Mary Ann Downing & Bob Lyons "AED's, Alarms & Technology" NDPA Symposium 2012
1. 4/27/2012
Bob Lyons, Terrapin Communications
Mary Ann Downing, NDPA Volunteer
NDPA Symposium –San Diego
March 8, 2012
1
2. 4/27/2012
Presenters
Bob Lyons, PhD. Mary Ann Downing
[Electrical Engineering], NDPA Board of Directors
President Terrapin Communications, Pool Safety Solutions
Ottawa, Ontario Canada San Diego CA USA
2
3. 4/27/2012
WIIFM
What’s in it for me?
Understanding the Safer3
Safer Water & Safer Kids,
Safer Response
Awareness of technology
and applications
Economics
Early Adapter
Education
AEDs, PWC’s, Alarms
Your Influence
3
5. 4/27/2012
Content Outline
How the Marketplace Adopts Safer Response
Technology
Mature Technology: AED
Mature Technology finds new application: PWC
New Alarm Technologies find new applications
For Work Place- Safety Turtle SOS
o Tilcon Barges, NY overboard drill
For Boaters- Virtual Lifeline
For Lifeguards- Wahooo
5
6. 4/27/2012
New Technology Adoption
“Safer Response” requires fast human intervention
Technology focus is not robot replaces first
responder
Technology focus is sensing health of water and
persons
New technology must be adaptable to
practitioners
Practitioners need to be receptive to proven
technology
6
7. 4/27/2012
Economics is Critical!
Public and private facilities under stress
Limited $, Limited thinking of decision makers
Capital and training $ investment
Vs Operating $ savings
Labor efficiencies?
Safer Response = reduced insurance premiums?
Vs Lives saved by Safer Response
7
8. 4/27/2012
“Early Adapter” is critical
Successful trial by early adapter(s) is key
To demonstrate efficacy
To smooth “rough edges”
Then other practitioners may follow
Insurance underwriters may accelerate uptake
New safety technology must prove itself to a
conservative, low tech audience
8
9. 4/27/2012
Education is critical
Education of decision makers [practitioners and
risk assessors] is a stumbling block
To help them make better technology cost
benefit tradeoffs
One size does not fit all
Introduction of new technology is a challenge,
more to some than others
9
10. 4/27/2012
SAN DIEGO —
Bob McGowan had never
heard of an automated
external defibrillator before
July 2011.
Now he knows they are life-saving machines.
McGowan, 63, of Mission Beach, was one of four San
Diego cardiac arrest patients in a six-day period to be
treated with an AED provided by San Diego Project Heart
Beat.
“All four survived and that, in my opinion, is medical
history,” said Maureen O’Connor, manager of Project
Heat Beat, which has placed nearly 6,500 AEDs in public
and private settings around the county in the past 10
years. “To us, it’s huge.”
AED-
AED- Automated External
Defibrillator
10
11. 4/27/2012
Mature Technology – AED
Invention to Public Access
Hospitals
• 1947 Internal Defibrillation
• 1956 External Defibrillation
• 1960s Pre Hospital Defibrillation
Professionals
• 1969 Portland
• 1982 EMT D
• 90s First Responders-Pro
Public 1999- Red Cross Training
• 2001 Project Heart Beat- San Diego
• 2003 NY Law AEDs in Schools
• 2004 AEDs in Airports
• 2011- Need for Public Education Continues
11
12. 4/27/2012
Project
Case Study #1 Heart Beat
AED
•Nov 2001- San Diego City Council &
Cardiac Science to help promote the
deployment training and
implementation of AEDs.
•May 2003-New York State -1st state to
mandate AEDs in schools
•April 2004-Federal Aviation
Administration (FAA) mandates-that all
large passenger-carrying US airlines
carry and have personnel trained in the
use of AEDs
12
13. 4/27/2012
RescueCoach™
Cardiac Science Powerheart AED G3 Plus 1. CALL 911
with RescueCoach™ voice prompts to talk
rescuers through the steps. 2. Turn The AED On
The rescuer applies the defibrillation
pads, the G3 Plus Automatic analyzes the
heart rhythm and “knows” when to
deliver
(or not deliver) the shock.
3. Follow The AED Instructions
The shock is delivered automatically, with
no button to push, and no human
intervention. (also in semi-automatic)
After the shock, the unit prompts for CPR
with a built-in metronome that sets the
pace for proper chest compressions.
13
14. 4/27/2012
SCA can strike people of any age or fitness level. Using an AED within one minute of
collapse raises the survival rate to 90 percent. Resuscitation rates decline 7-10%
every minute thereafter. An AED needs to be readily available to defibrillate SCA
victims quickly.
Access and Education is critical
14
15. 4/27/2012
AED CPR
Legislation Education
Legislation Modernization
Legal Expert Advocates Revamping AED and
9-1-1 Laws Model Legislation Proposed
To address the “complex quagmire” of current CPR Flash Mob
state laws, Lazar proposes model AED and 9-1-1
legislation. The “AED Good Samaritan Immunity Vinnie
Modernization Act” would provide easy-to-
understand immunity to all AED program Hands Only
participants and remove burdensome and
complex immunity conditions. CPR with Rescue Breathing
“The Lifesaving AED Location Emergency
Communications Act” would require AED
acquirers to report the location of devices to 9-1-
1 dispatch agencies and would require 9-1-1
dispatch agencies to receive AED location
information and make it immediately available to
9-1-1 callers.
