[Hallb-engineering] Fwd: Lesson Learned "First Responders and Automated External Defibrillator (AED) Save Life- Los Alamos National Laboratory"

Douglas Tilles tilles at jlab.org
Mon Nov 24 10:05:09 EST 2014

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From: mbailey at jlab.org
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Sent: Monday, November 24, 2014 10:00:48 AM
Subject: Lesson Learned "First Responders and Automated External Defibrillator (AED) Save Life- Los Alamos National Laboratory"

	First Responders and Automated External Defibrillator (AED) Save Life- Los Alamos National Laboratory 	
Statement of Lessons Learned 
For a copy of the original report, see �Attachments� on Lessons Learned page. 

A co-worker's administration of Cardio Pulmonary Resuscitation (CPR), in conjunction with the use of an AED, saved a co-worker who was a victim of sudden cardiac arrest. Discussion of Activities 
On July 2, 2014, two Los Alamos National Laboratory (LANL) workers were calibrating equipment when one became unresponsive and ceased breathing.  The other called the Central Control Room (CCR) and proceeded to get a nearby AED and began alternately performing CPR, attending to the victim, and shocking the victim as directed by the AED.  

The worker in CCR initiated a 911 call and another worker, who was in the CCR for other reasons, proceeded to assist in the initial response.  Upon arrival Paramedics indicated that the first response use of the AED saved the employee�s life. Analysis 
In the U.S. alone, 424,000 people experience out of hospital sudden cardiac arrest each year.  On average, nine out of 10 die.  For every minute without CPR and defibrillation, a victim�s chance of survival decreases 7-10 percent.  To be effective, treatment must be delivered within three to five minutes after collapse.  Even the best emergency medical services are hard pressed to reach a victim in time, making prompt action by bystanders critical. Recommended Actions 
Below are the consequences of the above event.  They are provided for information and discussion purposes only. 

Initiate and properly administered a workplace AED/CPR program.  Include the following items:
--Management support (purchase equipment and train staff).
--Identify a group of responders willing and able to use the equipment.
--Locate AEDs in approved location and properly maintained. JLab Preventive Measures 
Jefferson Lab has a comprehensive occupational medical program for the benefit of its employees.  This includes CPR and AED training.  

Jefferson Lab has 19 AEDs strategically placed within occupied buildings.  See https://jlabdoc.jlab.org/docushare/dsweb/Get/Document-41011/Document-41011.pdf for locations. 

General Information

Sudden cardiac arrest is an unexpected pulseless condition that is usually caused by an arrhythmia called ventricular fibrillation.  It is a leading cause of death among adults over the age of 40 in the United States. 

An AED is a portable electronic device that automatically diagnoses life-threatening heart rhythms.  If it detects a problem that may respond positively to an electric shock, it permits a shock to be delivered to restore a normal heart rhythm. AEDs provide simple audio and visual instructions, and are designed for use by laypersons.

Unfortunately, only one-third of sudden cardiac arrest victims receive bystander CPR and only 2 percent are treated with AEDs.  Typically, AED users are protected from liability by Good Samaritan statutes. Basic precautions, such as not touching the victim during the shock, ensure the safety of rescuers and bystanders. 
11/24/2014 9:44:27 AM by Bailey, Mary Jo 
Submitted to those with current:
Summary 	Lesson ID: 	863 
	Status: 	OK 
	Doc ID: 	2014-JLAB-863 
	Priority: 	Info 
	Safety Related: 	YES 
	Originator: 	Bailey, Mary Jo 
	Issued: 	11/24/2014 9:33:00 AM 
	Approved By: 	Bailey, Mary Jo 
	Approved On: 	11/24/2014 9:44:27 AM 
	Source: 	DOECRD 
	Location: 	LANL 
	Cost Savings: 	
	Contact: 	Betty Colyer, 505-665-7264 
	Queued Emails: 	0 
	Sent Emails: 	0 
	Viewings: 	2 times Attachments 

    * M:\wcd\LessonsLearned\OccMed\DOE - Blue - AEDCPR.pdf 
Hazard Issues 

    * Occupational Medicine 

    * SAF105: CPR/AED USE 

    * *Division Safety Officers (DSOs) 
    * *Safety Wardens 
    * *DOE Notification 
    * *ESH&Q Liaisons 

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