Philips HS1- Customer Stories

Emergency Care and Resuscitation

Customer story

Boot campers work as a team to save one of their own Evergreen Valley High School, San Jose, California

The right people at the right place and time Subramaniam says he remembered feeling fine. He joined the other participants, warming up with push-ups and sit-ups. Then Mike asked them to run two laps around the track. That’s the last thing Subramaniam remembered before blacking out. As nurse Shannon describes it, Subramaniam fell to the ground and landed on his side. “He was gasping, his arms and hands were stiff, and his color was gray.” Mike heard some class members call out Subramaniam’s name. “I saw him on the ground. He was unresponsive, did not appear to have a pulse, and was gurgling rather than breathing.” Mike and Shannon were quickly at Subramaniam’s side. Shannon shouted for someone to call 911 and get an automated external defibrillator (AED). Then, she and Mike turned Subramaniam onto his back, checked his pulse and breathing, and began CPR. There was no pulse “I checked his carotid pulse. There was none,” said Shannon. “I immediately started chest compressions. There was no response. Mike and I continued CPR with a 30/2 compression- to-breath ratio. My only thought was to continue effective CPR until help or an AED arrived.” PE teacher Michelle Layton arrived a little late to boot camp class and was shocked to see Mike and Shannon performing CPR on Subramaniam.

Wednesday, October 4, 2016 started like any other day for Subramaniam Sundar. As this 61-year-old Indian-born husband and father of two drove from his home in San Jose, CA to his morning boot camp class, he thought of nothing more than getting in a little early-morning exercise before he started his work day as a chip designer at Toshiba. At Evergreen Valley High School’s track – where the fitness class was held – was Mike Coleman, the 60-year-old class instructor who owns and runs Focused Integrated Training and is a PE teacher and coach at the nearby Davis Intermediate School. Also in attendance were Shannon Opilla, a 47-year-old registered nurse and Michelle Layton, the high school’s 45-year-old PE teacher. What happened next would call on the quick thinking and skills of these three boot camp attendees, all of whom were CPR-certified.

Shocked awake just in time Mike and Shannon administered a shock from the AED and as Michelle describes it, as soon as they did, Subramaniam “came back.” Subramaniam reflects on his first thoughts when he regained consciousness. “I knew I had a heart problem. I knew that something happened. The paramedics were putting me in the ambulance and I remember joking around with them. I didn’t realize the intensity of what happened: that I died and I was then revived.” Subramaniam said he quickly realized how lucky he was. “My doctor told me that after seven minutes without oxygen, the brain starts to lose function. I didn’t breathe for four minutes. It took 11 minutes for the ambulance to come.” As a nurse trained in CPR, Shannon knows one thing for certain. “I believe the AED, as research shows, was what saved Subramaniam. Mike and I were able to circulate what oxygenated blood he had left until it arrived.” Mike agrees. “I think it was fortunate Subramaniam had his incident where and when he did, as he was surrounded by people who took immediate and decisive action. “I am thankful that an AED was present on campus and that Michelle was quick-thinking and ran to get it. I have been CPR/AED-certified for many years, but putting it into action for real brings a whole new level of awareness.” A matter of fact Sudden Cardiac Arrest (SCA) is one of the leading causes of death in the United States. 1 SCA is often brought on by ventricular fibrillation, a condition in which the heart’s electrical activity malfunctions. It can happen to anyone at anytime, anywhere. For the best chance of survival from SCA, CPR and a shock from a defibrillator should be delivered within 3-5 minutes of collapse. 2 • There are over 350,000 deaths each year due to SCA; this equates to almost 1,000 a day in the United States 3 • The likelihood of a successful resuscitation decreases by 7 to 10% for every minute that passes without CPR and defibrillation 4 • Just over 13% of workplace fatalities are a result of SCA 5 • SCA kills more people each year than breast cancer, lung cancer and HIV/AIDS combined 6 • In cities where bystander CPR and defibrillation are provided within 5 to 7 minutes, the survival rate is as high as 45% 7

“I was going through my CPR training in my head,” Michelle said. “‘You go call 911 and come back. You go meet the ambulance. You go get an AED and come back.’ This is when it dawned on me … we have an AED.”

Michelle said she grabbed her work keys and went sprinting to the office to unlock the AED and then returned.

