONS Visible bar gauge indicates depth of compressions Survival Increases with Early Intervention Research shows that the probability of survival goes up dramatically when CPR is performed, and when an AED is applied before an ambulance arrives.* 24% Before Ambulance Arrives 5% 9% Do Nothing Perform CPR Apply an AED Probability of Survival (Discharge from hospital and alive 30 days later) Where is the AED? Too often, the answer is, We don t have one. Sadly, the same research that demonstrated a nearly fivefold increase in survivability (from 5% to 24%) when an AED is used, also showed that an AED is available only 2% of the time. *Weisfeldt ML, et al. J Am Coll Cardiol. 2010;55(16):1713 20.
Real CPR Help Really Works In the largest hospital caregiver study, research proved conclusively that Real CPR Help significantly increases the quality of chest compressions. 2 Hospital caregivers had their chest compressions measured first without any help and then again with Real CPR Help from an AED Plus. Of all compressions delivered without any help, only 15% reached the proper depth and rate. However, when these same caregivers were tested with Real CPR Help, 78% of their compressions were in target a fivefold increase in CPR quality. Rescuers can be assisted to achieve the recommended compression rate and depth by prompt/feedback devices that are either built into the AED or manual defibrillator... 2010 ERC Guidelines, p. 1283 The Benefits of Ownership The AED Plus can help your organization s bottom line. Once installed, the AED Plus has the lowest total cost of ownership of all AEDs on the market, especially when considering the logistics of tracking and changing pads and batteries over the life of the AED. Thanks to the long shelf life of the consumables, when you compare the cost of maintenance over 10 years, this AED is the most cost-effective unit to own. The AED Plus is powered by lithium batteries (available from retail outlets) that last five years, and the CPR-D-padz Electrode lasts five years as well.
THE CASE FOR CPR Quality Buys Time The ERC s 2010 Guidelines note that if bystanders do nothing for a collapsed victim, the chance of survival drops about 10% every minute. Probability of Survival (no CPR)* 90% 80% Chance of Survival (%) 70% 60% 50% 40% 30% 20% About 0% after 10 minutes 10% 0% 1 2 3 4 5 6 7 8 9 10 Minutes Since Collapse But if bystanders can immediately begin CPR and keep it up, then the chance of survival only drops 3% to 4% per minute. At that rate, approximately 10 minutes after collapse, the chance of survival remains at least 60%. Probability of Survival (with CPR)* 96% 92% 88% 84% 80% 76% 72% 68% About 60% after 10 minutes Chance of Survival (%) 64% 60% 1 2 3 4 5 6 7 8 9 10 Minutes Since Collapse * Source: ERC Guidelines for Resuscitation 2010. Resuscitation. 2010;81:1278.
The Best Support No other AED supports a rescuer as thoroughly as the AED Plus because it includes the following: A one-piece CPR-D-padz Electrode for quick, easy application. Pull-tabs expose the conductive gel on each pad only when it is in direct contact with the skin, limiting the chance of gel contamination. A rescue accessory package attached to every CPR-D-padz that contains items critical to a successful rescue. A lid that acts as a passive airway support to maintain the victim s open airway. A back-lit display screen that provides simultaneous text with every audio prompt, and a circle of lighted graphical icons that show what to do. A display screen that presents the elapsed time and number of shocks delivered, critical information needed by EMS personnel when they arrive. Real CPR Help. No other AED can see the rescuers chest compressions and guide them to the required depth and rate. Other AEDs make you guess when your compressions are deep enough. Only the AED Plus lets you know. The rescue accessory pack comes with all the additional tools you may require during a rescue, from scissors to non-latex gloves. References: 1 European Resuscitation Council Guidelines for Resuscitation 2010. Resuscitation. 2010;81(10):1219 1452. 2 Peberdy MA, et al. Resuscitation. 2009;80(10):1169 74. ZOLL Medical Corporation, an Asahi Kasei Group company, develops and markets medical devices and software solutions that help advance emergency care and save lives, while increasing clinical and operational efficiencies. With products for defibrillation and monitoring, circulation and CPR feedback, data management, fluid resuscitation, and therapeutic temperature management, ZOLL provides a comprehensive set of technologies that help clinicians, EMS and fire professionals, and lay rescuers treat victims needing resuscitation and critical care. For more information, visit www.zoll.com. The Asahi Kasei Group is a diversified group of companies led by holding company Asahi Kasei Corp., with operations in the chemicals and fibers, homes and construction materials, electronics, and health care business sectors. Its health care operations include devices and systems for critical care, dialysis, therapeutic apheresis, transfusion, and manufacture of biotherapeutics, as well as pharmaceuticals, diagnostic reagents, and nutritional products. With more than 25,000 employees around the world, the Asahi Kasei Group serves customers in more than 100 countries. For more information, visit www.asahi-kasei.co.jp/asahi/en/. ADVANCING RESUSCITATION. TODAY. ZOLL Medical Corporation Worldwide Headquarters 269 Mill Road Chelmsford, MA 01824 978-421-9655 800-348-9011 For subsidiary addresses and fax numbers, as well as other global locations, please go to www.zoll.com/contacts. 