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Death from cardiac arrest can be averted with AED

By Tara Meissner, Herald Times Reporter
April 10th, 2005

TWO RIVERS — Literally every second counts when a person goes into cardiac arrest.

According to the American Heart Association, every year more than 480,000 adult Americans die of a heart attack or related complications. About half of these deaths result from sudden cardiac arrest. Sudden cardiac arrest is most likely to occur in the first hour after the onset of symptoms of a heart attack, typically before a victim arrives at a hospital. It will result in death, unless the emergency treatment is provided immediately.

In Two Rivers, the Fire Department responded to 60 cardiac arrest calls since Aug. 4, 2001. All patients who recovered enough to walk out of the hospital received immediate CPR, defibrillation and Advanced Cardiac Life Support, according to Assistant Fire Chief Gary Shavlik.

Unfortunately it was only on two calls where the Police Department used Automated External Defibrillators (AEDs) prior to advanced life support arrival. The normal 911 call is dispatched to the ambulance and the police officers are dispatched at the same time. If the officer is in his beat he will arrive before the ambulance and all squads are equipped with AEDs.

The American Heart Association offers the following guidelines, called the chain of survival, for a successful recovery from cardiac arrest:

— Link 1 — Phone 911 to activate the emergency medical services system

— Link 2 — Begin CPR

(the next two links will be provided by rescuers with additional training)

— Link 3 — Early defibrillation by trained rescuers or EMS personnel

— Link 4 — Advanced care by EMS and hospital personnel

The Fire Department serves as training center for people to learn how to use the AEDs. Average cost of the life-saving devices is about $1,500 each, Shavlik said.

He, and certified AED trainer Barb Wondrash, encourage all businesses to make the investment. They are user-friendly with voice prompts for the next steps.

Many adult victims of sudden cardiac arrest have ventricular fibrillation, an abnormal chaotic heart rhythm that prevents the heart from pumping blood and defibrillation, a shock that stops V-fib and allows a normal heart rhythm to resume, is the only treatment, according to the American Heart Association.

Each minute that goes by without defibrillation decreases survival chance by 7 to 10 percent. After 10-12 minutes there is little chance for a successful rescue unless CPR has been provided, according to the association.

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