From one survivor to another Coincidentally, the school’s AED had been donated just eight months earlier by Stephanie Martinson, an SCA survivor. Martinson is the founder of Racing Hearts, a non-profit whose goal is to be the first county (Santa Clara) in California with onsite AEDs in all public schools. After having an SCA while climbing up Yosemite’s Half Dome, she was lucky to have her circulation quickly restored without damage to her heart muscle. Says Stephanie, “There are hundreds of other community members who simply don’t know their risk. This is why I began Racing Hearts.” With high blood pressure and heart disease, and having undergone quadruple bypass surgery, Subramaniam was aware of his risk. Having always been active by hiking, walking or jogging, he says he felt fine that morning and had no symptoms to indicate what would later happen.

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“I believe the AED, as research shows, was what saved Subramaniam. Mike and I were able to circulate what oxygenated blood he had left until it arrived.” Shannon Opilla, RN, Evergreen Valley High School

It’s not my time to go Subramaniam is grateful for both the quick thinking of his boot camp classmates and the fact that the school had an AED. “I didn’t want to die,” he says. Yet he acknowledges that, without the AED on site, he is certain that he would have died. “I don’t think we would be having this conversation.” The group is in agreement on several points. First, a cardiac incident can happen to anyone at any time. Second, having and using an AED greatly increases a person’s chances of surviving an SCA. In fact, a survival rate as high as 90% has been reported when defibrillation is achieved within the first minute of collapse. 8 And third, that AEDs should be in schools, airports, churches, gyms, stadiums and other public places.

Subramaniam sums up the importance of having easily accessible AEDs. “I’m the living example of what an AED can do.”

Vice Principal of Evergreen High School with Michelle Layton, the high school’s PE teacher.

Shannon Opilla, Subramaniam Sundar and Mike Coleman.

“I am thankful that an AED was present on campus and that Michelle was quick-thinking and ran to get it. I have been CPR/AED-certified for many years, but putting it into action for real brings a whole new level of awareness.” Mike Coleman, PE teacher and coach, Davis Intermediate School

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References 1. Heart Rhythm Society. (n.d.). Sudden Cardiac Arrest (SCA). Retrieved December 04, 2017, from http://www.hrsonline.org/Patient-Resources/ Heart-Diseases-Disorders/Sudden-Cardiac-Arrest-SCA. 2. Ibrahim WH. Recent advances and controversies in adult cardiopulmonary resuscitation. Postgraduate Medical Journal. 2007;83(984),649–654. DOI: 10.1136/pgmj.2007.057133. 3. Sudden Cardiac Arrest Foundation. (n.d.) About SCA. Retrieved December 04, 2017, from http://www.sca-aware.org/about-sca. 4. American Heart Association. (n.d.) Every Second Counts: Rural and Community Access to Emergency Devices. Retrieved January 24, 2018 from https://www.heart.org/idc/groups/heart-public/@wcm/@adv/documents/downloadable/ucm_301646.pdf. 5. United States Department Of Labor. (n.d.). Retrieved December 04, 2017, from https://www.osha.gov/dts/tib/tib_data/tib20011217.html. 6. Sudden Cardiac Arrest Association. Fact Sheet: Sudden Cardiac Arrest. Retrieved December 1, 2020, from https://associationdatabase.com/aws/SCAA/ asset_manager/get_file/43858?ver=32583#: ~ :text=Sudden%20cardiac%20arrest%20(SCA)%20is,ceases%20abruptly%20and%20without%20warning. 7. Sudden Cardiac Arrest Foundation. (n.d.) Proper Placement of AEDs Key to Effective Use. Retrieved December 4, 2017, from http://www.sca-aware.org/ sca-news/proper-placement-of-aeds-key-to-effective-use. 8. American Heart Association in collaboration with International Liaison Committee on Resuscitation. Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: International Consensus on Science, Part 4: The Automated External Defibrillator. Circulation. 2000;102,S I 61:Figure 1.

Philips Medical Systems Nederland B.V. Veenpluis 6 5684PC Best The Netherlands

Philips Medical Systems 22100 Bothell Everett Highway Bothell, WA 98021-8431, USA

© 2021 Koninklijke Philips N.V. All rights are reserved. Philips reserves the right to make changes in specifications and/or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication. Trademarks are the property of Koninklijke Philips N.V. or their respective owners.

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Emergency Care and Resuscitation

Customer story

Once a first-responder; always a first-responder

How a retired firefighter-paramedic saved a life in the middle of nowhere.

