Background of Public Access Defibrillation
- Public access defibrillation (PAD) programs are designed to improve survival from sudden cardiac arrest. PAD programs include placement of AED’s throughout the community and training people in CPR and AED’s.
- If PAD programs are to improve survival from sudden cardiac arrest, they must significantly reduce 2 intervals:
- Time between collapse and start of CPR
- Time between collapse and delivery of first shock
- Successful PAD programs require careful planning, lay rescuer training, quality assurance monitoring, and a strong link with the local EMS system.
**Note: River Falls EMS will take a large part in the following 3 steps!
1. Preliminary Steps: Preparation and Planning for PAD Program
- Identify a licensed physician to serve as PAD medical director
- Provide CPR/AED training to individuals in the community.
- Establish communication between:
- PAD Medical Director
- Personnel or employees receiving training
- River Falls EMS PAD oversight
- Email to conduct a site visit at your site.
- Goals of the site visit
- Identify responding personnel at the location that will use PAD.
- Determine proper placement of the AED.
- In an AED area, the AED will ideally be placed within a 1.5 minute walking distance of area covered.
- Suggest that the AED being considered is compatible with River Falls EMS defibrillators.
2. Pre-event Training and Program Establishment
- Share suggested treatment protocols consistent with recommendations of the American Heart Association and River Falls EMS.
- Train all anticipated users of the PAD program.
- Establish methods to accomplish and document the following tasks:
- Ensure skills maintenance. (include refresher training and mock drills)
- Ensure device maintenance and readiness-for-use checks.
- Ensure AED and user performance after any field use.
- Ensure post-event psychological support is available to rescuers, co-workers, etc.
- Review potential long term clinical outcomes of the collapsed person.
3. Post-Clinical Event Quality Improvement Monitoring: Incident Review
- Review scene – recap of incident.
- Review lay rescuer performance during field use and provide feedback.
- Offer post-event psychological support to rescuer and rescuer co-workers.
- Determine clinical outcome of person who collapsed – requires authority to access private hospital records from either physician or EMS medical director.
- Develop plan to track community-wide outcomes and performances over time.
***In River Falls, these critical elements can be achieved by PAD programs closely affiliated with local EMS systems and resources.