2013 ZOLL Medical Corporation. All rights reserved. Advancing Resuscitation. Today., AED Plus, CPR-D-padz, Real CPR Help, and ZOLL are trademarks or registered trademarks of ZOLL Medical Corporation in the United States and/or other countries. All other trademarks are the property of their respective owners. Printed in U.S.A. 011302 9656-0156-05 ERC
Even Better Support For Rescuers
Beyond the AED Plus In 2002, ZOLL launched the AED Plus defibrillator with Real CPR Help real-time CPR Feedback to let rescuers know, for the first time ever, when they are doing high-quality CPR. Today more than half a million AED Plus automated external defibrillators (AEDs) are empowering rescuers around the world with the best support when treating a victim of cardiac arrest. Introducing a new defibrillation platform from ZOLL that builds on our reputation for providing rescuers with unmatched support plus a low total cost of ownership: The ZOLL AED 3. WiFi-enabled Programme Management Onboard Lives are not saved by AEDs alone. People save lives using an AED, and saving lives requires confident rescuers using an AED that has a working battery and pads that have not expired. Real CPR Help instils confidence by guiding rescuers compressions to the right rate and depth. Programme Management Onboard instils further confidence by ensuring your AED is ready to go when needed. Register your AED 3 online with ZOLL s PlusTrac AED Programme Management System via computer or mobile device. Then easily link your AED 3 to your local WiFi. Now that your AED 3 is cloud-connected, Programme Management Onboard regularly reports current status to PlusTrac as part of every automatic self-test. If your AED 3 ever detects a failure, or even fails to report on time, PlusTrac lets you know immediately via e-mail. AED users can now experience continuous worry-free AED readiness in a single solution. No need for people to inspect and report status. Only with the AED 3, there is no extra hardware or software purchase required. And at no cost for the first full year. Clear, colourful graphic images combine with audio prompts to step you easily and precisely through the rescue. Log in to PlusTrac for current AED status, including expiry dates for the battery and pads, tracking the training of your rescuers and scheduling e-mail reports that are sent on a regular basis.
The immediate initiation of CPR can double or quadruple survival from cardiac arrest. 2015 ERC Guidelines, p. 83. CPR Required The latest Guidelines from resuscitation councils worldwide are clear: successful defibrillation must be supported with high-quality CPR. The AED s first heart analysis is critical. If it calls for no shock, only high-quality CPR can lead to a shockable rhythm on the next heart analysis. If the first analysis does call for a shock, once it s delivered, the stunned heart desperately needs blood as it tries to reorganise and regain its natural beat. Only high-quality CPR can supply a struggling heart with the oxygenated blood needed to restore a normal rhythm. Compress the chest at a rate of at least 100-120 min 1 with as few interruptions as possible. THE CASE FOR AEDS Survival Increases with Early Intervention Research shows that the probability of survival goes up dramatically when CPR is performed and when an AED is applied before an ambulance arrives. 1 Compress to a depth of at least 5 cm but not more than 6 cm. Knowledge Is Power 2015 ERC Guidelines, p.88. Before Ambulance Arrives 5% 9% 24% But what is high-quality CPR? The ERC Guidelines call for chest compressions at a rate of at least 100 per minute at a depth of at least 5 cm. So how can rescuers know when they are in compliance? They should not have to guess. They should know, and that knowledge may well give them the power to save a life. Only an AED that provides real-time CPR feedback for rate and depth of compressions can deliver the best support to save a life. Do Nothing Perform CPR Apply an AED Probability of Survival (Discharge from hospital and alive 30 days later) Where Is the AED? Too often, the answer is, We don t have one. Sadly, the same research that demonstrated a nearly fivefold increase in survivability (from 5% to 24%) when an AED is used, also showed that an AED is available only 2% of the time. The CPR hand-placement landmark senses your chest compressions and lets the AED 3 see the depth of each compression. 1 Weisfeldt ML, et al. J Am Coll Cardiol. 2010;55(16):1713 20.
