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The Case for Early Defibrillation

What is sudden cardiac arrest?


Condition in which heart stops abruptly Usually caused by ventricular fibrillation (abnormality in hearts electrical system) Not the same as heart attack Results in death if not treated immediately

How common is SCA?


One of leading causes of death in U.S. At least 250,000 suffer SCA each year Median age of victim: 65 years, but affects people of all ages, even teenagers

SCA: a public health crisis


250000 200000 150000 Breast cancer 100000 Car accidents 50000 0 Annual incidence Sudden cardiac arrest House fire Prostate cancer

How can SCA be treated?


Ideal treatment for most cases:
Early CPR (cardiopulmonary resuscitation) to keep heart viable until defibrillator arrives Early defibrillation (delivery of electrical shocks with defibrillator)

Why is early defibrillation so important?


Chance of survival from SCA diminish 7-10% with every minute after collapse

Why is early defibrillation so important?


90% 80% 70% 60% 50% 40% 30% 20% 10% 0%
90%

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64% 59% 45% 34% 20% 7%

Only 7% now survive 30% or more could survive in community settings If even 20% survive, 50,000 lives could be saved each year

Survival rate

National average Realistic target

Do you have to be medically trained to use defibrillator?


No. Automated external defibrillators (AEDs) are simple, safe and easy to use Non-medical personnel can use AEDs with minimum of training

Who supports increased access to defibrillation?


American College of Emergency Physicians American Heart Association American Public Health Association American Red Cross Canadian Association of Emergency Physicians Citizen CPR Foundation Emergency Care Research Institute Heart and Stroke Foundation of Canada International Association of Chiefs of Police International Association of Fire Chiefs International Association of Fire Fighters International Liaison Committee on Resuscitation National Association of EMS Physicians National Association of State EMS Directors National Association of State EMS Training Coordinators, Inc. National Center for Early Defibrillation National Heart Lung and Blood Institute National Safety Council Occupational Safety and Health Administration

Are AED programs cost-effective?


$70,000 $60,000 $50,000 $40,000 $30,000 $20,000 $10,000 $0 Medical intervention costs per year of life saved

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Hypertension screening, treatment Defibrillation

Cost of first responder AED programs over five years: $4,400 to $8,000 per year of life saved Compares favorably with costs of other medical interventions

How you can help your community prepare for SCA

Make sure local EMS, fire and police are trained and equipped with defibrillators. Consider advocating on-site AED programs in population centers that cannot be reached by emergency responders in less than five minutes

How you can help your community prepare for SCA

Call 911 immediately in the case of apparent emergencies. Learn CPR. Encourage your family members, friends and neighbors to learn CPR. Learn how to use an AED. Remember that the key to survival is quick action.

How you can help your community prepare for SCA


Call 1-866 AED-INFO or visit www.early-defib.org for more information.

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