When Christine Benton retired from her career as a firefighter-paramedic in August 2020, the plan was for her and her husband Brian to live the ‘RV life’. Little did the Bentons know the first-responder training would come into play so soon. It was January 15, 2021 and Christine and Brian were staying at a Harvest Host camping area located 25 miles south of Wilcox, Arizona. This particular Harvest Host location at Birds & Barrels Vineyards was gorgeous and remote, about a 35- to 40-minute drive to the nearest hospital. The first signs of trouble At the vineyard campgrounds, Karen Schluter, a healthy 52-year-old, told her husband, Jeff, that she had chest discomfort and thought it was likely another anxiety attack, like the one she had when her father died a few years ago.

Suddenly, Karen collapsed in her husband’s arms, unconscious and unresponsive to his pleads.

“My husband heard the screaming and said to me that it ‘sounds like a medical issue,’” Christine recalled. Brian then ran toward the commotion and saw a person lying on the floor not moving. He immediately returned to their RV and yelled to Christine, “we need the AED”.

“But I knew that I did not want to be without a vital tool and the one tool I needed to save a life.”

Christine Benton

A ‘just-in-case’ purchase turns out to be a lifesaver Christine said she knew that the only thing that could save a life in Sudden Cardiac Arrest (SCA), was early defibrillation and CPR. When she purchased the Philips HeartStart OnSite AED for their road trips to RV retirement parks – where most people were over 60 – the joke was that it was just in case Brian collapsed. “But I knew that I did not want to be without a vital tool and the one tool I needed to save a life, just in case. That life could be my husband, a friend or a complete stranger.”

“It’s like I turned on a switch and I was in rescue mode,” Christine said. She followed the illustrations on the packaging and placed the pads on Karen’s chest. The AED immediately started analyzing and advised that a shock was necessary. “We made sure no one was touching Karen and shocked her once,” Christine said. The device instructed them to continue CPR, so they did chest compressions for about 30 seconds and assisted her breathing with a face mask. “Then, Karen started to breath on her own, had a pulse and got progressively better,” Christine said.

Christine and Brian grabbed the Philips HeartStart OnSite AED and first aid kit and ran to the RV.

“The first thought that went through my head while grabbing my AED and running over to the RV, was that I was not expecting it to be her of all people,” Christine said of Karen, an ultra-athlete.

From left to right: Chad Preston, owner of Birds & Barrels Vineyards, bystander-camper, Karen Schluter and Jeff Schluter, Christine Benton, Brian Benton.

Philips HeartStart OnSite AED: you don’t have to be a professional to use it Even though I am a trained professional, the Phillips HeartStart OnSite AED tells you what to do, prompts you and monitors the patient every two minutes to determine if a shock is advised, or if no shock is advised, instructs you to continue CPR,” said Christine. “It’s super easy, but it has to be ready: batteries in and pads in place on the AED. It also doesn’t hurt to have scissors on hand in the case you need to expose the chest to deliver a shock.” Studies show that CPR plus defibrillation within 3–5 minutes of collapse, can produce survival rates as high as 48–75%. 4 With the nearest emergency professionals 35- to-40 minutes away, Karen was fortunate to have an AED at the campground. The ambulance arrived and from the area hospital, Karen was life-flighted to Tucson.

Christine still keeps in touch with Karen. As a survivor, Karen says she doesn’t know how to thank Christine.

“I told her just keep living your life, and that I am thankful she survived,” Christine said.

Christine knows firsthand, how lucky Karen was to have bystanders willing to help and an AED at the RV park. Every minute that passes without CPR and defibrillation, the chances of surviving SCA decrease by 7–10%. 3

An SCA can happen anywhere: be prepared. A recent study showed that most cardiac arrests that occur in public places are “shockable” arrhythmias (or those that respond to a shock from an AED), making AEDs in public places crucial. 3 Sadly, there are not enough AEDs and people trained to use them and perform CPR, resulting in lost opportunities to save more lives. It might be hard to believe, but 64% of Americans have never even seen an AED. 1

• The American Heart Association estimates that 40,000 more lives could be saved each year if AEDs were more widely available. 2 • Roughly 94% of people who suffer an SCA do not survive, unless the right help (CPR with de brillation) is provided e ectively within 5-7 minutes. 3

• Only one out of every 20 SCA victims survives, mainly due to lack of timely de brillation. 3 • When bystanders provide immediate CPR and the rst shock from a de brillator is delivered within three to ve minutes, reported survival rates from sudden cardiac arrest are as high as 48 to 74 percent. 4

After the incident, both the owner of the winery and bystanders said they had plans to buy an AED. Adds Christine, “I sure hope that RV parks, national parks and Harvest Hosts would consider having an AED on site, because these are places that can be remote and early defibrillation is key”. 3

“I am very glad I bought that AED ‘just in case’ and just in case happened.”

