SlideShare a Scribd company logo
1 of 10
Download to read offline
An Opportunity for a

Law Enforcement
Agency to

Save Lives
Written by David Hiltz, American Heart Association
and Phil Coco, Old Saybrook Department of Police Services

Half of men and women in western society with serious coronary artery disease
experience their first signs of the disease in a dramatic way—sudden cardiac arrest.

Whether a victim lives or dies at this point depends on whether the collapse is
witnessed, if the people who are there are trained and willing to perform CPR, and
whether the arrest has occurred in a system that can bring about early arrival of
needed resources and timely execution of evidence based interventions.

Many have recognized the need to improve community systems of emergency
cardiovascular care to optimize patient survival. The "Chain of Survival" represents the
current approach to improving recognition, response, care and outcomes.

The American Heart Association estimates that if communities could achieve a 20%
survival rate, an estimated 50,000 lives could be saved each year. One potential
strategy for delivering early CPR and rapid defibrillation in the out of hospital setting
includes the utilization of law enforcement agency (LEA) personnel.

Indeed, in many communities, LEA units are frequently on patrol and can respond
immediately to emergencies. With this in mind, LEA can often arrive on scene before
EMS units and begin time sensitive treatments. Furthermore LEA has an established role
as ―guardians of public safety‖.
Old Saybrook Police: Leading Efforts to Improve Emergency Care


                                    Recently, the Old Saybrook Department of Police
                                    Services, in cooperation with the Old Saybrook
                                    Ambulance Association and Middlesex Hospital has
                                    decided to move forward with several strategies to
                                    improve response, care and outcomes and are
                                    addressing community education, responder
                                    education, emergency system access and dispatch
                                    and research/quality improvement.




 "We thoroughly understand that the fastest way to provide emergency cardiac care is
 for police officers who are already mobile and deployed throughout our community to
Transforming Police Emergency Medical Responders into and
 be trained and to respond immediately with AEDs and other lifesaving skills
 equipment. To enhance that the department is working with the AHA to enhance public
Emergency Medical Technicians in Old Saybrook
 and professional education, expand our public access AED program and assure the
 highest quality pre-arrival instructions given by our 9-1-1 dispatchers prior to the arrival
 of our police officer first responders". - Chief Michael Spera


The Old Saybrook Department of Police Services provides all
first responder services in the town of Old Saybrook. Recently,
the department’s police officers / first responders have all
completed 90 hours of training and have upgraded their
credentials from Emergency Medical Responder to Emergency
Medical Technician. As part of this program, each member has
done a 10 hour ride-along with a Middlesex Hospital paramedic.
This ride-along program has been very beneficial. Some of the
unintended consequences include improved lines of
communication between the first responders and paramedics.
Additionally, there has been appreciable improvement in
feedback about cases and an iterative process where the first
responders are learning to better work with the paramedics
and improve quality and timeliness of care.


"Our patrol division members were so passionate about upgrading their training that
they voluntarily gave up their overtime and rearranged their vacation schedules to take
the required 90 hours of training to earn their EMT certifications in order to provide a
higher level of medical care to their patients. This has already resulted in improved
cardiac care‖. - Phil Coco, EMS Director/Instructor
Optimizing 9-1-1


                                     The Old Saybrook Department of Police Services
                                     is also acutely aware of the need for an effective
                                     9-1-1 system and serves the public safety
                                     answering point for all 9-1-1 calls that are
                                     initiated in the town. Each emergency dispatcher
                                     is trained and certified as an Emergency Medical
                                     Dispatcher (EMD) by the National Academy of
                                     Emergency Dispatch. On May 1st the department
                                     launched a new initiative to earn the National
                                     Academy of Emergency Dispatch Accredited
                                     Center of Excellence status. To achieve this, a
                                     department must meet or exceed twenty
                                     standards that ensure that the community is
                                     receiving the best possible services from the
                                     dispatch center in terms compliance to strict
                                     protocols including their ability to properly identify
                                     patients in need of CPR and to provide
                                     instructions to insure proper CPR begins even
                                     before the professional first responders arrive.



To support this effort, the department has begun
using a computerized version of the Advanced
Medical Priority Dispatch System – known as ProQA.
The department’s EMS director is a nationally
certified EMD instructor and quality assurance
reviewer. Beginning on June 1, 2011, the
department will begin a process of reviewing 100%
of all requests for emergency medical service
handled by OSPD ECC EMDs. Their compliance to
protocol will be measured using the established
scoring standards as published by the National
Academy of Emergency Dispatch with feedback
provided to each EMD. Their goal is to reach
accreditation level compliance to protocol and meet
or exceed all twenty standards.
Integration with EMS

Officers from the Old Saybrook Department of Police
Services enjoy an excellent relationship with the Old
Saybrook Ambulance Association, who provides
emergency service and transportation to area hospitals.
The Old Saybrook Ambulance Association is a volunteer,
non-profit organization that is on call 24 hours each day.

The Police Department, Ambulance Association
and Middlesex Hospital EMS collaborate to the
fullest extent to enhance multi-agency
response, coordination of care and outcomes.




Citizen CPR


                                      Immediate bystander recognition of cardiac arrest
                                                and 9-1-1 activation are critical. In many
                                        communities, these actions may be significantly
                                        delayed. Initial care in the first critical minutes
                                           after SCA, including performance of CPR and
                                     potential use of an automated external defibrillator
                                       (AED) depends on the actions of people near the
                                                                                     victim.

Knowing that CPR is a highly accessible therapy that requires little medical training and
no equipment when provided in its most basic form, the Old Saybrook Department of
Police Services is committed to developing and initiating a Hands-Only Citizen CPR
campaign, and improve bystander CPR rates in the community. The Old Saybrook
Department of Police Services also provides resuscitation education to those who seek it
as an Authorized Provider of American Heart Association ECC Programs.
Arresting V-Fib with Early Defibrillation

                               All police cruisers are equipped with AEDs and rapid
                               dispatch is supported by departmental policies and
                               procedures. Additionally, there are 19 publically
                               accessible AEDs in the community. Information regarding
                               the type and location of these devices is integrated into
                               the computer assisted dispatch system in Old Saybrook,
                               and the readiness of the devices is monitored by the
                               Department of Police Services.

