the best support · guidelines for compression depth during cpr, reflecting the increase from 1½...
TRANSCRIPT
ThelatestAmericanHeartAssociation(AHA)Guidelinesissuedin2010,areclear:successfuldefibrillationrequireshigh-qualityCPRperformedattheproperdepthandrate.Whenit’stimeforCPR,theAEDPlus®withRealCPRHelp®providesthebestsupporttohelpsavealife.
The CPR hand-placement landmark contains a sensor that detects and measures chest compressions.
CPR Required
Whetherashockisadvisedornot,the2010Guidelinessaythatrescuersshouldfocusondeliveringhigh-qualityCPR.1Ifnoshockisadvised,onlyhigh-qualityCPRcanpotentiallysaveavictim.That’sbecauseonlygoodCPRcanrestoretheheartrhythmtoonerequiredforashocktowork.
EvenwhenanAEDsays“ShockAdvised,”high-qualityCPRshouldbeginimmediatelyaftershockdelivery.Onceshocked,theheartstrugglesforbloodasittriestoreorganizeandrestoreitsnaturalbeat.Bymovingbloodthroughtheheart,and
backintotheheartmusclesthemselves,CPRprovidescriticalhelptothestrugglingheart.Withoutthishelp,ashockalonemayproveineffective,andthevictimmaynotberesuscitated.
Knowledge Is PowerTheAHA’s2010Guidelinesrecommendthatrescuerspushhardtoadepthofatleast2inches(or5cm)atarateofatleast100compressionsperminute.Buthowdoyouknowyou’rereachingthatdepthandrate?Youshouldn’thavetoguess—youshouldknow.Only an AED that offers real-time CPR feedback provides
the best support for saving a life.
Audio prompts match the displayed text.
“ Rescuers should focus on delivering high-quality CPR: providing chest compressions …of at least 2 inches.” – 2010 AHA Guidelines, p. S678
An AED that Helps You Perform High-Quality CPROnlyZOLL’sAEDPlusisequippedwithRealCPRHelptechnology.ThesensorinthepadsletstheAEDseeeachchestcompressionandletsyouknowhowyou’redoing.Itguidesyou,withpromptsandareal-timebargauge,totherecommendeddepthandrateofcompressions.
The Only Fully Compliant AEDTheAEDPlusfullycomplieswiththeAHA’s2010GuidelinesbecauseitistheonlyAEDwithaFoodandDrugAdministration(FDA)-approvedtherapythatletsyouknowwhencompressionsareatleasttwoinchesdeep.ZOLLupdateditsRealCPRHelptechnologytocomplywiththenewGuidelinesforcompressiondepthduringCPR,reflectingtheincreasefrom1½to2inchestoatleast2inches.ThismodificationconstitutedachangeintherapythatnecessitatedFDAapproval.NootherAEDonthemarketrequiredthistypeofupdateorapproval.
How It Works•TheCPR-D-padz®electrodesensesandreportsthe
motionofthechestcompressionstotheAEDPlus.
•Audioandtextpromptsrelaycompressionquality.
•Thecompressiondepthbargaugeletsyouseethedepthofeachcompressioninrealtime.
•Theadaptivemetronomedetectscompressionrateandguidesyoutoatleast100perminute.
The compression depth bar gauge helps you to achieve the recommended depth of at least two inches.
“ CPR can double or triple survival from witnessed cardiac arrest.”– 2010 AHA Guidelines, p. S706
What It Means to SeeBecausetheAEDPluscan“see”yourcompressions,youcansee,hear,andreadhowwellyouareperformingCPR.
RESCUER ACTIONS
Notyetstarted?
Stopped?
Tooslow?
Notdeepenough?
PerforminggoodCPR?
Wanttoseehowyou’redoing?
AED PLUS SUPPORT
“STARTCPR”
“CONTINUECPR”
Adaptivemetronomespeedsyouup
“PUSHHARDER”
“GOODCOMPRESSIONS”
Visiblebargaugeindicatesdepthofcompressions
THE CASE FOR AEDsSurvival Increases with Early InterventionResearchshowsthattheprobabilityofsurvivalgoesupdramaticallywhenCPRisperformed,andwhenanAEDisappliedbeforeanambulancearrives.*
Where is the AED?Toooften,theansweris,“Wedon’thaveone.”Sadly,thesameresearchthatdemonstratedanearlyfivefoldincreaseinsurvivability(from5%to24%)whenanAEDisused,alsoshowedthatanAEDisavailableonly2%ofthetime.
Probability of Survival (Discharge from hospital and alive 30 days later)
24%
9%
5%
Do Nothing Perform CPR Apply an AED
Bef
ore
Am
bula
nce
Arr
ives
* Peberdy MA, et al. Resuscitation. 2009;80(10):1169–74.
Real CPR Help Really WorksInthelargesthospitalcaregiverstudy,researchprovedconclusivelythatRealCPRHelpsignificantlyincreasesthequalityofchestcompressions.2
HospitalcaregivershadtheirchestcompressionsmeasuredfirstwithoutanyhelpandthenagainwithRealCPRHelpfromanAEDPlus.Ofallcompressionsdeliveredwithoutanyhelp,only15percentreachedtheproperdepthandrate.However,whenthesesamecaregiversweretestedwithRealCPRhelp,78percentoftheircompressionswereintarget—afivefoldincreaseinCPRquality.
“ Several studies have demonstrated improvement in chest compression rate [and] depth…when real-time feedback or prompt devices are used to guide CPR performance.”
