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Automated External Defibrillators (AEDs)Each year, more than 45,000 Canadians suffer from a sudden cardiac arrest (SCA). Cardiac arrest occurs when an individual’s heart stops beating. The person loses consciousness and blood flow to the brain and vital organs is cut off. If the heart is not restarted within a few minutes, brain damage and death occur. Of those SCA that happen out of hospital, less than 5% survive to hospital due to delays in recognizing the cardiac emergency and access to appropriate care. Research has demonstrated that early defibrillation is a vital step in reducing premature death from sudden cardiac arrest in Canada. The survival rate from sudden cardiac arrest without CPR is zero. For every one minute delay in defibrillation, the survival rate of a cardiac arrest victim decreases by 7-10%. Early intervention is vital. Early CPR and defibrillation within the first 3-5 minutes after collapse, plus early advanced care, can result in high long-term survival rates. These rates can range from 50-80%.* In Canada, this would mean saving the lives of 2,000-4,500 adult and pediatric victims each year. In keeping with the laws of the province, the Heart and Stroke Foundation of Manitoba has taken a leadership role in developing guidelines to implement AED programs in your community. The province of Manitoba does not consider the use of an AED as a medical act. A Medical Director is not required to purchase or use an AED. AEDs are most useful if placed in locations that there are large groups of people or where EMS may take a long time to reach. Some sites suggested are:
The purpose of an AED program is to have quick access to provide care within minutes for a victim in cardiac arrest. AEDs are part of the Chain of Survival, and is now included in CPR training. In order to implement an AED Program, some planning is needed and decisions to be made:
A booklet with detailed provincial information is available here. Once all these questions are addressed, you are ready to implement your AED Program. You will want to check into different AED companies. Each offers different units and most offer many of the services needed to put an AED program in place. Some companies are listed here. This is not a complete list. The Heart and Stroke Foundation of Manitoba does not endorse any one product.
AED Main RegistryFurther information on AEDs: Manitoba AED Guidelines - Page currently under revision. Check back soon. Questions and Answers: AED in the Community Purchasing an AED (AED companies)
* Stiell IG, Wells GA, Field B, Spaite DW, Nesbitt LP, De Maio VJ, Nichol G, Cousineau D, Blackburn J, Munkley D, Luinstra-Toohey L, Campeau T, Dagnone E, Lyver M. Advanced cardiac life support in out of hospital cardiac arrest. New England Journal of Medicine. 2004;351:647-656. |