Playing a Role in STEMI

There is improved feedback about cases and the first
responders have been trained to help the paramedics
prepare patients for paramedic assessment including
being sure that all patients presenting with coronary
symptoms have had their shirts removed prior to
paramedic arrival to facilitate faster 12-lead EKG. The first
responders have also been trained to set up the 12-lead
EKG for the paramedic, to apply the cardiac monitor and
set-up IV equipment while the paramedic performs other
tasks as our system is a single paramedic system. This is
all designed to expedite care and facilitate faster transfer
to a PCI center when appropriate.

Measuring and Improving
In another cooperative effort with the local ambulance service, Middlesex Hospital and
the American Heart Association, the police department EMS division is working to
establish standards to determine the town’s cardiac arrest save rate. Using a three year
retrospective study of cases along with an ongoing study of prospective cases we will
establish the rate, control chart changes made within the EMD and EMS programs and
try to identify positive trends. This will allow the group to measure the impact of future
programs and enable modifications and the sharing of results as appropriate.

 ―Middlesex Hospital EMS has been proudly supporting the efforts of the Old Saybrook
 Department of Police Services to improve cardiac arrest outcomes. By assisting with
 data collection and deploying quality improvement resources, we are confident all the
 tools necessary are available to achieve this great goal.‖
 - Jim Santacroce, Middlesex Hospital EMS Manager
HEARTSafe
Appropriately, Old Saybrook has submitted an application to be designated by the
Connecticut Department of Public health as a HEARTSafe Community and is hopeful
that they will be approved. We know that the signs will bring pride and ongoing
inspiration to this community.




CT   HEARTSafe             Criteria

1. Conduct community CPR and/or CPR/AED
training sessions. The number of heartbeats
earned and required depends on community
population.

2. Placement of a permanent AED with AED-
trained personnel in public or private areas
where many people are likely to congregate
or be at higher risk for cardiac arrest.

3. Community has a designated First Responder.

4. All EMS first response-designated vehicles
have been equipped with AEDs and staffed
with currently certified CPR/AED personnel.

5. Advanced Life Support personnel will be
dispatched to all ALS medical emergencies.
*Optional - Not Required: EMS response with
12-lead ECG capability to calls for chest pain
of suspected ischemic origin.

6. An ongoing process to evaluate and improve
the ―Chain of Survival‖ in the community.
Other Remarks



                             A lead agency for improving outcomes, EMD, efforts to
                             improve citizen CPR, support and monitoring of publically
                             placed defibrillators, rapid response by trained and
                             equipped officers, integrated care with EMS, an evolving
                             STEMI system of care, data collection and quality
                             improvement…what a great combination.




―I have been so very impressed with the attention and commitment to improving
recognition, response, care and outcomes in Old Saybrook. I commend Chief Spera,
EMS Director Coco, and all the integrated agencies and supporters of this effort. This
community can serve as an excellent role model for others‖.
– David Hiltz, NREMT-P, American Heart Association




David Hiltz is with the American Heart Association’s Emergency Cardiovascular Care
Programs and has a special interest in systems of care and resuscitation. David has
contributed to the development of numerous AHA initiatives and is active on task forces
related to EMS and resuscitation.

Phil Coco is the Director of Emergency Medical Services for the Old Saybrook Police
Department and Paramedic for Middlesex Hospital where he has served for 24 years.
Phil is an Emergency Medical Services Instructor, Fellow and Instructor with the
National Academy of Emergency Dispatch, Deputy Fire Marshal, Fire Officer and
Instructor and an American Heart Association Instructor for BLS, ACLS and PALS and a
member of the FEMA EMS national incident management leadership team.

Michael Spera is the Chief of Police and Emergency Management Director in Old
Saybrook. Chief Spera is the President of the Connecticut Emergency Management
Association, a Firefighter/Paramedic and Emergency Medical Services Instructor for the
State of Connecticut. Additionally, Chief Spera is a Homeland Security Coordinating
Council Member, Chairman for the Municipal Safety Committee and a graduate of the
FBI National Academy with a Bachelor of Science in Public Safety Administration.
About the Old Saybrook Department of Police Services

http://www.oldsaybrookct.org/pages/oldsaybrookct_police/index

About the American Heart Association

http://www.heart.org/HEARTORG/

Old Saybrook cops taking EMT classes en masse (video)

http://www.nhregister.com/articles/2011/02/21/news/shoreline/bb1_mon_ospoliceemts
_art022011.txt

Police Toolkit from the Resuscitation Academy

http://www.resuscitationacademy.org/downloads/PoliceDefibrillationToolkit_1010.pdf

The Shocking Truth about Cops and Defibrillation

http://www.slideshare.net/Hiltz/the-shocking-truth-about-cops-and-defibrillation

Videos

http://www.npssinc.org/html/aed_awareness.html
Related

American Heart Association (November 28, 2005). 2005 American Heart Association
guidelines for cardiopulmonary resuscitation and emergency cardiovascular care:
Part 5: electrical therapies: automated external defibrillators, defibrillation,
cardioversion, and pacing. Circulation: Journal of the American Heart Association.
(p. 35-46).

Brillhart, A.M., Rea, T.D., Becker, L., Eisenberg, M.S. & Murray, J.A.
(October/December 2002). Time to first shock by emergency medical technicians with
automated external defibrillators, Prehospital Emergency Care. Vol. 6, No. 4, (p.373-
377).

CPR facts and statistics as viewed on the American Heart Association website:
http://www.americanheart.org/print_presenter.jhtml?identifier=3034352

Department of Emergency Medicine, Medical College of Virginia, Virginia
Commonwealth University Health Center (2003). The public access defibrillation (PAD)
trial study design and rationale. Resuscitation. 56, (p.135-147).

Joglar, J.A. & Page, R.L. (August 27, 2002). Automatic external defibrillator use by
police responders: where do we go from here? Circulation: Journal of the American
Heart Association. (p. 1030-1033).

Lerner, E.B., Billittier, A.J., Newman, M.M., & Groh, W.J. (October / December 2002).
Automatic external defibrillator (AED) utilization rates and reasons fire and police first
responders did not apply AEDs. Prehospital Emergency Care. Vol. 6, No.4., (p.378-
382).

