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Heartsavers in the city: Rotary AED project takes bloom

By Katie Friedman, Monticello Times.com
May 31st, 2005

A potentially life-saving project launched by Monticello Rotarians in cooperation with the Monticello-Big Lake Community Hospital has caught the interest of area business owners, and across town, heart-starting defibrillators are popping up like spring flowers.

At the Rotary’s invitation, eight area businesses and one local public facility have agreed to install defibrillators–used to interrupt cases of sudden cardiac arrest–on their premises, and to train their employees in the equipment’s proper use.

The community service project, announced as a Monticello Rotary Club goal last August, coincided with Rotary Inter-national’s centennial celebration, as well as the Monticello club’s 50th anniversary.

“We tried to think of the top 10 places where they would help the most people,” said Rotary President Jim Agosto. “At the beginning, we were thinking a couple of them would agree to it. But then it kind of grew, and we started to get contacted by other companies, too.”

The Rotarians have now installed defibrillators at the Monticello Theatre, Silver Springs Golf Club, Syntregy Fitness Centers (in Monticello, Buffalo and Zimmerman), the Bondhus Corporation, Electro Industries, UMC, Cub Foods and the hockey arena.

“Other parties are interested,” Agosto said. “We’re just seeing where it will go from here.”

A signature project

Sudden cardiac arrest (SCA) is usually caused by an electrical malfunction of the heart known as ventricular fibrillation, a quivering of the heart muscle that renders it unable to pump blood. Once that circulation stops, a person quickly loses consciousness and the ability to breathe. The success of resuscitation drops by about 10 percent with each passing minute. After 10 minutes in cardiac arrest, a person’s survival chance is about two percent.

SCA strikes randomly, though certain medical conditions can increase the risk. In the United States, it affects about 1,000 people every day, and worldwide, as many as a million people each year. The events are most often fatal.

Defibrillation–an electric shock to the heart–is the only effective treatment for SCA. Electric current can interrupt ventricular fibrillation, allowing the heart’s normal rhythm to resume.

Sudden cardiac arrest is not a heart attack, which occurs when a blood vessel feeding the heart is blocked by plaque or a blood clot while the heart continues to beat. A defibrillator is not made to correct this problem, and will not go into operation if a heartbeat is detected.

The Rotary’s defibrillator project Agosto said, is unique, in that the Rotarians are not giving the defibrillators away, but partnering with local businesses to have the equipment installed and employees trained. Working with the Cardiac Science, a manufacturer of defibrillators, the club was able to purchase defibrillators at a reduced cost. And that cost has either been carried or shared, on a mutual agreement, by each individual participant.

Initially, the project was launched with seed money from the club’s Rotary District.

“But it’s our baby now,” said Agosto. “Our board is looking at this as a signature project for our club. The vision is to continue on, adding to the companies we’re working with now.”

An ongoing mission

The Rotary is working to promote the idea in locations that will benefit the most people, he said, and is also looking to work with locations in town that already have defibrillators on site, with an offer of including employees in the project’s training sessions in CPR (cardiopulmonary resuscitation) and AED (automated external defibrillation.

The American Red Cross and the American Heart Association recommend full training in a hands-on, four-hour course initially, supported by subsequent refresher courses. In cooperation with the Rotarians’ vision, the Monticello-Big Lake Hospital has provided initial technical assistance to participants, as well as AED/CPR training and refresher courses, and is maintaining a certification database.

“That the hospital is working with the Rotarians on this is really exciting to me,” Agosto, who serves on the hospital’s board of directors, said. “We have a common goal, and while they’re good at the medical stuff, we’re good at the business side of it. We each use our different circles of influence. I like that model.”

Businesses who participate in the project agree to place the equipment conspicuously with posted notices of its availability, commit to its maintenance, ensure that an adequate number of employees are trained in its usage with annual refresher courses and to submit an annual review of the equipment and staff training levels.

As the Rotarians’ defibrillator project continues to ripple through Monticello, the club is looking to new horizons for its mission, with plans to approach business owners in nearby communities, as funds allow.

Giving credit to the united efforts of many who helped to get the defibrillator project up and running– including MBLCH executive director Barb Schwien-tek and Rotarians Dick Van Allen and Steve Johnson–Agosto, a local legal eagle, expressed his gratification at the mission’s initial success.

“I’m pleasantly surprised,” he said. “Who knows? It might even save a lawyer someday. That can’t be all bad.”

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