Christine Benton

To learn more about Philips HeartStart defibrillators or purchase an AED, visit www.philips.com/heartstart today.

1. https://www.heart.org/idc/groups/heart-public/@wcm/@adv/documents/downloadable/ucm_462303.pdf 2. American Heart Association. 2004 Heart and Stroke Statistical Update. Dallas, Texas: American Heart Association, 2003. 3. “Cardiac Arrest,” from the American Heart Association Web site, http://www.americanheart.org/presenter.jhtml?identifier=4481 4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2600120/

Philips Medical Systems Nederland B.V. Veenpluis 6 5684PC Best The Netherlands

Philips Medical Systems 22100 Bothell Everett Highway Bothell, WA 98021-8431, USA

© 2021 Koninklijke Philips N.V. All rights reserved.

4522 991 69221 * JUL 2021

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Emergency Care and Resuscitation

Customer story

University of Iowa athletic trainer shows what’s he got on the basketball court, saving the life of his student-manager

Brad Floy has been an athletic trainer for the University of Iowa Hawkeye men’s basketball team for 14 years. He’s also an adjunct professor in the Department of Health and Human Physiology where he teaches several courses, including first aid and CPR. Yet the last thing on his mind as the team began their practice was that he would have to use an AED to save the life of one of his 20-year-old basketball team student-managers. Floy had used an AED one time before – in 2014 – on an older gentleman who was walking on the concourse of the Carver Hawkeye Arena during off hours. “I always thought that if I used an AED again, it would be on an older staff member or someone in the crowd during a game,” Floy said. His heart wouldn’t rebound Luke Slavens, an athletic, 20-year-old University of Iowa student, is also a student-manager for the Hawkeye men’s basketball team. One of his tasks is to rebound basketballs for the players during practice, when they do “rapid fire” drills.

same spot for most of the time. I think it was towards the end of the drill that I started to feel a little dizzy,” said Slavens. That’s when the team members told Slavens to sit down and then called over Floy to take a look.

“I remember being able to walk over to the chair, but my head felt very heavy as I sat down,” Slavens said.

That’s when Floy sprang into action. “I asked him a few questions such as if he was sick, what has he had to eat, drink, etc. He looked pale and stopped answering my questions after a short moment.” Recalls Slavens, “Brad told me later that he had asked me some simple questions which I had answered. But, I don’t remember. I pretty much blacked out once I sat down.” Floy quickly assessed the situation. “My first thought was that he was going to faint, so I helped him off the chair he was sitting on and lowered him to the ground. I was checking his pulse and watching his breathing during the questioning and after laying him on the ground. He then had some seizure-like spasms that made me think he might be going into a grand mal seizure. But then he suddenly stopped breathing, lost his pulse, and his lips turned light blue.”

“I remember there were three players at my hoop, and that I wasn’t exerting myself very much as I was standing in the

A couple of heart-stopping minutes Floy instructed his student-assistant to call 911 as he grabbed the AED located on the other side of the basketball court. He gave orders to clear the gym and to get the campus police who were in the arena for a women’s basketball game that was about to begin. Floy used the Philips HeartStart FRx AED. “I applied the pads to his chest and turned it on for analysis. It advised a shock, so I delivered one shock. After re-analysis, I began CPR,” he explained. “After we did about 45 seconds of CPR, Luke regained consciousness and pushed the mask off his face that the officer was using for rescue breaths. I couldn’t believe what just happened. Cardiac arrest events don’t usually have such ideal and quick outcomes, but in this case the AED worked perfectly,” Floy said. As the EMS crew entered the gym, Slavens opened his eyes. From the time he lost consciousness until he was defibrillated with the AED, Floy estimates that Slavens’ heart had stopped for a full 2-3 minutes. “Once I saw Brad and the EMTs, I had a pretty good idea of what had happened and that it was probably related to my heart condition, Brugada Syndrome. It sounds crazy, but after those first 10 seconds of waking up, I thought they were going to help me up and we were going to go back to practice,” Slavens said. When the campus police arrived, one of the officers helped give rescue breaths while Floy gave compressions.

