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Home My WebLink About4.h. Use of Automatic DefibrillatorCITY OF ROSEMOUNT EXECUTIVE SUMMARY FOR ACTION CITY COUNCIL MEETING DATE: February 18, 1992 AGENDA ITEM: Use of Automatic Defibrillator AGENDA SECTION: Consent PREPARED BY: Scott Aker, Fire Chief AGENDA'M # , 4 ATTACHMENTS: 1) Informational Flyer, APPROVED BY: 2) Rationale for Early External Defibrillation 3) Automatic External Defibrillator Protocol, 4) Medical Support from Healtheast, 5) Certificate of Liability Insurance This item is a request for authorization to pursue the use of automatic external defibrillators by first responders and police personnel when responding to medical calls. Approximately 3 years ago when the Hoisington group did a study of the police and fire departments, it was recommended that we implement the use of these defibrillators as soon as possible. At that time they were very new on the market, the reliability had not been tested, the devices were extremely expensive, and all liability questions were unclear. Since that time, these items have come down substantially in price. The current cost for a complete unit, along with all test equipment, is $6,500.00. With the protocols that Divine Redeemer/Healtheast ambulance have had in effect for the past few years, the medical support they are willing to give, and the statement of liability insurance provided by the manufacturer, most of the liability questions have been answered. We will be covered by Divine Redeemer's medical director, Dr. Patti Cook, provided we have the ongoing training each year. This training will be conducted by John Dillon, a certified emergency care instructor, and staff paramedic with Healtheast/Divine Redeemer ambulance service who now supplies our first responder training on an annual basis. According to the Laerdal Company, which manufacturers this product and according to information: from all users of this product, there has never been a malfunction as long as they have been in service. This automatic defibrillator analyzes the patient completely on its own and does not require any diagnoses by the operator. If the patient is analyzed and it is determined that a shock from this machine would not be appropriate to their case, the machine is impossible to cause to shock. If it diagnoses the patient and indicates that a shock would be appropriate, the machine tells the first responder when to push the button. According to some medical personnel, the use of an automatic defibrillator is much more foolproof than administering oxygen to a patient. When administering oxygen, the patient does have to be diagnosed by the caregiver and in some instances it would be most appropriate not to give oxygen and those decisions have to be made by the first responder, whereas, all decisions are removed from the first responder with the automatic defibrillation machine. Money for this item has been deleted from the 5 year CIP budget due to budgeting constraints. At this time, we would only look for approval of this concept and authorization to accept donations from outside agencies for this purpose should they - contact us. RECOMMENDED ACTION: Motion to authorize the concept of the use of automatic defibrillators by first responders and authorize the acceptance of donations for its purchase. COUNCIL ACTION: Attachment 1 r_ vim - -_-_,.:: guo Early defibrillation means speed in getting to the patient. At less than 10 pounds the Heartstart"s low weight is not only a major design break -through, its balance and easy to cant' profile can help rescuers get to patients faster. Measured against any other automated defibrillator, there is no comparison. ^--Mplete Records e Medical Control Module, MCM e 1200 seconds (20 minutes) of n and all other device data such as fiber, messages, shock information ions. This gives you eight times nan the standard MCM. The MCM e enhanced patient records and Ver events he chooses. All device use and ECG data is easily printed for medical control reports in condensed formats .. with selected six -second