Call for defibrillators to be installed nationwide

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Wed, 08 Dec 2010 6:33p.m.

By Emma Jolliff

A professor of cardiology and St John's are calling for the Government to fund 10,000 heart-starting machines to be spread throughout workplaces and the community.

They're called defibrillators, or AEDs, common in public areas and workplaces overseas, and used when people suffer heart attacks.

There are two in Parliament - interestingly none in the executive wing - and around 170 staff are trained to use them.

The device administers a shock across the heart.

"These can do no harm," says Prof Harvey White. "It'll read a fast, irregular heart rhythm and it'll say, 'Prepare to shock, stand back, shock now.'"

Prof White says an AED increases a patient's chance of survival from between 5 and 10 percent to 70percent. It's all about time.

"Every minute of delay, death increases 10 percent," he says. "So 10 minutes' delay, you're almost a goner."

While the $4000 units are already installed in some places, like Victoria University and Westpac Stadium. Prof White's calling for 10,000 more around the country.

A select committee is considering whether they should be available in all communities and workplaces.

"We don't have them in the Auckland casino, we don't have them at the airport, we don't have them at Eden Park, we have the World Cup coming up next year."

But Eden Park says on event days it has specialist paramedics with defibrillators on site.

Not only do people need to know how to use them, they need to know where to find them

"At Auckland Museum they have three," says Prof White. "There was a cardiac arrest recently, nobody knew where they were."

St John's Ambulance also supports the use of AEDs.

"They're safe, they're easy to use, and if you can use a mobile phone you can use an AED," says Tony Smith.

Mr Smith says the best outcomes are seen when the AED is applied within five minutes of an arrest. That's, on average, half the time it takes for an ambulance to get there.

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Comments

10 Dec 2010 10:31a.m.

Bob wrote:

Given NZ's vulnerability to major natural disasters, and the high risk to life and limb, particularly in the main centres, associated with these events, one wonders if a call for increasing AED distribution alone at community level throughout NZ, isn't somewhat myopic? While the wider distribution of AEDs will certainly be useful during widespread disasters, (as the incidence of cardiac arrest has been shown to increase during such events), overseas experience has shown that effective emergency response during disasters requires local communities to be appropriately organised, equipped and trained to deal with multiple basic trauma cases, in addition to cardiac arrest cases. Moreover,the emergency medical response system needs to organised to support community based systems, particularly in a coordination role, if lives and limbs are to be saved during disasters. In the NZ context, therefore, any strategic decisions affecting emergency response at a community level like the wider distribution of AEDs arguably requires a needs based approach (rather than a specific solutions based approach) to be taken based on an an appropriate risk assessment which includes NZ's vulnerability to natural disaster.

09 Dec 2010 04:29p.m.

Chris wrote:

Good on Prof Harvey White and Dr Tony Smith of St John's Ambulance in calling for a wider distribution of AED's in NZ. However,its a bit disturbing to hear the call also suggests Government fund these extra AED's (and we are talking tens of millions of dollars here) and, that a select committee is considering whether they should be available in all communities and workplaces! In the case of workplaces, arguably existing OH&S legislation places the obligation on employers to fund these devices if it can be shown (statistically for example) that their workplace environment represents a significantly high risk for workers and or the public for cardiac arrest and or delayed emergency medical response and, that AED's can significantly mitigate those risks. Overseas studies have shown that for cardiac arrest these high risk workplace environments include the likes of international airports, large shopping malls, large sports venues, high rise office blocks, public transport stations, large industrial sites, golf courses and large gyms. In relation to the distribution of AED's in the community many of these environments will actually be workplaces even though they are frequented by the public. It is also a given in many countries overseas that emergency service vehicles such as Fire and Police vehicles carry AED's because of the high risk nature of their work and also because of their ability to respond rapidly and in doing so provide AED's coverage for the community. In terms of public funding for AED's it would seem logical to ensure that distribution of AED's on emergency service vehicles has priority. Prof Harvey is not exaggerating that when considering the distribution of AED's, events like the Rugby World Cup need to be considered in any risk assessment - an event like this will change the rules of emergency response and will necessitate significantly wider resourcing and availability of first-aid resources like AED's.

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