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The Proof is in the Pudding

From: john_jarrell@harcourt.com [mailto:john_jarrell@harcourt.com]
Sent: Wednesday, May 04, 2005 10:07 AM
To: dangren@adventresource.com

Subject: Proof of the Pudding

Dan,

We had a real-world AED response this morning. Full arrest; no respiration, no pulse. We got the kit to the patient in about 2 minutes, hooked him up, and started shocks per the prompts. The second shock and a little CPR got him breathing again. The first trace was a classic fibrillation line. Totally disorganized and barely registering. We could see change after the first shock and the difference that the shock made.

What the instructors say is precisely true: just because the patient's heart and breathing restart doesn't mean you're home free. His heart stopped at least two more times, which required multiple shocks. Fortunately, once the heart was restarted each time he seemed to start breathing spontaneously.

The SAFD arrived in about 10 minutes and the EMS unit about 5 minutes after that. It took EMS about 10 more minutes to get him stable enough to transport. The clean-up fireman that gave us a little critique, which was favorable, after EMS departed. When he left, the patient had a full sinus rhythm, respiration, and acceptable bp. Full credit goes to the AED. Without it, given the time elapsed for EMS response and as verified by the fireman, the patient would have died.

We do need a little replenishment:

Recharge of O2 for the control room tank (we used about 1/2) Mask for the control room tank Mask for the southeast post tank - we had to use a little O2 there a bit ago and I hadn't gotten around to making the request. Set of pads for the control room AED.

I know this will be an extra cost item, but we need another data card for the control room. As is SOP, EMS took our card with them. If you could give me the cost, I'll start work on the req.

That's it. I believe I'm safe in saying that today, the program and the kits paid for themselves.

John A. Jarrell Jr.
Safety & Security Manager
Harcourt Assessment, Inc.
19500 Bulverde Rd.
San Antonio, TX 78259