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Each Village may have hundreds of homes, perhaps even 1,000, 2,000, or more.
To have one organization to handle takes a lot of responders and managers, as well as thousands of dollars. That is a huge task. Here in Marsh Bend, I am the coordinator for our neighborhood of 103 homes. We have 2 AEDs, and asked for $100 from each home to get the project started. We got about 80% participation, and a few homeowners contributed more than what was asked. Even a few of the homes that were rented contributed. My wife and I are the overall neighborhood coordinators. We have a private email list, a private Facebook group, a periodic newsletter, and a monthly social. We call ourselves the Marsh Bend Reserve. We have approximately 15 primary responders, and have trained about 22 people. Yes, not everyone believes in the overall AED project, but that is ok and understood. I know some of the other coordinators south of 44, and am very thankful to other coordinators and VPSD who helped us get started. It takes a bit of work to get started, as well as serious project management skills. Good luck, and thank you to the volunteers who start and maintain these efforts. |
Rate and ratio
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Been a while since my last CPR course. Are they still just recommending compressions at a rapid rate without intervening "breaths"? Never mind. Shamed myself into googling it. Are Rescue Breaths Necessary During CPR? - HSI So, 15 and 2 still the ratio and one-one thousand, two-one thousand still the rate? TIA |
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Aed
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In our Village, we had a group of eight who spearheaded the AED project. We queried residents to see if a majority would like AEDs, invited the TVFD to give a presentation to our community, held a question/answer session, and began receiving donations. We have eight AEDs strategically placed throughout our small Village of 471 residents and over 40+ trained responders. Since its inception, we have had two critical incidents. In each case, CPR was performed and no AEDs were used due to the quick response of TVFD. Based on our training and quick response of our trained volunteers, we prolonged one life.
Since your Village is remote, your closest FD is on Morse BLVD across from Chitty Chatty. Your villages would greatly benefit from having an AED program in place with trained responders. Not sure if you are in Sumter County or Lake County, but in Sumter County, they now have a AED program in place. If a Village has an established AED program, at the end of the AEDs lifespan (typically four years), Sumter County will pay to replace that AED if it meets certain criteria. |
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We are in Hawkins and gladly donated to the program. Most of the retired nurses I know here are on the emergency response team in the neighborhood. Most likely they will get to your door two minutes before the EMTs arrive. If they save one life over the years, that will be the best $100 I ever spent. Most women spend that much on their nails in a month. Nails or saving a life? No brainer for me.
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Breathless
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More questions
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More googlage: Using An AED - FAQ'''s "How much of the victim's clothing should be removed to carry out defibrillation? The victim’s chest should be exposed to allow correct placement of the electrode pads. For women this usually means the bra must be removed. Clothes may need to be cut off." Has that been part of the training? Just watched a Doc Martin episode where the lady's bra was left on for the AED shock. Wondered about that. . . "Is it okay to place the electrode pads directly on a hairy chest? Electrode pads are required to make direct skin contact in order for successful defibrillation to occur. In an emergency situation where the chest hair is so excessive as to prevent good adhesion of the electrode pad, the hair must be removed quickly." Hmmm. . . I wonder how many folks are prepared to do either, especially when I've heard little in this thread related to decision making even to the level of checking for airway, breathing, and circulation. I sorta kinda know a lot of this stuff, but I'm not at all sure that I could perform properly in all the various possible scenarios. I think I could get the compressions going and keep it up until the Fire Department arrives with *their* AED and the other "right stuff". Pulling an old lady's bra off in public? I don't know. . . |
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Facebook, like it or not, is widely used in The Villages for communication purposes. I have a friend who had avoided it all her life finally succumb to it at age 67 because groups she participates in uses it. Sounds like the group organizing your AED program is using it as a tool for communication but also using other methods of communication. Kudos to anyone trying to get an AED program initiated and first one to do so therefor has control. I'm pretty sure they have to go through the fire department to set up a functioning alert system and will take guidance from them. Who would be against an AED program in their village?
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Unless they are living in your house, or maybe next door you are asking way more than most can accomplish. On call (so you know that call is coming) at 3am, call comes i was in my car in 90 seconds because I am sleeping in scrubs, my shoes are at the door. I know that because second call comes at 2 minute mark, asking if you are on your way, and eta. Third call comes at 10 minutes which I would be exiting my car heading in the door. Why the 3 calls, because even experienced trauma people under the age of 50 have been known to answer first call and slip back to sleep. |
As for aggressively soliciting contributions - that may be a personal interpretation from someone who does not want to contribute for whatever reason. In St Catherine we had volunteers go door-to-door to collect, which is probably the standard method of collecting. If you don't want to contribute $100 for whatever reason, then don't, you will still be covered by the AED program. I know of people refusing to contribute for silly reasons such as not being here full-time or being of a younger than average age. That's okay because, like me, many people contributed much more than was asked.
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For the AED program to be effective, IMHO, it must be combined with local, trained, neighborhood response. |
Villages supplied AEDs
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Haircuts Groceries Lawn cutting Hand holding Etc. |
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There was a cardiac arrest on a pickelball court in St Catherine. An AED was retrieved from the rec center and the man was shocked and came around. He apparently said it had happened to him before. The paramedic doing our training said he would have loved to have seen that because in all his years he has never seen someone regain consciousness. It's great that we have this AED technology available to us to augment. Everyone should be trained in CPR, it could be a loved one's life you save.
