Community Access Defibrillators
Sudden Cardiac Arrest happens around 140,000 times a year in the UK, making it one of the UK’s largest killers – equivalent to a jumbo jet crashing every day! The potential for saving a life is dependent upon time, the faster medical help can be attained, the better the chance of survival. Clinical studies suggest you have less than 5 minutes from the event to save the life, this decreasing by up to 23% per minute. In rural areas, it takes time to get medical help, so Community Public Access Defibrillators (cPAD) have a very important part to play in helping save lives in rural communities. cPAD schemes are reckoned to be about 10x more effective in saving life post hospital than other community schemes alone. Your community needs to decide if you want one, but as SCA can happen to anyone at any time, and is not age-related, better safe than sorry! Try timing yourself from your nearest Ambulance station.
The UK Resuscitation Council guidance on having an AED in a community is whether an AED can be at the patient within 5 minutes of the SCA event happening, regardless of whether it is a cPAD scheme or a community responder scheme. If this cannot be achieved then your community may require a cPAD box and AED in addition to anything else you have available. https://www.communityheartbeat.org.uk/
To this end organisations, groups and charities have raised funds to purchase and place defibrillators in our community. Presently there are some 13 Community Public Access Defibrillators (cPAD) in Seaford and Bishopstone that are accessible 24 hours, though some, as in the illustration, are out of service. Seaford Defib Guardians aim to ensure that no Public Access Defibrillator in Seaford and Bishopstone is ever out of action ands therefore unavailable.
About Defibrillators
Community Public Access Defibrillators (cPADs)
A cPAD is a defibrillator that is available to members of the public, 24 hours a day, to use in the case of a life threatenting emergency. In the north east, we know that only 8.7% of patients who had resuscitation attempted on them survived to be discharged from hospital. A victim’s chance of survival falls by around 7 to 10 percent with every minute that defibrillation is delayed. When a heart stops beating, oxygen is not being transported to the brain and other vital organs, and within four to five minutes, brain damage will start to occur without intervention.
Many organisations have defibrillators, which are machines that can be used to attempt to correct someone’s heart rhythm if they are in cardiac arrest, which is vital in the first few minutes to increase the chance of survival.
However, many of these are not available to the public to use or not available 24 hours per day which can mean that a vital life-saving piece of equipment is unavailable for over fifty per cent of the time. With cPAD sites, the machine is available to members of the public 24 hours a day, either because it is in a building that is permanently open, such as a hotel, or it has been placed in a special cabinet on the outside of a building. These machines have been registered with the ambulance service, so that in a life threatening emergency, the caller can be told where the nearest defibrillator is and asked if someone can retrieve it. If the cabinet is locked, then the caller would be given the access code.
Knowing how to help save lives
In towns and villages across the region, defibrillators have been installed to help save lives. But would you know how to use one in an emergency? Why not take a look at these questions and answers to see how saving a life can be easier than you think.
What is a defibrillator?
When a person goes into cardiac arrest, their heart stops beating normally as the electrical activity in their heart becomes uncoordinated . A defibrillator sends out an electrical shock, to stop the electricity with the aim to get it to restart in a normal rhythm.
What should I do if I see someone who is unconscious and not breathing normally?
You must first call 999 to arrange for help. As well as guiding you through CPR, the call operator will be able to advise you if there is a defibrillator nearby. If there is, they will ask you to stay with the patient and continue CPR but ask someone around you to find the defibrillator.
Can anyone use one?
Yes. Defibrillators give the person using them clear audio instructions. You cannot hurt someone with a defibrillator because it won’t work unless a person is in cardiac arrest.
I’ve seen some defibrillators are locked inside a cabinet. How would I know how to get access to it in an emergency?
The 999 call handler will give you the code to unlock it.
Can it really make a difference to a person in cardiac arrest?
Definitely! Studies have shown that a shock given within three to five minutes can produce survival rates between 50 and 70 per cent. The immediate delivery of CPR combined with early use of a defibrillator gives a person in cardiac arrest the best chance of surviving.
Remember the chain of survival
To increase the chance of survival, there is a concept called the chain of survival that is a step by step guide for someone to familiarise themselves with:
- Early recognition of someone in cardiac arrest and getting assistance is the first step to helping them.
- Performing CPR will help keep the brain and other vital organs supplied with blood and oxygen. According to research, CPR can double a person’s chances of survival.
- You can triple a person’s chance of survival by using a defibrillator as soon as you can. For every minute without defibrillation, their chances of survival reduce by 10%.
- Early advanced care by the paramedics will be helped by the CPR performed before they get there. If you start CPR within two minutes, use a defibrillator within four minutes and a paramedic arrives in eight minutes, patients will have a 40% chance of survival.
Taken from https://www.neas.nhs.uk/our-services/community-defibrillators.aspx with thanks and acknowledgements.