THE CASE FOR CPR Quality Buys Time The ERC s latest Guidelines note that if bystanders do nothing for a collapsed victim, the chance of survival drops about 10% every minute. 2 Chance of Survival (%) Chance of Survival (%) 90% 80% 96% 92% 88% 84% Probability of Survival (no CPR) 70% 60% 50% Minutes Since Collapse Probability of Survival (with CPR) 80% 40% 30% Minutes Since Collapse 20% About 0% after 10 minutes 10% But if bystanders can immediately begin CPR and keep it up, the chance of survival only drops 3% to 4% per minute. 2 At that rate, approximately 10 minutes after collapse, the chance of survival remains at about 60%. About 60% after 10 minutes 76% 72% 68% 64% 2 ERC Guidelines for Resuscitation 2015. Resuscitation. 2015;95:83. 0% 60% Professional Technology for Everyone Like the AED Plus that preceded it, and all of ZOLL s professional defibrillators, the AED 3 is equipped with Real CPR Help technology to help lay rescuers perform high-quality CPR. The sensor in the pads lets the AED see your chest compressions so it can guide you to the proper rate and depth with prompts and an on-screen bar gauge. How It Works The CPR Uni-padz Electrodes sense and report the motion of rescuers chest compressions to the AED 3. During an adult rescue, audio and text prompts let rescuers know when to Push harder and when they are doing Good compressions. The compression depth bar gauge shows rescuers the depth of each compression in real time. The metronome detects compressions and encourages rescuers to compress at a rate of at least 100 compressions per minute. Sooner Is Better At 8 seconds with a fresh battery, the AED 3 is among the fastest at delivering a shock after chest compressions stop.* Research shows that minimising time to shock after the CPR cycle ends may improve survival. 4 The 2015 ERC Guidelines note, The delay between stopping chest compressions and delivery of the shock (the pre-shock pause) must be kept to an absolute minimum; [any] delay will reduce the chances of the shock being successful. 5 4 Snyder DE, et al. Crit Care Med. 2004;32(9) Supplement:S421-S424. 5 ERC Guidelines for Resuscitation 2015. Resuscitation. 2015;95:20. Directive CPR feedback devices are useful for compression rate, depth, release and hand position. 2015 ERC Guidelines, p.5.
Ready for Tomorrow The AED 3 is easy to use, easy to maintain and reliable because it has the latest technology onboard. You can reconfigure it, upgrade software to the latest Guidelines, and download event data files easily using the interactive touchscreen and onboard USB port. Orient it the way you need it in a rescue: lay it flat like most AEDs, or stand it upright for the same easy viewing available in most professional defibrillators. Use it in two successive rescues and retain both event data files for later download. The AED 3 battery lasts up to 5 years, regularly reports its status to Programme Management Onboard and can be easily assessed from the touchscreen in Management Mode. Activate multiple languages. Rely on its ruggedness. The AED 3 passes the onemeter drop test and has an IP55 rating for dust and water ingress. Choose which shock technology is right for your rescuers: the standard AED 3 semiautomatic model for rescuers who want to control shock delivery, or the AED 3 Automatic model for automatic shock delivery after a three-second countdown. Pre-connected CPR Uni-padz are ready for rescue with simple pull tabs and a pair of scissors for fast electrode placement. Leading Technology. Reasonable Cost. Once installed, the AED 3 costs significantly less than almost any other AED to maintain. Because the CPR Uni-padz can defibrillate both children and adults, there are no special pads to buy and regularly replace to be ready to rescue a child. And because the CPR Uni-padz and the battery both last five years, replacing disposables is easier and less expensive over time. Longer lasting, fewer replacements, lower costs. No other AED s paediatric pads last 5 years. No other AED lets rescuers rescue a child at the push of a button, and replace pads and battery only once in the first 10 years of service. The AED 3 Automatic delivers the shock automatically after a three-second countdown. No need to push the Shock button. Plug a memory stick into the USB port to download rescue event data, upload a new configuration or upgrade software.
