The rescue is further confirmation of the results
from a recent study of AEDs published in the New
England Journal of Medicine, which showed that early
response by non-medical personnel using an AED
is a critical component in reducing sudden cardiac
arrest mortality. Furthermore, the LIFEPAK 500 AED,
specially designed to promote ease-of-use by first
responders, is an important tool in reducing such
mortality.
The rescue occurred at The Bellingham Athletic Club,
where an accounts receivable clerk found a club
member unconscious in a seating area outside the
racquetball courts. The clerk followed the simple
instructions on the device and used the LIFEPAK
500 AED to revive the man in less than two minutes.
Dr. Marvin Wayne, Medic One emergency medical services
director for the Bellingham area, said the
incident points out the need for AEDs in all public
facilities.
"No matter how good your emergency medical system
is, your response time is going to be at least two
minutes. That means -- based on a 10 percent reduction
in survival for every minute lost -- a 20 percent
reduction in survivability, odds that can be greatly
improved by having an AED on-site," said Dr. Wayne.
Cathy Buckley, owner of the club, said she was "thrilled"
by the rescue. "We purchased the LIFEPAK
500 about a year ago, and we'd never had to use
it until this incident."
The victim, Migo Biciunas, was born in Germany of
Lithuanian parents who had escaped to this country
to avoid political turmoil. As a boy in 1961, he
watched helplessly as his father died from a similar heart
problem. "In those days, they didn't even have CPR,
much less AEDs," noted Biciunas. "I have no doubt
that if not for the LIFEPAK 500 AED and the speed
at which I was revived, I wouldn't have lived to see
the New Year."
Indeed, most stories like this one end tragically.
Cardiac arrest is a major U.S. health problem that claims
about 225,000 lives each year. Each day, in fact,
nearly 1,000 Americans suffer from sudden cardiac
arrest -- usually away from a hospital. More than
95 percent of them die, in many cases, because
lifesaving defibrillators arrive on the scene too
late, if at all.
Sudden cardiac arrest can strike anyone, anywhere,
and at any time and is usually caused by
ventricular fibrillation, an ineffective quivering
of the heart muscle that makes it unable to pump blood
throughout the body. Once blood stops circulating,
victims quickly lose consciousness and will die within
minutes if they don't receive effective treatment.
Medtronic Physio-Control's LIFEPAK 500 AED is lightweight
and easy to use. Voice and text prompts give
step-by-step instructions to the user about what
to do if defibrillation is needed.
Congress recently passed, and the President signed,
new legislation mandating federal agencies to
promptly assess their ability to provide emergency
heart defibrillation consistent with modern standards
of care by improving access to defibrillation devices
in federal buildings. The Secretary of Health and
Human Services is required to develop recommendations
and guidelines for AED placement and use.
The legislation comes in the wake of studies reported
October 26, 2000, in the New England Journal of
Medicine proving that persons with minimal training
can successfully use simple, portable defibrillation
devices in public places to save lives that might
otherwise be lost to sudden cardiac arrest.
The studies said, however, that the defibrillators
must be close at hand and easily available. Many
initiatives are under way in the United States to
increase the rapid availability of AEDs where people
gather.
Medtronic Physio-Control, headquartered in Redmond,
WA, is a unit of Medtronic, Inc., Minneapolis, the
world's leading medical technology company, providing
lifelong solutions for people with chronic
disease. Its Internet address is www.medtronicphysiocontrol.com.