Martinez-Rubio, A. & Baron-Esquivias, G. (2004). The automatic external cardioverter
defibrillator. Indian Pacing and Electrophysiology Journal. Vol. 4, No.3, (p. 114-121).

Mosesso, V.N. Jr., Newman, M.M., Ornato, J.P., Paris, P.M., Anderson, L., Brinsfield,
K., Dunnavant, G.R., Frederick, J. Groh, W.J. Johnston, S., Lerner, E.B., Murphy, P.G>,
Myerburg, R.J., Rosnberg, D.G., Saviano, M., Sayre, M.R., Sciammarella, J., Schoen, V.
Vargo, P., van Alem, A., & White, R.D. (July/September 1997). Law enforcement
agency defibrillation (LEA-D): proceedings of the National Center for Early
Defibrillation Police AED Issues Forum. Prehospital Emergency Care. Vol. 6, No. 3.

Myerburg, R.J., Fenster, J., Velez, M., Rosenberg, D., Lai, S., Kurlansky, P., Newton,
S.,Knox, M. & Castellanos, A. (Aug 27, 2002). Impact of community-wide police car
deployment of automated external defibrillators on survival from out-of-hospital cardiac
arrest. Circulation: Journal of the American Heart Association. (p. 1058-1064).
Newman, M.M., Mosesso, V.N. Jr., Ornato, J.P., Paris, P.M., Andersen, L., Brinsfield, K.,
Dunnavant, G.R., Frederick, J., Groh, W.J., Johnston, S., Lerner, E.B., Murphy, G.,
Myerburg, R.J., Rosenberg, D.G., Savino, M., Sayre, M.R., Sciammarella, J., Schoen, V.,
Wargo, P., van Alem, A. & White, R.D. (1991). Law enforcement agency defibrillation
(LEA-D): position statement and best practices recommendations from the National
Center for Early Defibrillation, National Center for Early Defibrillation, (p.346-347).

Nichol,, G., Hallstrom, A.P., Ornato, J.P., Riegel, B., Stiell, I.G., Valenzuela, T., Wells,
G.A., White, R.D. & Weisfeldt, M.L. (April 7, 1998). Potential cost-effectiveness of
public access defibrillation in the United States. Circulation: Journal of the American
Heart Association. (p. 1315-1320).

Nolan, R.P., Wilson, E., Shuster, M., Rowe, H., Stewart, D. & Zambon, S. (1999).
Readiness to perform cardiopulmonary resuscitation: an emerging strategy.
Psychosomatic Medicine, 61, 546-551.

Pepe, P.E. & Mosesso, V.N.. (January/March 2000) All-advanced life support vs. tiered
response ambulance systems. Prehospital Emergency Care. Vol. 4, No. 1, (p. 1-6).

Van Alem, A.P., Vrenken, R.H., de Vos, R., Tijssen, J.G.P. & Koster, R.W. (December
6, 2003). Use of automated external defibrillator by first responders in out of hospital
cardiac arrest: prospective control trial. British Medical Journal. Vol. 327, p.1-5.

More Related Content

Similar to Opportunity for law enforcement agencies to save lives

Level Of Agitation In Emergency Department
Level Of Agitation In Emergency DepartmentLevel Of Agitation In Emergency Department
Level Of Agitation In Emergency DepartmentLinda Gosnell
 
The CMAM Surge Approach: Building Resilient and Responsive Health Systems
The CMAM Surge Approach: Building Resilient and Responsive Health SystemsThe CMAM Surge Approach: Building Resilient and Responsive Health Systems
The CMAM Surge Approach: Building Resilient and Responsive Health SystemsCORE Group
 
Resuscitation Officer Program
Resuscitation Officer ProgramResuscitation Officer Program
Resuscitation Officer ProgramDavid Hiltz
 
Learn how Methodist Richardson Achieved Fastest Total Patient Treatment Time ...
Learn how Methodist Richardson Achieved Fastest Total Patient Treatment Time ...Learn how Methodist Richardson Achieved Fastest Total Patient Treatment Time ...
Learn how Methodist Richardson Achieved Fastest Total Patient Treatment Time ...EmCare
 
Informatics And Telehealth In Rural Medicines TedEx Video Analysis.pdf
Informatics And Telehealth In Rural Medicines TedEx Video Analysis.pdfInformatics And Telehealth In Rural Medicines TedEx Video Analysis.pdf
Informatics And Telehealth In Rural Medicines TedEx Video Analysis.pdfbkbk37
 
Medipex innovation awards 2015 press release
Medipex innovation awards 2015 press releaseMedipex innovation awards 2015 press release
Medipex innovation awards 2015 press releaseScott Miller
 
Medical Director For Snohomish County Emergency Medical...
Medical Director For Snohomish County Emergency Medical...Medical Director For Snohomish County Emergency Medical...
Medical Director For Snohomish County Emergency Medical...Michelle Alexander
 
NCM-118-LEC-WRITTEN-REPORT-GROUP-3-BSN-4B.docx
NCM-118-LEC-WRITTEN-REPORT-GROUP-3-BSN-4B.docxNCM-118-LEC-WRITTEN-REPORT-GROUP-3-BSN-4B.docx
NCM-118-LEC-WRITTEN-REPORT-GROUP-3-BSN-4B.docxFGabrielOliveros
 
SECURE-infographic-0716
SECURE-infographic-0716SECURE-infographic-0716
SECURE-infographic-0716Dean McCaskill
 
Improving accident and emergency care: a system wide issue
Improving accident and emergency care: a system wide issueImproving accident and emergency care: a system wide issue
Improving accident and emergency care: a system wide issueNHS Improving Quality
 
2013 10-15 cit international conf hartford conn
2013 10-15 cit international conf hartford conn2013 10-15 cit international conf hartford conn
2013 10-15 cit international conf hartford connGilberto Gonzales
 
Never Event Mitigation By Tele Icu Care
Never Event Mitigation By Tele Icu CareNever Event Mitigation By Tele Icu Care
Never Event Mitigation By Tele Icu Careercowboy
 
World Patient Safety Day 17 September 2020
World Patient Safety Day 17 September 2020World Patient Safety Day 17 September 2020
World Patient Safety Day 17 September 2020Health Innovation Wessex
 