15
17. 4/27/2012
New Application of Jet Ski Technology
EMILY (Emergency Integrated Lifesaving Lanyard) can reportedly be deployed in 30 seconds, and at a
top speed of 24 mph (39 kph) is able to reach a troubled swimmer much faster than a human would be
able to. It’s propelled by a Jet Ski-style impeller, that sucks water in from the front and shoots it out the
style
back, and is able to flip itself back over if capsized in rough surf. By Arizona-based Hydronalix
17
19. 4/27/2012
Mature Technology – PWC
Adopted by and Adapted to Professional Rescuers
Recreational jet ski
• 1965 Prototypes
• Late 60s- PWCs hit the market
• 1973- Kawasaki appears on US market
•
Professionals
• 1974-Brad Southworth- early adapter
• 1979- Shawn Alladio purchases her 1st stand up jet
• Late 80s- SD Lifeguards use one person jet ski
• 1991- Rescue sled prototypes emerge
1993- City expands use to ocean beaches
• 1994- Shawn Alladio starts training –K38
• 2012- PWC Rescue Training Programs continue
19
20. 4/27/2012
Technology and Tradition
Rowed rescue boats used by lifeguards are
becoming a tradition of the past rather than a
rescue implement of the present,” said B.
Chris Brewster, president of the U.S.
Lifesaving Association, a professional
organization for lifeguards.
He said surf boats are rarely used to guard
beaches outside New Jersey.
“There is a passionate adherence to the use of
rowed rescue boats by some traditionalists.
But the profession has evolved to use more
modern and efficient rescue implements,”
Brewster said.“If you move outside New
Jersey, you don’t see rowed boats being used
to rescue people. It is a uniquely iconic
tradition there.”
20
22. 4/27/2012
Safer
Response
Watch Lifeguards in Action on the Weather Channel
http://www.weather.com/tv/tvshows/lifeguard
NJ State Police Open Water Training- YouTube
K38Rescue
Early Adapter is critical, Education and Training for Professionals
22
23. 4/27/2012
New Applications of
Alarm Technology
For dock workers, Safety Turtle SOS
o Tilcon Barges, NY overboard drill
For boaters, Virtual Lifeline
For lifeguards, Wahooo
23
25. 4/27/2012
Tilcon Barges
Tilcon Barges operates 250 aggregate barges, 11
tugboats and one shipyard out of various docks
located throughout New York, Connecticut, New
Jersey, Delaware and Virginia.
This division delivers over 6 million tons of stone by
water each year to New York City and Long Island
from Tilcon's quarries in the northeast region.
25
31. 4/27/2012
Wide Area Coverage
Base Station has:
In built antenna, or
High gain omni [whip] antenna, or
Higher gain directional [flat plate] antenna
Multiple Base Stations
Overlapping “cells”
Secondary Alarm(s)
Public address
31
32. 4/27/2012
Clinton Point PO # 77062
Secondary Coverage
Secondary Coverage
Secondary Coverage
1000 ft line of sight
1000 ft line ofof sight
1000 ft line sight
Integrator Base Station
Integrator Base Station
Integrator Base Station
with whip antenna Integrator Base
Integrator Base
with whip antenna
with whip antenna Integrator Base
Stations with
Stations with
Stations with
patch antenna
patch antenna
2000 ftft
2000
2000 ft
patch antenna
32
34. 4/27/2012
Integrator Base Station
with whip antenna
1000 ft line of sight
Integrator Base
Stations with
patch antenna Tug
3000 ft line of sight
Secondary Alarm
34
39. 4/27/2012
MariTech Industries
Safer Water Technology
provides safety solutions for propeller injury
avoidance, falls overboard, accidental engine stars
and carbon monoxide poisoning
SwimGuard provides 360-degree encasement of the propeller
PropStopper integrates the boat's ignition system with use of the
boarding ladder
Carbon Monoxide Protection System automatically takes action
when unsafe CO levels are detected.
39
41. 4/27/2012
Wireless Lanyard Technology
Safer Response Technology
• Very few operators wear the cord type lanyard
• No protection for passengers or crew
• Wireless technology can prevent more
accidents
• Ease of use and wear
41
42. 4/27/2012
Use and Benefit • CAST & VL interface within the
boat’s ignition system.
– Duplicates the standard “kill
switch” when activated.
• If someone is ejected from the
boat, upon submersion the
sensor will activate and shut off
the motor.
• Provides protection for every
passenger or crew member, not
just the operator.
• Will not compromise the safe
and normal operation of the
boat.
42
43. 4/27/2012
• CAST & Virtual Lifeline
“wireless lanyard” systems
were introduced in July
2005
• NMMA selected VL as the
“Innovation of The Year”
winner for safety in 2005
• VL was also chosen by the
Canadian Boating Safety
Council as their 2006
winner for “Safety
Innovations”
• VL is not in widespread use
43
44. 4/27/2012
The Wahooo Sensor measures time of
submersion to 1/1000th of a second.
When a swimmer is submerged for a preset
period of time (considered by experts to be
"precarious") a discreet Yellow Alert serves as
notification of a potential event.
If the swimmer remains submerged for an
additional preset period of time (considered to
be "at risk"), a Red Alert is indicated.
44
46. 4/27/2012
Your Influence
• Be ready to use CPR and AED
•Encourage public education - CPR and AED access
• Help your community rescuers – technology/training
• Help raise awareness of proven safety products
• Support new applications of alarm technology
• Watch early adapters
• What will you do?
46
47. 4/27/2012
Life Saving Influence
California Passes Steve Jobs's Organ Donor Law
47
48. 4/27/2012
Acknowledgements
Cardiac Science
Lifesaving Resources
Shawn Alladio K38 Rescue
Bob Ogoreuc,NJ State Police OW Rescue Training
Tilcon Barges
MariTech Industries
48