the electrical system of the heart. Although having Brugada Syndrome never affected his ability to play sports or be active, Slavens still met with his doctor annually. Each year, his doctor would say that he didn’t see any reason to place an internal defibrillator in Slavens’ chest. In fact, said Slavens, “At our last meeting he said I didn’t need to be seen for two years.” Quick thinking saved the day After hearing that, the idea of having an episode wasn’t on Slavens’ mind. Adds Floy, “You never expect anything like this to happen. But you have to be prepared for it.” Floy is grateful that the University of Iowa understands the value of having intuitive and easy-to-use AEDs on site and located strategically throughout their buildings. So is Slavens. “I think the outcome probably would have been very different if there was no AED. Brad would have had to save me with CPR, and that could have been tougher to do. I could have been unconscious longer which would have led to other health issues, so I’m very lucky that there was an AED there,” Slavens said. “After we did about 45 seconds of CPR, Luke regained consciousness and pushed the mask off his face that the officer was using for rescue breaths. I couldn’t believe what just happened. Cardiac arrest events don’t usually have such ideal and quick outcomes, but in this case the AED worked perfectly.” Brad Floy, athletic trainer, University of Iowa

When he was 10 years old, Slavens was diagnosed with Brugada Syndrome, a genetic disorder that causes disturbances affecting

HeartStart FRx: by your side, step by step

Athletic trainer Brad Floy shares his thoughts on AEDs: • Importance of AEDs: “AEDs save lives and that’s the bottom line. You can’t afford not to have one.” • Need for AEDs in public places: “Every minute it takes for an AED to arrive on site, the chances of survival drop by 10%. We understand this, which is why we keep one by our side at all times during work.” • Ease of use: The HeartStart FRx “couldn’t have been easier to use. Worked perfectly.” • AED maintenance: “Sometimes the (minor) chore of making sure your AED is present and maintained seems like something you can slack off on. The unlikely scenario you will ever need it makes people want to gamble on not doing their due diligence. I have successfully used an AED twice already in my young career and can attest to the importance of being prepared and having one present.”

Philips Medical Systems 22100 Bothell Everett Highway Bothell, WA 98021-8431, USA

Philips Medizin Systeme Boeblingen GmbH Hewlett-Packard-Strasse 2 71034 Boeblingen, Germany

© 2021 Koninklijke Philips N.V. All rights are reserved. Philips reserves the right to make changes in specifications and/or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication. Trademarks are the property of Koninklijke Philips N.V. or their respective owners.

www.philips.com

Printed in the Netherlands. 4522 991 64171 * JUN 2021

Emergency Care and Resuscitation

Customer story

Teamwork and quick thinking A Christmas miracle at Crystal Mountain

To make the most out of having to work on Christmas Day 2017, Kory Abercrombie – a 31-year-old firefighter paramedic for Bainbridge Island Fire Department – dressed as Santa Claus. Having been a volunteer ski medic for the past year at Crystal Mountain – home to 2,600 acres of ski trails and runs in Enumclaw, Washington – he learned an important lesson: namely, that the new guy works the holidays. As Kory grabbed lunch, he heard a call for help come over his radio, indicating that a man was slumped over and unconscious on the chairlift. A call for help over the radio The second volunteer medic working that day, 27-year-old Jeff Poland, had just started down a run when the same call came over his radio about an emergency taking place at the Forest Queen lift, from which he had just disembarked. That’s when Michelle Longstreth – a veteran member of the ski patrol with 24 years of service under her belt – knew something was wrong. “The operator came running toward the patrol Auk House and said there was an unresponsive guy on the chairlift.” So she grabbed the Philips HeartStart automated external defibrillator (AED) off the wall and ran out the door with patrollers Scott Webber and Hannah Besso following right behind her. Meanwhile, the operator, alerted to the situation, stopped the chairlift and immediately called for the ski patrol.

With the patient unresponsive and now lying across the chair on the top ramp, the patrollers went to work.

He looked gray “Scott felt for a pulse and so did Hannah,” Longstreth says, “but there wasn’t one. I opened the AED. As I looked over, I noted that the patient was looking gray. I started CPR. Hannah placed AED pads on the patient and after a quick analysis, the defibrillator called for a shock. I shocked him and we continued with CPR.” After several more minutes of CPR, the victim showed signs of spontaneous respirations and there was a return of spontaneous circulation. The team slid a backboard underneath the patient so they could transport him and restart the chairlift in order to bring up medic Jeff Poland. Poland arrived on the scene first, followed by Abercrombie who was taken up on a snowmobile with the Philips HeartStart MRx monitor/defibrillator. Poland quickly accessed the situation. “He was breathing, with a pulse, but showing signs of oxygen deprivation to the brain. Using the quick-view window on the AED, I was able to quickly determine he was in a sinus tachycardia,” he said.