ECG segments or in its entirety. i 01w%e aeyuclw wit W 11wnieul later, H desired. For the present;-. the Heartstart is programmed to operate consistent with the latest AHA automated external defibrillator recommendations. In the future, the Heartstart 3000 can adapt to special requirements and new standards as needed. Links in a community's Chain of Survival Attachment 2 Of all patients who collapse with sudden cardiac arrest, those in ventricular fibrillation, 70% - 90%, have the greatest chance of survival. A patient's chance to survive is dependent on a strong "chain of survival" in their community. Missing links in this chain result in less than optimal programs and unnecessary deaths. Early Access The Emergency Medical System must be activated immediately to reduce total response time. Early CPR CPR initiated immediately (within 1-4 minutes) maintains oxygenation of vital organs. such as the brain and heart. This is essential if later defibrillation and medications are to be effective. Arrest W= I VF 4 min. No treatment a Delayed defibrillation Early CPR Delayed defibrillation Early Advanced Cardiac Life Support Definitive treatment such as administration of medications and airway stabilization, increases the chances of survival even further. Early Defibrillation It the victim receives CPR within 4 minutes and defibrillatbon within &12 minutes, there is a significantly improved dance of survival. The availability of automated defibrillators midces it possbble for more people to be trained and prepared to respond to cardiac emergencies. Survival a MITI. 12 ruin. (UP mi 0% 2% 8% Early accessIC i �20% !Early CPR � 1j' " • ��WW�Nt�� l( U ^�� I! I! I / I(� 1� I� Early defibrillation carry access Early CPR Early defibrillation Early ACTS Attachment 3 AUTOMATIC EXTERNAL DEFIBRILLATOR HEARTSTART 3000 PROTOCOLS August 6, 1991 Dr. Patti Cook M.D. Medical Director, HealtEast/Divine Redeemer Hospital Emergency Department and Ambulance Service Advanced Cardiac Life Support Instructor Marty Forseth REMT-P Director of Operations, HealthEast/Divine Redeemer Ambulance Service John Dillon REMT-P Emergency Care Instructor, Staff Paramedic HealthEast/Divine Redeemer Ambulance Service Advanced Cardiac Life Support Instructor ROSEMOUNT FIRE DEPARTMENT HEARTSTART 3000 AUTOMATIC DEFIBRILLATION PROTOCOL 1. Immediatly upon arrival, verify circulatory arrest by absence of consciousness, carotid pulse, and respiration in adult sized patients over 16 years of age. 2. Initiate CPR, making sure that airway is open (chest rise?) and ventilate with 100% oxygen. 3. Attach automatic defibrillator while continuing CPR, turn on machine, stop CPR and push ANALYZE button (MAKE SURE THAT NOBODY IS IN CONTACT WITH THE PATIENT DURING ANALYZING PERIOD). 4. If a shock is indicated you will hear the machine charge and give you a voice prompt "STAND CLEAR, STAND CLEAR, STAND CLEAR" once the macine is charged the machine will give you both a visual and verbal prompt "Press to Shock" visualize head to toe to make sure no one is in contact with the patient and depress the shockbutton. 5. After the first shock is delivered, press the analyze button again, no one should be in contact with the patient during analyzing period if a shock is indicated the machine will repeat step #4. If the machine goes through 3 shocks, you then would after the third shock check for a pulse, if no pulse you would continue CPR,with 100% oxygen. NOTE: You should let the Heartstart 3000 go through it's three shocks without interruption and nobody should be touching the patient during this time, including checking for a pulse. 6. If a "NO SHOCK" is indicated when you first push the analyze button you would recheck the pulse and treat the patient appropriatly. You should stop CPR every few minutes and recheck the pulse and push the analyze button to see if a shock is indicated. REMEMBER if a "NO SHOCK" is indicated this just means the rhythm is non -shockable only, it does not mean the patient has a pulse. 