Heard from Your AED Lately? Every AED programme manager lives with the fear an AED may not be ready when needed. The battery may lack power. Pads might be expired. Electronic components might fail. Did my AED pass the last self-test? Can you ever know an AED is ready to rescue? Until now, having someone regularly check and report the status of every AED has been the typical solution. The AED 3 redefines how you manage your AED with ZOLL s exclusive Programme Management Onboard. The Cloud Changes Everything THE CASE FOR PROGRAMME MANAGEMENT AED Programmes Pay Off The British Journal of Sports Medicine published an article showing that U.S. high schools that have implemented AED programmes for rescue readiness experience an overall survival rate of 71%. 6 FROM PlusTrac Support 22.4.15 PlusTrac: AED Passed test... Inbox Programme managers can now use their local WiFi network to remain permanently cloud-connected to the ZOLL PlusTrac AED Programme Management System. If your AED 3 ever fails a self-test, it will let you know immediately by email. Let the AED 3 do all the worrying, while you enjoy Cloud Connected worry-free readiness. Student Athletes Students Overall Adults Survival Rates for 2,045 U.S. High Schools over a Two-year Period 61% 71% 85% 89% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% The authors conclude that High school AED programmes demonstrate a high survival rate for students and adults who suffer sudden cardiac arrest on school campus. School-based AED programmes are strongly encouraged. Configure the AED 3 to link with PlusTrac in the cloud after every automatic self-test. Get an immediate email for a failed or overdue self-test, along with daily or weekly status reports. 6 Drezner JA, et al. Br J Sports Med. 2013;47:1179 1183.
Even Better Support During a Rescue The AED 3 takes the best support for rescuers during a rescue to the next level with: Real CPR Help that can see your chest compressions during CPR to let you know when you re doing high-quality CPR. Shock delivery 8 seconds after stopping CPR for a more effective shock.* Constant metronome at a rate of at least 100 compressions per minute to comply with the latest Guidelines. Universal CPR Uni-padz for push-button selection of Child rescue using the Child button on the front of the AED 3. Scissors attached to CPR Uni-padz for easy removal of clothing. Dual orientation (upright or flat) for the best visibility in a rescue. On-screen CPR cycle countdown timer to let you know time remaining in this cycle. On-screen display of elapsed rescue time and number of shocks delivered for critical information that EMS personnel will need to know on arrival. Rescue accessory pack containing non-latex gloves, barrier mask, razor, paper towel and towelette. High-resolution full-colour graphic images and text accompany all audio prompts for easy understanding of what to do next. * On the AED 3 automatic, the pre-shock pause time is 5 seconds longer due to warning to stand clear of patient and shock countdown before delivery. ZOLL Medical Corporation 269 Mill Road Chelmsford, MA 01824, USA +1-978-421-9655 www.zoll.com Copyright 2016 ZOLL Medical Corporation. All rights reserved. Advancing Resuscitation. Today., PlusTrac, CPR Uni-padz, Programme Management Onboard, Real CPR Help, ZOLL AED 3 and ZOLL are trademarks or registered trademarks of ZOLL Medical Corporation in the United States and/or other countries. All other trademarks are the property of their respective owners. For subsidiary addresses and fax numbers, as well as other global locations, please go to www.zoll.com/contacts. ZOLL AED 3 is not available for sale in the United States or Canada. The product has not received regulatory clearance/approval by the Food and Drug Administration or Health Canada. Printed in U.S.A. MCN PP 1410 0068-05