TENNESSEE Project ADAM Preventing Sudden Cardiac Death (SCD): Implementing your school s Public Access to Defibrillation (PAD) program.
In Tennessee IT S THE LAW. All schools equipped with an AED must provide AED training to all school staff.
Startling Stats 20-25% of our population is in school during the day in U.S. Sudden cardiac arrest is th #1 cause of on-campus death in high school athletes. 1000 people/day, 2-3 of those are children. Much higher survival rates in schools with a trained response team and a practiced plan using CPR and an AED While it can strike those who are sedentary, the risk is up to three times greater in competitive athletes.
Impact The loss of anyone- child, staff member, or volunteer is devastating to a school community. SCA is dramatic and traumatic, both to the victim and observers. Exposure for both should be considered and minimized.
What is Sudden Cardiac Arrest (SCA)? SCA Heart suddenly stops beating Blood not pumped to brain or other vital organs Victim will die within minutes without CPR and AED Caused by Underlying cardiac condition Sudden blow to the chest Certain drugs Respiratory distress, stroke, or heart attack Over ½ of SCA incidents in children have genetic cause
American Heart Association Chain of Survival Early recognition of the emergency and activation of the emergency medical services (EMS) system (911). Early bystander cardiopulmonary resuscitation (CPR). Early delivery of a shock with a defibrillation Early advanced life support.
Project ADAM: Being Ready to Respond to a Cardiac Emergency Activate EMS and your schools Emergency Response Team Start CPR AED EMS NOTE: For every 1- MINUTE delay in treatment, chances of survival are decreased by 10%
AED Training for Phillips HeartStart FRx AED The FRx AED is used to treat ventricular fibrillation (VF). VF is the most common cause of sudden cardiac arrest (SCA). SCA: the heart suddenly stops pumping, often without a warning sign. Causes vary. VF: chaotic quivering of the heart muscle, prevents pumping blood. The ONLY effective TREATMENT for VF is DEFIBRILLATION!
INDICATIONS FOR USE OF AN AED A person in SCA: does not respond when shaken, and is not breathing normally. If in doubt, apply the pads and follow the voice instructions of the defibrillator.
Pediatric key if you need to defibrillate an infant/child under 55 pounds or 8 years old WARNING: Most cardiac arrests in children are not caused by heart problems. When responding to cardiac arrest in an infant or child: Provide infant/child CPR while a bystander calls EMS and brings the FRx. If no bystander is available, provide 1-2 minutes of CPR before calling EMS and retrieving the FRx. If you witnessed the child's collapse, call EMS immediately and then get the FRx. Insert the Infant/Child Key into the slot at the top center front panel Turn on the FRx and follow instructions Place the pads on the child s front and back. Doesn t matter which pad on the chest or the back. NOTE: It does not matter whether you insert the Infant/Child Key before or immediately after turning on the FRx. However, the Key should be inserted BEFORE placing the PADS on the child. IF you do NOT have an Infant/Child Key: DO NOT DELAY TREATMENT Turn on the FRx and follows instructions. Place one pad in the center of the chest between the nipples, and the other in the center of the back. IF you are not sure of the exact weight or age: DO NOT DELAY TREATMENT Turn on the FRx without inserting the Key and follow instructions Place pads on the front chest and center of the back
NOTES: Kits: scissors, gloves, razor, face mask, towel or wipes Pediatric Key (pink) before applying the pads Remove any medicine patches Do not place the pads over an implanted pacemaker or defibrillator Do not allow the pads to contact other electrodes or metal parts Keep patient still and keep any movement around patient to a minimum during rhythm analysis