Neighborhood AED Costs
 

I have seen AED (Automated External Defibrillator) sprinkled across neighborhoods. I learned that these are resident-funded. Does anyone know a cost per unit? Before I kick-off a project to procure one (or more) of these in our village, I’d like to understand the procurement costs and recurring charges. I can’t approach my neighbors and ask for donations if I don’t know the goal.

8 Steps to Starting the Neighborhood AED Program | Indepthreports | thevillagesdailysun.com


What you need is here"……….

$1,200-1,500 per unit, if all parts are made in the US. If not add 150% to be on the safe side. After living in 4 previous Villages since 2010, pads are replaced not because of use.. but expiration.

At 2am in the morning I have never witnessed anyone answering phone call, getting dressed, driving, finding the house in the dark, entering if the door is unlocked, in less than 9 minutes.

Have witnessed many calls that Rescue was already in the residence before the neighborhood. AED walked in the door. Once a volunteer AED entered at the same time as Rescue, because they lived 4 doors down, and knew the house.

However, one thing to understand if CPR is not started immediately by someone living in the home, that nine minutes of damage, most likely will be irreversible.

If you live in Sumter county, before you do anything contact Jacki Martin at thr public safety office, behind the Sumter library. The county has a program now that pays for thr upkeep and replacement of AEDs, pads and batteries. They also pay for the app to notify you. I am the coordinator for my area and we have responded to several 2 am in the morning calls. About a third of the time we beat the fire dept, but the FD is there 2-3 minutes after us. It may not sound like much but that's 2-3 minutes of cpr that up the odds of survival. If you have questions call me 318-787-8993 Bruce

An alternative approach for AEDs in your neighborhood
 

If you live in Sumter County there is a program supporting neighborhood AEDs. Contact Jacki Martin eccsupport@sumtercountyfl.gov

2 parts to the Sumter County offering. A) Responder Alert process and B) AED provisioning.

Responder:

This program uses "PulsePoint" instead of Ready Alert. PulsePoint is free vs. Ready Alert which is $50 per responder per year. Both programs are similar. The responder qualifications are the same (volunteer level CPR/AED trained).

AED provisioning:

You must purchase and maintain your AEDs for 4 years. After 4 years Sumter county will take over the repair, replacement of the AEDs, pads and batteries. Costs: AED ~$1500-1800; Battery: $200 up; Pads: ~$70.

CPR/AED training: There are several sources to get trained. CERT, Fire Department, etc. I use Martha Mitchell (352-208-2665). Martha can sell you AEDs at a competitive cost in addition to the training.

Most of the country is handled by volunteer fire departments.
Someone usually arrives quickly. Rarely more than a couple minutes. Get CPR started. That's the critical milestone - care withing 4 minutes.
As more people arrive in a few more minutes, they can swap over doing CPR - it's very physically exhausting when done right. It's not like television.
When the AED arrives, it gets used.

Volunteers (neighbors) know their neighborhood and can find addresses fast. That is what works here.

If anyone here looks at PulsePoint when an ambulance goes by, and looks at the time for the call, the response time is easy to figure out. For the PAID responders, sitting ready to roll, rarely do I see a sub 5 minute response time at any time of day. That's a serious problem. Warrants investigation IMHO.

So the AED program, with the volunteers, is super important here.
That alone should convince neighbors to buy into the program.

IF the AED volunteer arrives and uses the equipment before the pros arrive, the chances of surviving to the point of leaving the hospital alive double, from 7% to 14%. However, the percentage who have heart attacks and need AED has decreased in the past twenty years from 70% to 80% to 10% to 30%. Trying to defibrillate someone who doesn’t need it is not helpful. In probably most cases, the local volunteers trained can’t get there in time anyway.

Leaving the hospital alive does NOT mean returning home happy and healthy. Many more of the survivors then go to rehab hospitals or nursing home. Or they go home but have significant memory loss and perhaps can’t drive again, much less play golf again. I really don’t like those odds. It is NOT the way it is shown on TV.

“Survival After Application of Automatic External Defibrillators Before Arrival of the Emergency Medical System”
“ Of 13,769 out-of-hospital cardiac arrests, 4,403 (32.0%) received bystander cardiopulmonary resuscitation but had no AED applied before EMS arrival, and 289 (2.1%) had an AED applied before EMS arrival. The AED was applied by health care workers (32%), lay volunteers (35%), police (26%), or unknown (7%). Overall survival to hospital discharge was 7%. Survival was 9% (382 of 4,403) with bystander cardiopulmonary resuscitation but no AED, 24% (69 of 289) with AED application, and 38% (64 of 170) with AED shock delivered. In multivariable analyses adjusting for: 1) age and sex; 2) bystander cardiopulmonary resuscitation performed; 3) location of arrest (public or private); 4) EMS response interval; 5) arrest witnessed; 6) initial shockable or not shockable rhythm; and 7) study site, AED application was associated with greater likelihood of survival (odds ratio: 1.75; 95% confidence interval: 1.23 to 2.50; p < 0.002). Extrapolating this greater survival from the ROC EMS population base (21 million) to the population of the U.S. and Canada (330 million), AED application by bystanders seems to save 474 lives/year.”
“ In recent years, emergency medical services (EMS) recordings of initial cardiac arrest rhythms show a striking decline in the incidence of ventricular tachycardia (VT) or ventricular fibrillation (VF) that may benefit from AED use. Initial VT/VF rhythms accounted for 70% to 80% of cardiac arrests 20 years ago (25), but now constitute only 10% to 30% of arrests (8,25,26). Non-VT/VF arrests (asystole and pulseless electrical rhythms) do not benefit from AEDs, and furthermore, their use may delay life-saving measures such as bystander CPR in such patients.”
Article from National Library of Medicine: Survival After Application of Automatic External Defibrillators Before Arrival of the Emergency Medical System: Evaluation in the Resuscitation Outcomes Consortium Population of 21 Million - PMC

There are MANY documented cases of the AED saving lives. I got them in Springdale East and am glad we have never had to use them.
If you live in Marion Cty. contact Bob Sjogen 352-205-8280. Good Luck and you will NEVER regret doing this.

District 8. $50

The cost per unit is $1200 when your neighborhood orders them in quantity. The county will provide the boxes for location and install them for your neighborhood for free. The Villages provide compression-only CPR for free, and the county will provide an app for their alert system for free along with training.

I kinda Agree, hardly if ever used, but some like the goodie feeling. I got one across street that locked I’m willing to bet the EMT will get to my house long before some comes unlocks AED get to house unpack it and that’s if that person home at time?

The AED is programmed NOT to defibrillate someone who does not need defibrillation.

The first thing it does is take an EKG of the patient...

In my village was $100 bucks volunteer 84 units in my villa.

Well said, and I would add that having to ask for volunteers repeatedly on our community page is hard to see when you don’t really support such a cause. At my age, I’m ok with waiting for the EMS cause I’m on the back nine anyhow. Lastly, if you give to this cause make sure when the next county EMS levy is proposed that you fully support that to. The whole concept reminds me of the community watch days…..where are they now?

AED cost about $2000 need to replace pads and battery every 2 years about $700f
 

. If you need more info you can call me John Rohe MD 5167796556