“ …real-time CPR prompting and feedback technology such as visual and auditory prompting devices can improve the quality of CPR (Class IIa, LOE B).” – 2010 AHA Guidelines, p. S697
The Benefits of OwnershipTheAEDPluscanhelpyourorganization’sbottomline.Onceinstalled,theAEDPlushasthelowesttotalcostofownershipofallAEDsonthemarket,especiallywhenconsideringthelogisticsoftrackingandchangingpadsandbatteriesoverthelifeoftheAED.Thankstothelongshelflifeoftheconsumables,whenyoucomparethecostofmaintenanceover10years,thisAEDisthemostcost-effectiveunittoown.TheAEDPlusispoweredbylithiumbatteries(availablefromretailoutlets)thatlastfiveyears,andtheCPR-D-padzlastfiveyearsaswell.
Minutes Since Collapse
1 2 3 4 5 6 7 8 9 10
Chan
ce o
f Sur
viva
l (%
)
Probability of Survival (with CPR)*
96%92%
88% 84%
76% 72%68%
64% 60%
80%About 60% after
10 minutes
1 2 3 4 5 6 7 8 9 10
90%
Minutes Since Collapse
Probability of Survival (no CPR)*
80%
70%
60%
50%
40%
30%
20%
10%0%
About 0% after 10 minutes
Chan
ce o
f Sur
viva
l (%
)
THE CASE FOR CPRQuality Buys TimeTheAHA’s2010Guidelinesnotethatifbystandersdonothingforacollapsedvictim,thechanceofsurvivaldropsabout10%everyminute.
* Source: 2010 AHA Guidelines for CPR and ECC. Circulation. 2010;122:S706.
ButifbystanderscanimmediatelybeginCPRandkeepitup,thenthechanceofsurvivalonlydrops3%to4%perminute.Atthatrate,approximately10minutesaftercollapse,thechanceofsurvivalremainsatleast60%.
References:1 2010AmericanHeartAssociationGuidelinesforCardiopulmonaryResuscitationandEmergency
CardiovascularCareScience.Circulation.2010;122:S678.
2 WeisfeldtML,etal. J Am Coll Cardiol.2010;55(16):1713–20.
A D V A N C I N GR E S U S C I T A T I O N .T O D A Y . ®
ZOLL Medical Corporation Worldwide Headquarters269 Mill Road Chelmsford, MA 01824 978-421-9655 800-348-9011
For subsidiary addresses and fax numbers, as well as other global locations, please go to www.zoll.com/contacts.
Printed in U.S.A. 0612209656-0156-05 AHA
©2012 ZOLL Medical Corporation. All rights reserved. Advancing Resuscitation. Today., AED Plus, CPR-D-padz, Real CPR Help, and ZOLL are trademarks or registered trademarks of ZOLL Medical Corporation in the United States and/or other countries. All other trademarks are the property of their respective owners.
ZOLLMedicalCorporation,anAsahiKaseiGroupcompany,developsandmarketsmedicaldevicesandsoftwaresolutionsthathelpadvanceemergencycareandsavelives,whileincreasingclinicalandoperationalefficiencies.Withproductsfordefibrillationandmonitoring,circulationandCPRfeedback,datamanagement,fluidresuscitation,andtherapeutictemperaturemanagement,ZOLLprovidesacomprehensivesetoftechnologiesthathelpclinicians,EMSandfireprofessionals,andlayrescuerstreatvictimsneedingresuscitationandcriticalcare.Formoreinformation,visitwww.zoll.com.
TheAsahiKaseiGroupisadiversifiedgroupofcompaniesledbyholdingcompanyAsahiKaseiCorp.,withoperationsinthechemicals&fibers,homes&constructionsmaterials,electronicsandhealthcarebusinesssectors.Itshealthcareoperationsincludedevicesandsystemsforcriticalcare,dialysis,therapeuticapheresis,transfusion,andmanufactureofbiotherapeutics,aswellaspharmaceuticals,diagnosticreagents,andnutritionalproducts.Withmorethan25,000employeesaroundtheworld,theAsahiKaseiGroupservescustomersinmorethan100countries.Formoreinformation,visitwww.asahi-kasei.co.jp/asahi/en/.
The rescue accessory pack comes with all the additional tools you may require during a rescue, from scissors to non-latex gloves.
The Best SupportNo other AED supports a rescuer as thoroughly as the AED Plus because it includes the following:
•Aone-pieceCPR-D-padzelectrodeforquick,easyapplication.Pull-tabsexposetheconductivegeloneachpadonlywhenitisindirectcontactwiththeskin,limitingthechanceofgelcontamination.
•ArescueaccessorypackageattachedtoeveryCPR-D-padzthatcontainsitemscriticaltoasuccessfulrescue.
•Alidthatactsasa“passiveairwaysupport”tomaintainthevictim’sopenairway.
•Aback-litdisplayscreenthatprovidessimultaneoustextwitheveryaudioprompt,andacircleoflightedgraphicaliconsthatshowwhattodo.
•Adisplayscreenthatpresentstheelapsedtimeandnumberofshocksdelivered,criticalinformationneededbyEMSpersonnelwhentheyarrive.
•RealCPRHelp.NootherAEDcanseetherescuerschestcompressionsandguidethemtotherequireddepthandrate.OtherAEDsmakeyouguesswhenyourcompressionsaredeepenough.OnlytheAEDPlusletsyouknow.