Traceloop | Rapid Return To School Program by Coordination Centric
Traceloop | Rapid Return To School Program by Coordination CentricTraceloop | Rapid Return To School Program by Coordination Centric
Traceloop | Rapid Return To School Program by Coordination CentricSinova Enterprises LLC
 
Private Healthcare Organization By Using Organization Theory
Private Healthcare Organization By Using Organization TheoryPrivate Healthcare Organization By Using Organization Theory
Private Healthcare Organization By Using Organization TheoryAliyahh King
 
Accrediting Organizations
Accrediting Organizations Accrediting Organizations
Accrediting Organizations Hollie Peterson
 
PSO's Improve Nursing Care Delivery and Performance
 PSO's Improve Nursing Care Delivery and Performance PSO's Improve Nursing Care Delivery and Performance
PSO's Improve Nursing Care Delivery and PerformanceiCareQuality.us
 
STEMI Systems of Care in New Jersey: interview with Bil Rosen of Capital Heal...
STEMI Systems of Care in New Jersey: interview with Bil Rosen of Capital Heal...STEMI Systems of Care in New Jersey: interview with Bil Rosen of Capital Heal...
STEMI Systems of Care in New Jersey: interview with Bil Rosen of Capital Heal...David Hiltz
 

Similar to Opportunity for law enforcement agencies to save lives (20)

Level Of Agitation In Emergency Department
Level Of Agitation In Emergency DepartmentLevel Of Agitation In Emergency Department
Level Of Agitation In Emergency Department
 
The CMAM Surge Approach: Building Resilient and Responsive Health Systems
The CMAM Surge Approach: Building Resilient and Responsive Health SystemsThe CMAM Surge Approach: Building Resilient and Responsive Health Systems
The CMAM Surge Approach: Building Resilient and Responsive Health Systems
 
Resuscitation Officer Program
Resuscitation Officer ProgramResuscitation Officer Program
Resuscitation Officer Program
 
Learn how Methodist Richardson Achieved Fastest Total Patient Treatment Time ...
Learn how Methodist Richardson Achieved Fastest Total Patient Treatment Time ...Learn how Methodist Richardson Achieved Fastest Total Patient Treatment Time ...
Learn how Methodist Richardson Achieved Fastest Total Patient Treatment Time ...
 
Informatics And Telehealth In Rural Medicines TedEx Video Analysis.pdf
Informatics And Telehealth In Rural Medicines TedEx Video Analysis.pdfInformatics And Telehealth In Rural Medicines TedEx Video Analysis.pdf
Informatics And Telehealth In Rural Medicines TedEx Video Analysis.pdf
 
Medipex innovation awards 2015 press release
Medipex innovation awards 2015 press releaseMedipex innovation awards 2015 press release
Medipex innovation awards 2015 press release
 
Medical Director For Snohomish County Emergency Medical...
Medical Director For Snohomish County Emergency Medical...Medical Director For Snohomish County Emergency Medical...
Medical Director For Snohomish County Emergency Medical...
 
NCM-118-LEC-WRITTEN-REPORT-GROUP-3-BSN-4B.docx
NCM-118-LEC-WRITTEN-REPORT-GROUP-3-BSN-4B.docxNCM-118-LEC-WRITTEN-REPORT-GROUP-3-BSN-4B.docx
NCM-118-LEC-WRITTEN-REPORT-GROUP-3-BSN-4B.docx
 
Evolutio Referral Management
Evolutio Referral ManagementEvolutio Referral Management
Evolutio Referral Management
 
SECURE-infographic-0716
SECURE-infographic-0716SECURE-infographic-0716
SECURE-infographic-0716
 
Improving accident and emergency care: a system wide issue
Improving accident and emergency care: a system wide issueImproving accident and emergency care: a system wide issue
Improving accident and emergency care: a system wide issue
 
2013 10-15 cit international conf hartford conn
2013 10-15 cit international conf hartford conn2013 10-15 cit international conf hartford conn
2013 10-15 cit international conf hartford conn
 
Never Event Mitigation By Tele Icu Care
Never Event Mitigation By Tele Icu CareNever Event Mitigation By Tele Icu Care
Never Event Mitigation By Tele Icu Care
 
Clasbi poster 6 2014 final
Clasbi poster 6 2014 finalClasbi poster 6 2014 final
Clasbi poster 6 2014 final
 
World Patient Safety Day 17 September 2020
World Patient Safety Day 17 September 2020World Patient Safety Day 17 September 2020
World Patient Safety Day 17 September 2020
 
Traceloop | Rapid Return To School Program by Coordination Centric
Traceloop | Rapid Return To School Program by Coordination CentricTraceloop | Rapid Return To School Program by Coordination Centric
Traceloop | Rapid Return To School Program by Coordination Centric
 
Private Healthcare Organization By Using Organization Theory
Private Healthcare Organization By Using Organization TheoryPrivate Healthcare Organization By Using Organization Theory
Private Healthcare Organization By Using Organization Theory
 
Accrediting Organizations
Accrediting Organizations Accrediting Organizations
Accrediting Organizations
 
PSO's Improve Nursing Care Delivery and Performance
 PSO's Improve Nursing Care Delivery and Performance PSO's Improve Nursing Care Delivery and Performance
PSO's Improve Nursing Care Delivery and Performance
 
STEMI Systems of Care in New Jersey: interview with Bil Rosen of Capital Heal...
STEMI Systems of Care in New Jersey: interview with Bil Rosen of Capital Heal...STEMI Systems of Care in New Jersey: interview with Bil Rosen of Capital Heal...
STEMI Systems of Care in New Jersey: interview with Bil Rosen of Capital Heal...
 

