Quote:
Originally Posted by rustyp
Are you supporting my point that the real benefit would be trained CPR neighbors not an AED device ?
I'm having a hard time believing that a neighborhood AED has a high probability of actual shock administered within a four minute window. Put a time estimate on these events prior to administration:
- Realization that the event is serious enough that one should place the 911 call
- Retrieving a phone and placing the call
- Relaying the information to the 911 operator
- 911 operator relays info to paramedics
- Paramedic triggers phone calls to trained AED neighbors.
- AED trained neighbors digest info
- AED trained neighbor gather personal belongings - keys, phone, hat, jacket, etc.
- AED trained neighbor leaves house (by foot / golf cart ?) and fetches AED
- AED trained neighbor goes from AED station to the house of victim
- AED trained neighbor communicates apron arrival at the house about situation
- AED trained neighbor hooks up device
- AED device does self diagnosis
- AED button is pushed
Is it possible all this in 4 minutes from the event start - maybe under ideal conditions
What percentage of time will all these steps occur in a private home situation (not the town square, rec center, etc) within the four minute window - my opinion very low percentage.
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Your opinion is your opinion but it would be better to hear statistics from those involved with the program.
Some problems I see with your steps:
- Your step 5 is probably performed by the 911 operator and over an automated system, not a telephone
- Steps 6 and 7 are essentially instantaneous. The volunteer responders are not going to work through a long checklist in their head to digest the information and prepare to leave the house, they are likely to receive the alert and head out the door
- As of step 7, there are three efforts happening simultaneously: EMT response, CPR response, and AED response.
- There is no doubt in my mind that the CPR response can reach my neighbors faster than the EMT, it's a simple matter of distance
- We don't have AEDs so I can't guess how conveniently located they may be or how much time would be needed to find the closest unit (your steps 8 & 9)
- Step 10 is again almost instantaneous
Just because you can identify multiple steps doesn't mean the steps take any meaningful time to execute. I imagine I could describe the steps required to take a breath, something that can happen in less than a second, in enough detail that you couldn't hold your breath while reading all of them. Several of the steps listed take less than two seconds and take longer to read than to execute.
But again, it would be nice to get statistics from those with actual experience.