slide1 n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
External Defibrillators Prehospital Clinical Issues PowerPoint Presentation
Download Presentation
External Defibrillators Prehospital Clinical Issues

Loading in 2 Seconds...

play fullscreen
1 / 6

External Defibrillators Prehospital Clinical Issues - PowerPoint PPT Presentation


  • 155 Views
  • Uploaded on

Jules Scadden, P.S, CQI/Data Coordinator-Sac County Ambulance National Association of EMTs (NAEMT) jkscadden@gmail.com. External Defibrillators Prehospital Clinical Issues. EMS historically provided first defibrillation Studies- improved outcomes with rapid defibrillation (1) (2)

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'External Defibrillators Prehospital Clinical Issues' - aulii


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1
Jules Scadden, P.S,

CQI/Data Coordinator-Sac County Ambulance

National Association of EMTs (NAEMT)

jkscadden@gmail.com

External DefibrillatorsPrehospital Clinical Issues

back ground

EMS historically provided first defibrillation

Studies- improved outcomes with rapid defibrillation (1) (2)

EMS-Call-to-arrive often 4-5 min or longer

PAD decreased time-defibrillation (1)

By-stander CPR with early defibrillation + coordination with local EMS improved survival rates

Back Ground
challenges

Lack of interoperability between devices

    • Electrodes/Defib pads
  • Adult vs Peds modes requires pad changes
  • Software Updates/Guideline changes
  • Cost prohibitive to many EMS services and small businesses
  • Lack of EMS-PAD program collaboration
Challenges
situations

AED used at local high school during a community event. CPR was interrupted twice to change defib pads with arrival of local BLS ambulance and ALS ambulance

Volunteer FR AED fails on third shock—battery dead—unit had never been used/checked during monthly meetings indicated batteries were fine

Situations
recommendations

Universal Electrodes and wiring systems

Institute universal “Adult” vs “Peds” shock button

Remote protocol/algorithms/software updates

Cost of AEDs must not be prohibitive

Collaboration of AED placement/PAD programs with local EMS

Recommendations
summary

Universal pads/electrodes and wiring systems as well as an “adult” vs “Pediatric” shock button can improve patient outcomes by eliminating interrupted CPR

Remote system updates will ensure updates are installed in a timely manner, decreasing “out-of-service” time and potential machine failure

Significant cost increase with technology increases would place an increased burden on EMS services and potentially make PAD programs prohibitive.

Collaboration with local EMS services will enhance a PAD program and improve patient outcomes

Summary