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Friday, October 23, 2015

2015 Emergency Cardiac Guidelines and how they effect OSHA clients.

Dancing With Science
2015 New Emergency Cardiac Care and First Aid Guidelines

We have known for years that CPR saves lives, but the American Heart Association wants you to know, “Everyone has a role to play in the Chain of Survival.”  On October 15, 2015 the newest science rolled out and it says “Quick action, quality training, use of mobile technology and coordinated efforts can increase survival from cardiac arrest, a leading cause of death in the United States.”  The guidelines recommend more training to develop better systems of care. This includes everyone, including bystanders and advanced healthcare providers.  

Top level care for your employees at a bargain
Most business and industry train personnel periodically, but the science shows when we don’t use it, we lose it.  Generally, we train 10-20% of our people in order to cover more shifts and this is a good rule of thumb, depending on the number of shifts, secured areas and sites you have, but what if you could have it better than that and for very little or no cost?  We will have to take a look at First Responder employees verses that are not trained first responders. 

Requirements for First Responder Employees
Employees assigned to the role of first responder must have the following provided for them in order to be compliance with OSHA standards:

Employees Assigned as First Responders should:
·         Be listed on the companies Emergency Action Plan (EAP)
·         Be offered vaccination for Hepatitis B (HBV) or sign a declination form.
·         Be issued personal protective equipment (mask, valve and gloves) and other Bloodborne Pathogen kits
·         Trained and certified by an authorized American Heart Association, American Red Cross, Medic First Aid or American Safety Institute or other nationally recognized provider
·         Employees should be trained and certified in synchronized CPR (30:2 compressions-to-breaths ratio), first aid and the use an Automated External Defibrillator (AED)

Non First Responder Employees
Other employees can be introduced to compression only training (non-certified) and understand where the AEDs are located to increase effectiveness of your response.  These introductions can be done during the employee’s health fairs, lunch hours or breaks where a piece of swag or a prize is given in exchange for doing compressions only on a manikin and where they watch an AED demonstration.  Just sharing information about AEDs and their locations can make a huge difference in response times. Hands-Only CPR, or compression-only CPR, remains an effective and empowering tool in saving lives from cardiac arrest.

The 2015 science confirms and reinforces the effectiveness of compression-only CPR.  Compressions-only is easy to learn and can double or triple a cardiac arrest victim’s chance of survival.  Creating a culture of action benefits the entire workplace and saves lives. 

Non First Responder Employees can be helpful at little if any cost because we do not have to certify and train them, provide personal protective equipment (PPE) or meet other requirements.  If a non first responder is exposed to bloodborne pathogens, we must document it and send them immediately to a healthcare provider which may include vaccination.  Vaccinations given during the incubation period of a disease are safe and effective. 

First Aid Changes
·         There are several changes in the first aid including that first aid training is necessary for employees.  The overview of these changes include:
·         Use of stroke assessment system which will be addressed in training
·         Treatment of hypoglycemia with glucose tablets
·         Managing open chest wounds
·         Evaluating a concussion
·         Treatment for dental avulsion
·         Positioning of the ill or injured with suspected neck injury
·         Oxygen use in an emergency
·         Chest pain and the use of aspirin
·         Use of epinephrine during anaphylaxis
·         Use of hemostatic dressings
·         Management of spinal immoblization

AEDs in the Workplace
Although OSHA lists AED in a technical bulletin as a recommendation, Life Health and Safety Codes require AEDs.  These codes are often listed as consensus standard and can be cited against an organization by OSHA. There is a growing expectation that business and industry will do everything possible to protect the health and safety of their employees and AEDs is one way we do this. The appearance is that you will not get a occupancy permit in the very near future if you don’t have an AED, much like the fire extinguisher.   

Defibrillation is an important link in the Chain of Survival. Bystander CPR and use of an AED within the first few minutes of a sudden cardiac arrest greatly increases a victim’s chance of survival. Everyone should learn how to use an AED but training is not required to use one because they are considered a Public Access Device (PAD) much like a fire extinguisher.
AEDs are simple to operate. Just turn it on, and then follow the instructions it says aloud. The AED will tell you everything you need to know to use it.

Businesses that do have AEDs need to pay more attention when an AED is used.  Getting a analysis of the AED report proves you went the extra mile to help an employee whether the employee lives or not.  In most cases this report is proof of cardiac issues. Not having a vendor or highly trained person to do these report will cost you in the long run. 

