Preparing Your Organization American Red Cross Hugh Harrison

Preparing Your Organization American Red Cross Hugh Harrison

Preparing Your Organization American Red Cross Hugh Harrison Agenda Emergency Preparedness Anatomy of a First Aid Kit AED, Automated External Defibrillator Q&A Why Plan ?

Why Prepare? How prepared is your organization to function under emergency/disaster related conditions? The importance of preparedness Preparedness is important for any emergency. Being prepared is the key to the best outcome Good planning Allows your organization to continue to provide essential goods and/or services during times of disaster and emergencies.

Train employees and provide appropriate and adequate supplies for use during emergencies and disasters Cross train employees Investigate other options (retirees, summer interns, volunteers etc.) Plan with suppliers and customers Why Plan & Prepare? No Progress Limited Progress Moderate Progress Substantial Progress Objective Achieved One component of planning is having the appropriate supplies in an emergency

A Key Component of Safety First Aid Kit OSHA ANSI OSHA Standard Part B of the OSHA First Aid Standard (29 CFR 1910.151) requires that first aid supplies be adequate and available. OSHA does not require specific types of first aid supplies, since the type and amount of supplies is dependent upon the types of injuries that are likely to occur in a specific

workplace, but OSHA does cite ANSI standard Z308.1 as an example of the minimum requirements for the contents of a first aid kit. ANSI Standard American National Standards Institute (ANSI) Standard Z308.1 outlining the minimum supplies for a workplace first aid kit was recently revised and approved in May 2009. The revised standard (Z308.1-2009) expands the required first aid kit supply list to include a first aid guide. First Aid Kit 1 absorbent compress dressings (32 square inches

with no sides smaller than 4) 16 adhesive bandages 1 x 3 1 adhesive tape (3/8 2.5 yards) 10 antiseptic wipe packets (.14 fl oz application) New 2009 ANSI requirements: 6 antibiotic ointment packets (.14 fl oz gram) First Aid Guide First Aid Kit 2 pair of non-latex gloves (medical exam) 1 Burn treatment, 1/32 oz application

4 Sterile gauze pads (3 x 3) 1 triangular bandages (40 x40x 56) First Aid Kit Additional recommendations: Tweezers 1 instant cold compress 1 breathing barrier (with one-way valve) 1 blanket (space blanket) Scissors First Aid Kit 1 Roller bandage (3 & 4 wide)

hydrocortisone ointment packets packets of aspirin (81 mg each) Sterile gauze pads (4 x 4) First Aid Kit - Options Assess Your Needs Check the kit regularly. Check expiration dates and replace any used or out-of-date contents. Update your kit(s) Add new items as required or technology becomes available

Safety Toolkit AED Automated External Defibrillator Sudden Cardiac Arrest can strike anyone, anytime, anywhere... 01/00

Corporate Business Market/Horizontal 16 The Healthy Heart A Series of Events An electrical event stimulates a mechanical event ...resulting in coordinated

heart pumping, and regular pulse. Main Pumping Chambers Sudden Cardiac Arrest A Heart in Distress Uncoordinated, very fast heart rhythm Ventricular fibrillation (VF) Some ventricular tachycardias (VT) Ineffective heart pump Unconscious, no breathing, no pulse

Death certain without defibrillation The Stakes Annual Sudden Cardiac Arrest (SCA) Events U.S. 600 patients per day (one every 2 to 3 minutes) < 5% survive 75% out-of-hospital 20% without prior symptoms 95% die without very early treatment

Total Events 250,000 SCA Fiction vs. Fact Stereotype Reality Male Male and Female Old

Any Age Risk Factors Overweight Smoker High cholesterol Often No Clear Risk Factors Medical

History Heart Attack Often No Cardiac History Chest Pain Dizziness Often No Symptoms Gender

Age Presenting Symptoms What Is Defibrillation? Electric shock to the heart Stops uncoordinated rhythm Allows return of regular rhythm and pulse Only definitive

treatment for VF The Case for Early Defibrillation 100 90 80 Chances Chancesof ofsurvival survival reduced reduced7%

7%to to10% 10% each eachminute minute 70 60 % Survival 50 40

30 20 10 0 0 1 2 3 4

5 6 7 8 Cummins RO, et al. Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care (ECC, Circulation (Suppl) 2001;102:8, August 22 9

Time (minutes) What Happens When You Call 911? Best Case Scenario Identify emergency/ Activate emergency response plan 911 call 30 seconds 1 minute Alert ambulance and rescue squads (dispatch) 30 seconds

Responders to their units 30 seconds Travel time to location 5 minutes* Unload equipment/ Distance to patient 2 minutes Assess patient/ Apply defibrillator/ Deliver shock

*Travel time varies depending on weather, traffic, distance (vertical and horizontal), and ambulance (with defibrillator capability) availability. **Cummins RO, et.al. Automatic external defibrillators used by emergency medical technicians: a controlled clinical trial. JAMA. 1987; 257:1605-10 1.1 minutes** TOTAL 10.6 minutes Defibrillators to the Rescue Small and lightweight Ready when needed Safe, effective, and easy to use

Designed for the infrequent lay rescuer Expands lifesaving opportunities What What ifif the the victim victim has has aa pulse pulse and and II

cant cant feel feel it? it? Can Can II hurt hurt someone someone using using the the AED?

AED? Is Is there there legal legal liability? liability? Can not make things worse HeartStart AEDs are designed to shock only when needed Product indemnification policy Good Samaritan laws, CASA act, AHA standard of

care Possible reverse liability What What happens happens ifif II reverse reverse the the pads? pads? Can

Can II defibrillate defibrillate on on water, water, snow, snow, ice ice and and metal? metal? Analysis & therapy not affected by

pad reversal OK to defibrillate on water surfaces and metal Standard safety precautions How Fast is Early Defibrillation? OSHA interpretation 3 to 4 minutes from onset of life-threatening condition to first aid

(first shock) 100 90 80 70 60 % Success Survival 50 40 30

20 10 0 0 1 2 3 4

5 6 7 8 9 Time (minutes) Why Plan ? Why Prepare?

How prepared is your organization to function under emergency/disaster related conditions? Emergency Radios Planning and Preparedness Pandemic Flu Employers and employees share responsibility for developing the plan Consider the impact of employee absenteeism

Consider changes to supply and delivery chains Preventing the Spread of Infection in the Workplace Wash hands frequently Make tissues and hand sanitizers available Make trash receptacles easily assessable Disinfect frequently touched surfaces What is in your safety toolkit? The Red Cross offers a wide range of options:

CPR/AED (lay responder and professional rescuer) First Aid Bloodborne Pathogens Training: Preventing Disease Transmission Safety Products and First Aid Kits Safety Supplies &Training The Red Cross offers a wide range of options: AED Automated External Defibrillators Lifeline PocketMD Babysitters Training Pet First Aid (Dog and Cat First Aid Training) Water Safety, Learn to Swim and Lifeguard Training

First Aid/CPR/AED Customize training to your audience: First Aid/CPR/AED training materials such as DVDs and participant materials are tailored for either a workplace or school/community environment Modular program design allows you to select only the training your employees need Injury Prevention Modules & Preparedness Guide Questions?

Thank You! For more information: American Red Cross Pam Oliver Preparedness, Health and Safety Territory Sales Representative [email protected] Customer Service Center [email protected] Phone: 1-877-519-5967

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