More from David Hiltz

Citizen CPR Foundation Cardiac Arrest Survival Summit 2021: A Call for Presen...
Citizen CPR Foundation Cardiac Arrest Survival Summit 2021: A Call for Presen...Citizen CPR Foundation Cardiac Arrest Survival Summit 2021: A Call for Presen...
Citizen CPR Foundation Cardiac Arrest Survival Summit 2021: A Call for Presen...David Hiltz
 
Effect of Optimized Versus Guidelines‐Based AED Placement on Out‐of‐Hospital ...
Effect of Optimized Versus Guidelines‐Based AED Placement on Out‐of‐Hospital ...Effect of Optimized Versus Guidelines‐Based AED Placement on Out‐of‐Hospital ...
Effect of Optimized Versus Guidelines‐Based AED Placement on Out‐of‐Hospital ...David Hiltz
 
WHY COMMUNITIES NEED AN ORGANIZED STRATEGY TO IMPROVE CARDIAC ARREST OUTCOMES
WHY COMMUNITIES NEED AN ORGANIZED STRATEGY TO IMPROVE CARDIAC ARREST OUTCOMESWHY COMMUNITIES NEED AN ORGANIZED STRATEGY TO IMPROVE CARDIAC ARREST OUTCOMES
WHY COMMUNITIES NEED AN ORGANIZED STRATEGY TO IMPROVE CARDIAC ARREST OUTCOMES David Hiltz
 
Improving Access to Automated External Defibrillators -Free Webinar
Improving Access to Automated External Defibrillators -Free WebinarImproving Access to Automated External Defibrillators -Free Webinar
Improving Access to Automated External Defibrillators -Free WebinarDavid Hiltz
 
HEARTSAFE Community Launch- Cardiac Arrest Survival Summit
HEARTSAFE Community Launch- Cardiac Arrest Survival SummitHEARTSAFE Community Launch- Cardiac Arrest Survival Summit
HEARTSAFE Community Launch- Cardiac Arrest Survival SummitDavid Hiltz
 
ARC-Laerdal Mass CPR Guide
ARC-Laerdal Mass CPR GuideARC-Laerdal Mass CPR Guide
ARC-Laerdal Mass CPR GuideDavid Hiltz
 
JCEMS-Call for poster abstracts
JCEMS-Call for poster abstractsJCEMS-Call for poster abstracts
JCEMS-Call for poster abstractsDavid Hiltz
 
Improving Bystander CPR, Community Mobilization and Outreach Using Media Infl...
Improving Bystander CPR, Community Mobilization and Outreach Using Media Infl...Improving Bystander CPR, Community Mobilization and Outreach Using Media Infl...
Improving Bystander CPR, Community Mobilization and Outreach Using Media Infl...David Hiltz
 
Access Denied! Failures in Automated External Defibrillator Deployment
Access Denied! Failures in Automated External Defibrillator DeploymentAccess Denied! Failures in Automated External Defibrillator Deployment
Access Denied! Failures in Automated External Defibrillator DeploymentDavid Hiltz
 
Early Heart Attack Care Discussion ACC Congress
Early Heart Attack Care Discussion ACC CongressEarly Heart Attack Care Discussion ACC Congress
Early Heart Attack Care Discussion ACC CongressDavid Hiltz
 
Politics of Risk Guest Lecture
Politics of Risk Guest LecturePolitics of Risk Guest Lecture
Politics of Risk Guest LectureDavid Hiltz
 
Strive to Revive! Translating Science to Survival The HEARTSafe Community Co...
Strive to Revive! Translating Science to Survival The HEARTSafe Community Co...Strive to Revive! Translating Science to Survival The HEARTSafe Community Co...
Strive to Revive! Translating Science to Survival The HEARTSafe Community Co...David Hiltz
 
Death From Cardiac Arrest is a Real Crime! Can Law Enforcement Reduce Time ...
Death From Cardiac Arrest is a Real Crime! Can Law Enforcement Reduce Time ...Death From Cardiac Arrest is a Real Crime! Can Law Enforcement Reduce Time ...
Death From Cardiac Arrest is a Real Crime! Can Law Enforcement Reduce Time ...David Hiltz
 
CT EMS EXPO SCA SYSTEMS
CT EMS EXPO SCA SYSTEMSCT EMS EXPO SCA SYSTEMS
CT EMS EXPO SCA SYSTEMSDavid Hiltz
 
Creating A Virtual Coronary Care Unit in the Community.
Creating A Virtual Coronary Care Unit in the Community.Creating A Virtual Coronary Care Unit in the Community.
Creating A Virtual Coronary Care Unit in the Community.David Hiltz
 
Resources for the "Challenging Sudden Death: A Comprehensive Approach for Imp...
Resources for the "Challenging Sudden Death: A Comprehensive Approach for Imp...Resources for the "Challenging Sudden Death: A Comprehensive Approach for Imp...
Resources for the "Challenging Sudden Death: A Comprehensive Approach for Imp...David Hiltz
 
Debriefing and QI Compressed
Debriefing and QI CompressedDebriefing and QI Compressed
Debriefing and QI CompressedDavid Hiltz
 
Improving Access to Defibrillators
Improving Access to DefibrillatorsImproving Access to Defibrillators
Improving Access to DefibrillatorsDavid Hiltz
 

More from David Hiltz (20)

Citizen CPR Foundation Cardiac Arrest Survival Summit 2021: A Call for Presen...
Citizen CPR Foundation Cardiac Arrest Survival Summit 2021: A Call for Presen...Citizen CPR Foundation Cardiac Arrest Survival Summit 2021: A Call for Presen...
Citizen CPR Foundation Cardiac Arrest Survival Summit 2021: A Call for Presen...
 
Effect of Optimized Versus Guidelines‐Based AED Placement on Out‐of‐Hospital ...
Effect of Optimized Versus Guidelines‐Based AED Placement on Out‐of‐Hospital ...Effect of Optimized Versus Guidelines‐Based AED Placement on Out‐of‐Hospital ...
Effect of Optimized Versus Guidelines‐Based AED Placement on Out‐of‐Hospital ...
 
