[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
To: 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.
Comments
11/24/2014 9:44:27 AM by Bailey, Mary Jo
Submitted to those with current:
�SAF105: CPR/AED USE
Training
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
Skills
* SAF105: CPR/AED USE
Distribution/Notification
* *Division Safety Officers (DSOs)
* *Safety Wardens
* *DOE Notification
* *ESH&Q Liaisons
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