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It just strikes me as a scam to sell AED's. But when the AED guy down the street showed up at my door a month after I moved in, $100 seemed cheap to avoid becoming an outcast in my new neighborhood. I paid it and that's the last I ever heard from the guy again. He doesn't even wave if he's in his yard when I walk my dog past his house . Oh, well... I guess that's the price we monkey's pay to live in the troupe.
I don't doubt the noble intentions of the the guy with the AED in his yard. I just can't imagine the scenario where it would save anyone's life but his own. So, what are we saying? I grab my shoulder one morning while trimming the shrubs, and some guy in a golf cart happens by who just happens to know CPR, and the phone number for the guy with the key to the AED just happens to be one of the "favorites" in his phone? Luckily, the AED guy two blocks away happens to be home, and moments later, here he comes screaming down the street with the gadget to save my life? And while the gadget is shocking me back to life, he pulls out his phone and dials 911 to fetch the EMT's from the fire station three blocks away? I dunno. Seems like a stretch. But never accuse me of challenging monkey customs! Just pay it and quityerbichen! |
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Our village is broken into zones. When the call goes out the trained responders in the zone where the incident is gets a text alert along with an automated phone message. In most cases the two adjacent zones to the incident will also be activated just to ensure an adequate number of people respond. |
I wanted to add some info to this. I've been in the fire service and ems since the mid 80's.
Most importantly the chance of survival diminishes by 10% for every minute it takes to get an AED physically on the patient. The fire dept has a goal of a firehouse within 2.5 miles of a home. With the 911 call, getting on the engine, and driving to the call its 5 minutes. 50% chance. The neighborhood groups add 20% to 30% to the chance of survival. Absolutely early CPR is the key BUT imagine you rearranged your spark plug wires on your car in the wrong order. You can try to start that car all day and it will never run. A heart rhythm is like those spark plug wires. You can do CPR until the cows come home BUT if the heart is in the wrong rhythm the cpr isn't going to help. Shock the heart into the right rhythm and you are ready to have cpr start than engine. I read a lot in this thread about the fire dept arriving first. The Villages Fire Rescue is BUSY. They do tons of medical calls every day. You don't need to believe me. Download the pulsepoint app to your phone. Choose sumter county and watch the calls. The unit numbers for the vehicles are shown for each call. Look how many do call after call. While the villlages wants firehouses every 2.5 miles to each home realize your unit can easily be on another call and now your waiting for the one 5 miles or 7.5 miles away. It is what it is. Look at the app and see how busy they are. You will be surprised. Someone said "AED's run on batteries and in some cases are $2,000" I think they meant the brand new AED is $2,000. The unit the FD recommends now is a little under $2,000 which includes the battery which often is good for several years. Someone said "what prevents these from being stolen?" many have padlocks and are keyed the same for the AED program and the rescuers are issued padlock keys. Someone said "Actually the fire department has a program that a box holding a key can be placed on your home to gain entry" this is called a knox box and the villages fire rescue has keys which open the knox box. All of the knox boxes in the village are keyed alike so they can open it in an emergency and pull out your home key. I installed one, it was easy. With sales tax and shipping it was under $230. The vendor is VSC Fire & Security in Orlando 407-679-3332. You want the residential one. here is a short video https://www.youtube.com/watch?v=1N-xXB2510o |
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All great points and very topical/germane to TV. Thank your for your public safety service sir |
Resuscitation Algorithms
I am taken aback by the years of public education and the lack of understanding of the general public for the whole issue of initial response and why it is set up the way it is.
The overlying idea of 'CPR' and 'AED' programs is to educate the public to recognize an emergency and activate the rest of the system. They work hand in hand. Then, you go through what you learned in your classes. Here is an outline of initial response and further steps: https://cpr.heart.org/en/resuscitati...nes/algorithms Pretty complicated, isn't it? But would not happen if you did not activate the system. The percentage survival drops off greatly if you do not have a shockable rhythm. So you do that as soon as you can. The heart pumping itself is much better than even the most efficient CPR. Doing compressions without breaths was added in the algorithm to remove hesitancy of rescuers to start, so at least something is done and more people taught to activate the rest of the system. This did not replace the 'older' methods of compressions and breaths. There is BLS, ACLS, PALS, and many others... CPR and AED is only a small part. So at least go out and take one of the classes so you know something about EMS and initial medical response. It does not take much time. Guess that more public education is still needed to get the word out. Finally, go out and live life. There are many people, actities and places to go here. This is only a small if rare event in our groups. We have a great community here and need to be thankful for families and neighbors. Especially those neighbors willing to organize for public service and learn new things. |
We have a village coordinator who sends emails of things going on.
When we started our AED program an email was sent to everyone indicating the cost. We were asked to drop off at one of the residents. (THERE WAS NO DOOR TO DOOR REQUESTING DONE) Those that wanted to did, there was enough to start the program. There are no scarlet letters on anyone’s house OF THOSE that may have not paid (nobody knows) all are responded to if needed. Recently monies were requested for maintenance and full filled. This has been a successful program in The Villages by all accounts. Be thankful there are neighbors willing to include your village! |
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Sounds like another Newbee, I have been here many, many years, second home. Both times residents of the Village organized and had the AED’s installed and monies collected. Whether a house hold contributed or not, all were included! Up keep is also done the same way. Watch What You Wish For!
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PS: Sounds like someone is out to make out! Nobody gives you nothing for nothing!
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Why is this troubling you? |
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Pushing the button will call 911, which will initiate the AED process. Now, if you can't get to the door to open it, sorry, but that's a major problem. You'll have to wait for EMS to arrive and break in... |
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