WHY COMMUNITIES NEED AN ORGANIZED STRATEGY TO IMPROVE CARDIAC ARREST OUTCOMES
WHY COMMUNITIES NEED AN ORGANIZED STRATEGY TO IMPROVE CARDIAC ARREST OUTCOMESWHY COMMUNITIES NEED AN ORGANIZED STRATEGY TO IMPROVE CARDIAC ARREST OUTCOMES
WHY COMMUNITIES NEED AN ORGANIZED STRATEGY TO IMPROVE CARDIAC ARREST OUTCOMES
 
Improving Access to Automated External Defibrillators -Free Webinar
Improving Access to Automated External Defibrillators -Free WebinarImproving Access to Automated External Defibrillators -Free Webinar
Improving Access to Automated External Defibrillators -Free Webinar
 
HEARTSAFE Community Launch- Cardiac Arrest Survival Summit
HEARTSAFE Community Launch- Cardiac Arrest Survival SummitHEARTSAFE Community Launch- Cardiac Arrest Survival Summit
HEARTSAFE Community Launch- Cardiac Arrest Survival Summit
 
ARC-Laerdal Mass CPR Guide
ARC-Laerdal Mass CPR GuideARC-Laerdal Mass CPR Guide
ARC-Laerdal Mass CPR Guide
 
JCEMS-Call for poster abstracts
JCEMS-Call for poster abstractsJCEMS-Call for poster abstracts
JCEMS-Call for poster abstracts
 
Improving Bystander CPR, Community Mobilization and Outreach Using Media Infl...
Improving Bystander CPR, Community Mobilization and Outreach Using Media Infl...Improving Bystander CPR, Community Mobilization and Outreach Using Media Infl...
Improving Bystander CPR, Community Mobilization and Outreach Using Media Infl...
 
Access Denied! Failures in Automated External Defibrillator Deployment
Access Denied! Failures in Automated External Defibrillator DeploymentAccess Denied! Failures in Automated External Defibrillator Deployment
Access Denied! Failures in Automated External Defibrillator Deployment
 
Early Heart Attack Care Discussion ACC Congress
Early Heart Attack Care Discussion ACC CongressEarly Heart Attack Care Discussion ACC Congress
Early Heart Attack Care Discussion ACC Congress
 
Exposure
ExposureExposure
Exposure
 
Politics of Risk Guest Lecture
Politics of Risk Guest LecturePolitics of Risk Guest Lecture
Politics of Risk Guest Lecture
 
Strive to Revive! Translating Science to Survival The HEARTSafe Community Co...
Strive to Revive! Translating Science to Survival The HEARTSafe Community Co...Strive to Revive! Translating Science to Survival The HEARTSafe Community Co...
Strive to Revive! Translating Science to Survival The HEARTSafe Community Co...
 
Death From Cardiac Arrest is a Real Crime! Can Law Enforcement Reduce Time ...
Death From Cardiac Arrest is a Real Crime! Can Law Enforcement Reduce Time ...Death From Cardiac Arrest is a Real Crime! Can Law Enforcement Reduce Time ...
Death From Cardiac Arrest is a Real Crime! Can Law Enforcement Reduce Time ...
 
CT EMS EXPO SCA SYSTEMS
CT EMS EXPO SCA SYSTEMSCT EMS EXPO SCA SYSTEMS
CT EMS EXPO SCA SYSTEMS
 
Creating A Virtual Coronary Care Unit in the Community.
Creating A Virtual Coronary Care Unit in the Community.Creating A Virtual Coronary Care Unit in the Community.
Creating A Virtual Coronary Care Unit in the Community.
 
Resources for the "Challenging Sudden Death: A Comprehensive Approach for Imp...
Resources for the "Challenging Sudden Death: A Comprehensive Approach for Imp...Resources for the "Challenging Sudden Death: A Comprehensive Approach for Imp...
Resources for the "Challenging Sudden Death: A Comprehensive Approach for Imp...
 
CPR Fractions
CPR FractionsCPR Fractions
CPR Fractions
 
Debriefing and QI Compressed
Debriefing and QI CompressedDebriefing and QI Compressed
Debriefing and QI Compressed
 
Improving Access to Defibrillators
Improving Access to DefibrillatorsImproving Access to Defibrillators
Improving Access to Defibrillators
 

Recently uploaded

power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismusChandrasekar Reddy
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...Sujoy Dasgupta
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu Medical University
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdfHongBiThi1
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024EwoutSteyerberg1
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfHongBiThi1
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets barmohitRahangdale
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxkomalt2001
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu Medical University
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaSujoy Dasgupta
 
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdfSGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdfHongBiThi1
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsMedicoseAcademics
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyZurück zum Ursprung
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptPradnya Wadekar
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfMedicoseAcademics
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptxWINCY THIRUMURUGAN
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfDolisha Warbi
 

Recently uploaded (20)

power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismus
 
Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets bar
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptx
 
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
 
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdfSGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
 
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functions
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturally
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.ppt
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdf
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
 