7. If you successfully defibrillate a patient and get a return of a pulse, keep the Heartstart 3000 on the patient since the patient is still at high risk for another arrest, remember to assess breathing and treat as needed with oxygen. If the patient goes back into cardiac arrest (no pulse) with the Heartstart 3000 still attached do not delay, push the analyze button and follow through with the machine prompts. FILE: DFIBPROT 8/6/91 8. if three shocks have been delivered and there is a delay in ALS, continue CPR with 100% oxygen for one minute, and contact Divine Redeemer Medical control by Phone #450-4515 or radio Ambulance frequency 155.325 and recieve permission to repeat the Defibrillation cycle. SPECIAL NOTES: a.) The defibrillator is not to be used for monitoring a patient's heart rythm if they are conscious, exception would be if the patient has been defibrillated, then the machine should be left on. b.) The defibrillator should only be used on adults 16 or older. The machine is not set up for children. c.) The machine should not be used to determine death in an individual. HealthEast 10 Date: November 12, 1991 To: City of Rosemount From: Dr. Patricia Cook M.D. Re: Automatic External Defibrillator Training Attachment 4 Divine Redeemer Memorial Hospital 724 Nineteenth Avenue North South St. Paul, MN 55075 612-450-4500 As Medical Director for FeathEast/Divine Redeemer Emergency Medical Services I laud the intent of the fire department to obtain an automatic defibrillator. Studies have shown that rapid defibrillaton along with Advanced Life Support saves lives. This becomes important not only for the safety of the citizen but for the volunteer firefighter as well. The greatest cause of death in this group is from a heart attack. To support this endeavor we are willing to provide the initial training and medical direction necessary to implement this program free of charge. This would be comprised of an initial 4 hour course with an overview of the operation of the unit and physiological effects on the heart, a written protocol, and a quality assurance review after each use. If you have any questions or would like to discuss this matter further please feel free to contact me through Marty Forseth at 450-4538. He can get a message to me and I will return your call as soon as possible. CERTIFICATE OF t�tSlt' At` E Attachment . 5 Iss 3/11/91 N PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE _ D^ES NO' AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE j POLICIES BELOW COMPANIES AFFORDING COVERAGE 2101 FOURTH: AlrEh"JE SEATTLE, 11A 9Sil2i COMPANY A LETTER PACiTi vC E l L0=1; Irl u . Co. COMPANY B LETTER INSURED _ . LAERDAL MEDICAL CORP., ET AL COMPANY C LETTER CALIF'ORh'IA MEDICAL PRODUCTS, INC.COM ONE LABRIOLA COURT LETTER Y D PO :. 1900 n r-.__. _._.... ........ ____ ARHONK, . 105LC^`. �V 190 CLETTER E tzi �I� �p�ES a,. C'.wn. .,..-x•..•,.,.+,s«.a ••w:-rr. K,tst»wr. »s«-...-.�:r.,*a+a�.:xillc+.-^•�eaete: �'�",, ,. .,.._..- ,_`. .e.-.`�.-..•s., .;... ;:.,.. .....,,. WVGRAG'�dt'< �d pi+,sia'D •__.._.- -_.. _. ..,__...�:«..._...,..».. ,.,...........�,..cw... .. - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ' POLICY EFFECTIVE POLICY EXPIRATION LIMITS CO; LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MWDOIYY) GENERAL AGGREGATE 5 2CNXO00 GENERAL LIABILITY — --^ UCTS•COMPIOP AGG. COMMERCIAL GEN " pODIl— PR A a !ERAL LIABILITY t - D24219069 Z�Ol/ i Z 1�01�92 �. PERSONAL & ADV. INJURYS 100OODO� - CLAIMS MADE X ' OCCUR.' -- EACH OCCURRENCE _ 1000000 ER'S 3 CONTRACTOR'S PROT DOW ! 4'.FIRE DAMAGE (Any one lire) t N� MEC. EXPENSE (Any one Perm) S 5000 .:;i AUTOMOBILE LIABILITY COMBINED SINGLE _ LIMIT ANY AUTO { ; ALL OWNED AUTOS _ BODILY INJURY : (Per pore-) .. �. SCHEDULED AUTOS �---'� HIRED AUTOS BODILY INJURY _ (Per aeewent) NON -OWNED AUTOS ---.--- -1 GARAGE LIABILITY PROPERTY DAMAGE S c - F—+ EACH OCCURRENCE S a EXCESS LIABILITY - — —" r— AGGREGATE _ UMBRELLA FORM OTHER THAN UMBRELLA FORM ! STATUTORY LIMITS ; WORKER'S COMPENSATION { EACH ACCIDENT ;+ AND 1 ( t DISEASE—POLICY LIMIT' S EMPLOYERS' LIABILITY ! DISEASE—EACH EMPLOYEE! t 111! 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