Oxygen and Airway Tools
The science guidelines state there is no evidence supporting the routine administration of supplementary oxygen by first aid providers, but don’t be too quick to think you don’t need oxygen.  Companies with certain chemicals will have Safety Data Sheets (SDS) that outline medical treatment for the chemical in the workplace.  With the new 16 section format of the new SDS, Section 4 outlines first aid treatment and sometimes chemical manufactures state to give oxygen.  A company could be cited if they cannot meet the requirements of the SDS.  The SDS also state in some chemicals to provide artificial respirations and not give mouth-to-mouth.  In this case the business needs to train employees in the use of respirators known as bag-valve-mask or ambu bags. 

For Healthcare Providers (EMTs, Paramedics, Nurses and Physicians)
Team dynamics as well as other changes are recommended at the healthcare provider level.  These changes include:
·         Teamwork principles are now incorporated into basic and advanced CPR programs such as Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS). 
·         Research shows resuscitation skills decline within a few months after training.  This is far before the 2-year period for most courses. More frequent training with shorter intervals of basic and advanced cardiovascular life support skills may ensure the patient receives high-quality CPR.
Chest compression rate 100-120 and depth at least 2 inches, avoiding depths greater than 2.4 inches has changed.
Targeted temperature management (Hypothermia Treatment) helps prevent brain degradation during post-cardiac arrest care. Providers should select a temperature between 32-36 degrees Celsius and maintain it for at least 24 hours.
·         Healthcare providers should simultaneously perform steps, like checking for breathing and pulse, in an effort to reduce the time to first chest compression.
·         There is insufficient evidence to routinely intubate newborns with poor breathing and muscle tone who have been born with meconium, infants’ first feces, in their amniotic fluid.  Instead, the new recommendation is to begin CPR under a radiant warmer to get oxygen to the infant faster.

Saturday, June 1, 2013

Review of New AHA Instructor Material 2013
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Review of New AHA Instructor Material 2013

CORE Curriculum is GONE!
The Core Curriculum is gone!  Thank God!  But…  Don’t get too excited yet, there is now an Instructor Essential Course for every discipline. Yes, that's I what I said, one for every discipline for new instructors moving forward.  If you are already an instructor, you don’t have to take the new Instructor Essentials, unless of course you see yourself as leadership, such as Regional Faculty or Training Center Faculty.  Leaders, the ones teaching the instructor courses must take the Instructor Essentials in order to maintain your leadership status.  We must be clear about what our students know, so we go the extra mile and smile!

New Instructor Essentials
If you only teach Heartsaver and BLS courses, you only need to take one Instructor Essential -- BLS.  However, if you are like me, an instructor in all disciplines, I will need to take BLS, ACLS, PALS and Pears.  I am still smiling.  Since I am the Training Center Coordinator, I will take the Heartsaver one too, so I know what my Heartsaver instructors are learning.  Smile with me.
So, some of you are already whining about having to learn something new.  Honestly, I can say that having taught for the AHA for 33 years now, I love the fact that this organization is constantly leading, guiding and training us to be better.  I love learning.  

Obtaining New Instructor Materials?
Before an instructor candidate shows up to an instructor course they need three things: (1) Provider Card in the discipline and (2) Certificate showing completion of the Instructor Essentials for that discipline and (3) Appropriate Instructor Manual (preferably the Instructor Package).

Training Centers have online access to: (1) new instructor course lesson maps, (2) agendas and (3) candidate workbooks.  The appropriate course DVD can be purchased from Channing Bete. The group package for all disciplines is $35.00 and the individual DVD for a single discipline cost approximately $15.00 each. The way the instructor materials coincide with lesson maps makes sense and will help every Training Center do a much better job of training their instructors.  We are excited about using this new material!

Important Note!
All TCF and RF must take the appropriate Instructor Essentials BEFORE they teach an instructor the new course.  Deadline to transition to the new materials is August 31, 2013

This Blog's Goal
We are a professional group of people that are for the most part self-governing entepernuers.  The trend has been that large organizations are disassociating independent/entrepernurial instructors - Where does the small independent Instructor go?  We provide a place and we have a plan to transform the current trend.  This plan starts with the need to network together, like Kentucky Fried Chicken does with Taco Bell, if we are going to be effective.

AHA's Business Model
The AHA has partnered with large corporations like Cintas and Zee Medical.  Rumor has it, the first year one of these organizations started with the AHA they sold approximately 12 million in AHA materials. Together, we can too!

AHA Instructor Network Model 
Together, you and I, can compete for national accounts.  Together we can deliver a higher quality.  Together we can group our buying power. Together you and I can become viable, strong players in this business game.  

Please post your questions and answers for others to see.  We will share our ideas, goals and dreams and work together moving forward.  Submit your ideas and comments and we will work to get your words up on this blog. 


  • Working Together On National Accounts
  • Maintaining our Integrity 
  • Quality Credentialing Through Our Training Network
  • Creating a Dream Team Training Network