Opportunity for law enforcement agencies to save lives

  • 1. An Opportunity for a Law Enforcement Agency to Save Lives Written by David Hiltz, American Heart Association and Phil Coco, Old Saybrook Department of Police Services Half of men and women in western society with serious coronary artery disease experience their first signs of the disease in a dramatic way—sudden cardiac arrest. Whether a victim lives or dies at this point depends on whether the collapse is witnessed, if the people who are there are trained and willing to perform CPR, and whether the arrest has occurred in a system that can bring about early arrival of needed resources and timely execution of evidence based interventions. Many have recognized the need to improve community systems of emergency cardiovascular care to optimize patient survival. The "Chain of Survival" represents the current approach to improving recognition, response, care and outcomes. The American Heart Association estimates that if communities could achieve a 20% survival rate, an estimated 50,000 lives could be saved each year. One potential strategy for delivering early CPR and rapid defibrillation in the out of hospital setting includes the utilization of law enforcement agency (LEA) personnel. Indeed, in many communities, LEA units are frequently on patrol and can respond immediately to emergencies. With this in mind, LEA can often arrive on scene before EMS units and begin time sensitive treatments. Furthermore LEA has an established role as ―guardians of public safety‖.
  • 2. Old Saybrook Police: Leading Efforts to Improve Emergency Care Recently, the Old Saybrook Department of Police Services, in cooperation with the Old Saybrook Ambulance Association and Middlesex Hospital has decided to move forward with several strategies to improve response, care and outcomes and are addressing community education, responder education, emergency system access and dispatch and research/quality improvement. "We thoroughly understand that the fastest way to provide emergency cardiac care is for police officers who are already mobile and deployed throughout our community to Transforming Police Emergency Medical Responders into and be trained and to respond immediately with AEDs and other lifesaving skills equipment. To enhance that the department is working with the AHA to enhance public Emergency Medical Technicians in Old Saybrook and professional education, expand our public access AED program and assure the highest quality pre-arrival instructions given by our 9-1-1 dispatchers prior to the arrival of our police officer first responders". - Chief Michael Spera The Old Saybrook Department of Police Services provides all first responder services in the town of Old Saybrook. Recently, the department’s police officers / first responders have all completed 90 hours of training and have upgraded their credentials from Emergency Medical Responder to Emergency Medical Technician. As part of this program, each member has done a 10 hour ride-along with a Middlesex Hospital paramedic. This ride-along program has been very beneficial. Some of the unintended consequences include improved lines of communication between the first responders and paramedics. Additionally, there has been appreciable improvement in feedback about cases and an iterative process where the first responders are learning to better work with the paramedics and improve quality and timeliness of care. "Our patrol division members were so passionate about upgrading their training that they voluntarily gave up their overtime and rearranged their vacation schedules to take the required 90 hours of training to earn their EMT certifications in order to provide a higher level of medical care to their patients. This has already resulted in improved cardiac care‖. - Phil Coco, EMS Director/Instructor
  • 3. Optimizing 9-1-1 The Old Saybrook Department of Police Services is also acutely aware of the need for an effective 9-1-1 system and serves the public safety answering point for all 9-1-1 calls that are initiated in the town. Each emergency dispatcher is trained and certified as an Emergency Medical Dispatcher (EMD) by the National Academy of Emergency Dispatch. On May 1st the department launched a new initiative to earn the National Academy of Emergency Dispatch Accredited Center of Excellence status. To achieve this, a department must meet or exceed twenty standards that ensure that the community is receiving the best possible services from the dispatch center in terms compliance to strict protocols including their ability to properly identify patients in need of CPR and to provide instructions to insure proper CPR begins even before the professional first responders arrive. To support this effort, the department has begun using a computerized version of the Advanced Medical Priority Dispatch System – known as ProQA. The department’s EMS director is a nationally certified EMD instructor and quality assurance reviewer. Beginning on June 1, 2011, the department will begin a process of reviewing 100% of all requests for emergency medical service handled by OSPD ECC EMDs. Their compliance to protocol will be measured using the established scoring standards as published by the National Academy of Emergency Dispatch with feedback provided to each EMD. Their goal is to reach accreditation level compliance to protocol and meet or exceed all twenty standards.
  • 4. Integration with EMS Officers from the Old Saybrook Department of Police Services enjoy an excellent relationship with the Old Saybrook Ambulance Association, who provides emergency service and transportation to area hospitals. The Old Saybrook Ambulance Association is a volunteer, non-profit organization that is on call 24 hours each day. The Police Department, Ambulance Association and Middlesex Hospital EMS collaborate to the fullest extent to enhance multi-agency response, coordination of care and outcomes. Citizen CPR Immediate bystander recognition of cardiac arrest and 9-1-1 activation are critical. In many communities, these actions may be significantly delayed. Initial care in the first critical minutes after SCA, including performance of CPR and potential use of an automated external defibrillator (AED) depends on the actions of people near the victim. Knowing that CPR is a highly accessible therapy that requires little medical training and no equipment when provided in its most basic form, the Old Saybrook Department of Police Services is committed to developing and initiating a Hands-Only Citizen CPR campaign, and improve bystander CPR rates in the community. The Old Saybrook Department of Police Services also provides resuscitation education to those who seek it as an Authorized Provider of American Heart Association ECC Programs.
  • 5. Arresting V-Fib with Early Defibrillation All police cruisers are equipped with AEDs and rapid dispatch is supported by departmental policies and procedures. Additionally, there are 19 publically accessible AEDs in the community. Information regarding the type and location of these devices is integrated into the computer assisted dispatch system in Old Saybrook, and the readiness of the devices is monitored by the Department of Police Services. Playing a Role in STEMI There is improved feedback about cases and the first responders have been trained to help the paramedics prepare patients for paramedic assessment including being sure that all patients presenting with coronary symptoms have had their shirts removed prior to paramedic arrival to facilitate faster 12-lead EKG. The first responders have also been trained to set up the 12-lead EKG for the paramedic, to apply the cardiac monitor and set-up IV equipment while the paramedic performs other tasks as our system is a single paramedic system. This is all designed to expedite care and facilitate faster transfer to a PCI center when appropriate. Measuring and Improving In another cooperative effort with the local ambulance service, Middlesex Hospital and the American Heart Association, the police department EMS division is working to establish standards to determine the town’s cardiac arrest save rate. Using a three year retrospective study of cases along with an ongoing study of prospective cases we will establish the rate, control chart changes made within the EMD and EMS programs and try to identify positive trends. This will allow the group to measure the impact of future programs and enable modifications and the sharing of results as appropriate. ―Middlesex Hospital EMS has been proudly supporting the efforts of the Old Saybrook Department of Police Services to improve cardiac arrest outcomes. By assisting with data collection and deploying quality improvement resources, we are confident all the tools necessary are available to achieve this great goal.‖ - Jim Santacroce, Middlesex Hospital EMS Manager
