What Every Manager should know about Automated External Defibrillators (AEDs) in the Workplace COL (Dr) Ng Yih Yng Chief Medical Officer Singapore Civil Defence Force Ministry of Home Affairs Visiting Consultant, Pre-hospital Emergency Care MOH
More than 1,900 suffer cardiac arrest in Singapore EVERY YEAR
Of these cases happened in 2013 at workplaces
Overall Survival rates 2.4% In Singapore Survival drops 7-10% every minute
PR can improve survival by 2.2x
Only 20% Of bystanders Perform CPR
Public AEDs AED can improve survival by up to
Only 1% are shocked By Public AEDs
The early CPR and AED are applied, the higher the survival rates!
Who should be trained? WORKPLACE SAFETY AND HEALTH ACT (CHAPTER 354A, SECTION 65) Where more than 25 persons are employed in a workplace, the ratio of one first-aider for every 100 persons employed in the workplace or part thereof. Minimum standards Ideally everyone should be CPR-AED AWARE!
Occupational First Aid+CPR/AED 24 hrs BCLS 8hrs Doctors, Nurses CPR/AED 4hrs Shortest cert course 40 minute community CPR program Recognise, call 995, do chest compressions and use an AED. DARE 40 mins 30x less resource
DARE Program
995 will assist you to do CPR and use the AED
Bystander CPR has doubled from 21.7% to 43.5%! 45.0% 43.5% 40.0% 35.0% Implementation of Tele-CPR in May 2012 33.5% 30.0% 25.0% 20.0% 21.5% 21.7% 19.7% 21.8% 22.9% 21.7% 15.0% 2006 2007 2008 2009 2010 2011 2012 2013
WILL CPR CAUSE HARM?
Can YOU recognize when CPR is done wrongly?
ARE AEDs EASY to USE?
It is as DIFFICULT as 1-2-3!
ARE AEDs SAFE?
AED Safety Features The AED must successfully analyse 2 episodes of shockable rhythm before asking to deliver a shock Remote risk of rescuer getting shock unless blatantly disregarding instructions do not touch the patient stand clear
Making AEDs Work for you Which is the right signage?
Standardization is key! How many ways to save a life? 2? 7? Or 12?
AEDs should not be this hard to find
Or this hard to take out
Visibility AED installation guidelines Standardized signage Directional information Central/common location Accessibility Location Height Mechanism to release AED http://www.nrcsingapore.com/#!resources/c8k2
How Many AEDs are needed? Depends on geographic area Population size Special population at risk Elderly Chronically ill, heart patients Ideally, 3mins to get an AED to anyone in the workplace
AEDs Management Why Annual maintenance is recommended Check serviceability Software updates Check batteries for expiry Check gel pads expiry date
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myresponder MOBILE RESPONDER APPLICATION To increase survival rate of cardiac arrest victims Early access with GPS geolocation by 995 Early CPR by community responders Early defibrillation with public AEDs Key Features: Geolocation Activated Show nearby cases Show nearby AEDs
How works 1. Passerby dials 9-9-5 2. 995 Ops Centre dispatches an ambulance 3. 995 call-taker guides the caller to perform chest compression and activates myresponder App. 4. Passer-by(s) in the vicinity receives an alert via myresponder app and goes to the patient. 5. App responder goes to pick up nearest AED. 6. App responders administers AED on the patient and performs chest compression 7. SCDF EMS Crew arrives at scene and renders medical assistance.
I m all for it. How do I sign up?
If you wish to volunteer information on the AED location in your premise, please email us at: r-aedi@heart.org.sg
Questions? ng_yih_yng@scdf.gov.sg