  • 6. HEARTSafe Appropriately, Old Saybrook has submitted an application to be designated by the Connecticut Department of Public health as a HEARTSafe Community and is hopeful that they will be approved. We know that the signs will bring pride and ongoing inspiration to this community. CT HEARTSafe Criteria 1. Conduct community CPR and/or CPR/AED training sessions. The number of heartbeats earned and required depends on community population. 2. Placement of a permanent AED with AED- trained personnel in public or private areas where many people are likely to congregate or be at higher risk for cardiac arrest. 3. Community has a designated First Responder. 4. All EMS first response-designated vehicles have been equipped with AEDs and staffed with currently certified CPR/AED personnel. 5. Advanced Life Support personnel will be dispatched to all ALS medical emergencies. *Optional - Not Required: EMS response with 12-lead ECG capability to calls for chest pain of suspected ischemic origin. 6. An ongoing process to evaluate and improve the ―Chain of Survival‖ in the community.
  • 7. Other Remarks A lead agency for improving outcomes, EMD, efforts to improve citizen CPR, support and monitoring of publically placed defibrillators, rapid response by trained and equipped officers, integrated care with EMS, an evolving STEMI system of care, data collection and quality improvement…what a great combination. ―I have been so very impressed with the attention and commitment to improving recognition, response, care and outcomes in Old Saybrook. I commend Chief Spera, EMS Director Coco, and all the integrated agencies and supporters of this effort. This community can serve as an excellent role model for others‖. – David Hiltz, NREMT-P, American Heart Association David Hiltz is with the American Heart Association’s Emergency Cardiovascular Care Programs and has a special interest in systems of care and resuscitation. David has contributed to the development of numerous AHA initiatives and is active on task forces related to EMS and resuscitation. Phil Coco is the Director of Emergency Medical Services for the Old Saybrook Police Department and Paramedic for Middlesex Hospital where he has served for 24 years. Phil is an Emergency Medical Services Instructor, Fellow and Instructor with the National Academy of Emergency Dispatch, Deputy Fire Marshal, Fire Officer and Instructor and an American Heart Association Instructor for BLS, ACLS and PALS and a member of the FEMA EMS national incident management leadership team. Michael Spera is the Chief of Police and Emergency Management Director in Old Saybrook. Chief Spera is the President of the Connecticut Emergency Management Association, a Firefighter/Paramedic and Emergency Medical Services Instructor for the State of Connecticut. Additionally, Chief Spera is a Homeland Security Coordinating Council Member, Chairman for the Municipal Safety Committee and a graduate of the FBI National Academy with a Bachelor of Science in Public Safety Administration.
  • 8. About the Old Saybrook Department of Police Services http://www.oldsaybrookct.org/pages/oldsaybrookct_police/index About the American Heart Association http://www.heart.org/HEARTORG/ Old Saybrook cops taking EMT classes en masse (video) http://www.nhregister.com/articles/2011/02/21/news/shoreline/bb1_mon_ospoliceemts _art022011.txt Police Toolkit from the Resuscitation Academy http://www.resuscitationacademy.org/downloads/PoliceDefibrillationToolkit_1010.pdf The Shocking Truth about Cops and Defibrillation http://www.slideshare.net/Hiltz/the-shocking-truth-about-cops-and-defibrillation Videos http://www.npssinc.org/html/aed_awareness.html
  • 9. Related American Heart Association (November 28, 2005). 2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care: Part 5: electrical therapies: automated external defibrillators, defibrillation, cardioversion, and pacing. Circulation: Journal of the American Heart Association. (p. 35-46). Brillhart, A.M., Rea, T.D., Becker, L., Eisenberg, M.S. & Murray, J.A. (October/December 2002). Time to first shock by emergency medical technicians with automated external defibrillators, Prehospital Emergency Care. Vol. 6, No. 4, (p.373- 377). CPR facts and statistics as viewed on the American Heart Association website: http://www.americanheart.org/print_presenter.jhtml?identifier=3034352 Department of Emergency Medicine, Medical College of Virginia, Virginia Commonwealth University Health Center (2003). The public access defibrillation (PAD) trial study design and rationale. Resuscitation. 56, (p.135-147). Joglar, J.A. & Page, R.L. (August 27, 2002). Automatic external defibrillator use by police responders: where do we go from here? Circulation: Journal of the American Heart Association. (p. 1030-1033). Lerner, E.B., Billittier, A.J., Newman, M.M., & Groh, W.J. (October / December 2002). Automatic external defibrillator (AED) utilization rates and reasons fire and police first responders did not apply AEDs. Prehospital Emergency Care. Vol. 6, No.4., (p.378- 382). Martinez-Rubio, A. & Baron-Esquivias, G. (2004). The automatic external cardioverter defibrillator. Indian Pacing and Electrophysiology Journal. Vol. 4, No.3, (p. 114-121). Mosesso, V.N. Jr., Newman, M.M., Ornato, J.P., Paris, P.M., Anderson, L., Brinsfield, K., Dunnavant, G.R., Frederick, J. Groh, W.J. Johnston, S., Lerner, E.B., Murphy, P.G>, Myerburg, R.J., Rosnberg, D.G., Saviano, M., Sayre, M.R., Sciammarella, J., Schoen, V. Vargo, P., van Alem, A., & White, R.D. (July/September 1997). Law enforcement agency defibrillation (LEA-D): proceedings of the National Center for Early Defibrillation Police AED Issues Forum. Prehospital Emergency Care. Vol. 6, No. 3. Myerburg, R.J., Fenster, J., Velez, M., Rosenberg, D., Lai, S., Kurlansky, P., Newton, S.,Knox, M. & Castellanos, A. (Aug 27, 2002). Impact of community-wide police car deployment of automated external defibrillators on survival from out-of-hospital cardiac arrest. Circulation: Journal of the American Heart Association. (p. 1058-1064).
  • 10. Newman, M.M., Mosesso, V.N. Jr., Ornato, J.P., Paris, P.M., Andersen, L., Brinsfield, K., Dunnavant, G.R., Frederick, J., Groh, W.J., Johnston, S., Lerner, E.B., Murphy, G., Myerburg, R.J., Rosenberg, D.G., Savino, M., Sayre, M.R., Sciammarella, J., Schoen, V., Wargo, P., van Alem, A. & White, R.D. (1991). Law enforcement agency defibrillation (LEA-D): position statement and best practices recommendations from the National Center for Early Defibrillation, National Center for Early Defibrillation, (p.346-347). Nichol,, G., Hallstrom, A.P., Ornato, J.P., Riegel, B., Stiell, I.G., Valenzuela, T., Wells, G.A., White, R.D. & Weisfeldt, M.L. (April 7, 1998). Potential cost-effectiveness of public access defibrillation in the United States. Circulation: Journal of the American Heart Association. (p. 1315-1320). Nolan, R.P., Wilson, E., Shuster, M., Rowe, H., Stewart, D. & Zambon, S. (1999). Readiness to perform cardiopulmonary resuscitation: an emerging strategy. Psychosomatic Medicine, 61, 546-551. Pepe, P.E. & Mosesso, V.N.. (January/March 2000) All-advanced life support vs. tiered response ambulance systems. Prehospital Emergency Care. Vol. 4, No. 1, (p. 1-6). Van Alem, A.P., Vrenken, R.H., de Vos, R., Tijssen, J.G.P. & Koster, R.W. (December 6, 2003). Use of automated external defibrillator by first responders in out of hospital cardiac arrest: prospective control trial. British Medical Journal. Vol. 327, p.1-5.