Mother nature was not cooperative Far from a typical rescue, the elements and terrain were as challenging for medics and ski patrol as was the patient’s deteriorating condition. “We had light snow all day,” Abercrombie said. “This prevented the ambulance from being able to respond and provide a quick transport time. It’s an unnerving feeling when you suspect that the patient is likely to arrest again.” Poland sums up the challenges of the steep mountainous terrain. “You need to strike a balance between making sure that the patient is stable enough to transport to a good location to provide meaningful stabilizing care, without providing so much care that you interfere with your ability to safely get him down the mountain.” No one knows how the weather and landscape can affect a rescue better than Andrew Longstreth. As the Paramedic Program and Advanced Life Support Team Supervisor for Crystal Mountain, he is responsible for administering all the medical programs and training. A matter of fact Sudden cardiac arrest (SCA) is one of the leading causes of death in the United States. 1 SCA is often brought on by ventricular fibrillation, a condition in which the heart’s electrical activity malfunctions. It can happen to anyone at anytime, anywhere. For the best chance of survival from SCA, CPR and a shock from a defibrillator should be delivered within 3-5 minutes of collapse. 2 • There are over 350,000 deaths each year due to SGA; this equates to almost 1,000 a day in the United States 3 • The likelihood of a successful resuscitation decreases by 7 to 10% for every minute that passes without CPR and defibrillation 4 • Just over 13% of workplace fatalities are a result of SCA 5 • SCA kills more people each year than breast cancer, lung cancer and HIV/AIDS combined 6 • In cities where bystander CPR and defibrillation are provided within 5 to 7 minutes, the survival rate is as high as 45% 7 After an hour, the ambulance arrived and transported the patient to Good Samaritan Hospital in Puyallup, Washington.

Making a tough decision With the patient in sinus tachycardia (high elevated resting heart rate), Poland and Abercrombie began coordinating with the ski patrol to get him down the mountain to the ski patrol aid room. According to Poland, “Once we were fairly certain that the patient was not going to re-arrest, we decided to get him out of the cramped lift shack and into the ski patrol aid room at the base of the mountain.” “We elected to ski the patient down the mountain on a sled and perform Advanced Life Support interventions in the stable environment of the ski patrol aid room. This was a risky decision that was either going to pay off dramatically or had the potential to miss quick compressions, defibrillation and airway management if the patient re-arrested.” Once at the bottom of the mountain, Poland and Abercrombie established several IVs, sedated, paralyzed and intubated the patient. Using the MRx, they were able to monitor end-tidal CO 2 levels, run a 12-lead EKG and stabilize the patient. The patient was then transported by sled to the base, a decision Abercrombie said was not made lightly.

Although Longstreth wasn’t on the mountain that Christmas day, he is not surprised about the outcome of the rescue.

2

Crystal Mountain ski patrol.

“ Had there not been an AED so close to where the patient arrested, and had the ski patrol not used their quick thinking in grabbing it, he would not be with us today.” Jeff Poland, BS, NRP, FP-C, Crystal Mountain Ski Patrol

AEDs are part of our care team “We have nine Philips AEDs located strategically for ease of access and in highly populated areas of the mountain,” he explains. Adds Poland, “A large portion of our terrain can be time-consuming to access from a single location. By having multiple AEDs located strategically, we can be sure that in the event of an SCA, we can provide timely defibrillation by trained responders. The AEDs are typically located in the ski patrol ‘shacks’ at the top of lifts where they can be a central access point should anything happen.” For Longstreth, these devices are a critical part of the care teams. “The HeartStart MRx monitor/defibrillator and the HeartStart AEDs make a good team. We don’t have to switch pads and the functions are easy to use.” In fact, he says, “Four out of the six times we’ve had to use the AEDs, the patient has survived to the hospital. Three of those patients are still alive today.” Happy New Year, indeed Both the medics and ski patrol team agree that the AED helped save the patient’s life. Six days later, on December 31st, the patient was released from the hospital. Thanks to quick thinking, dedicated first responders and well-placed AEDs, what started as a fight for life on Christmas Day ended with so much to celebrate in the New Year.

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References 1. Heart Rhythm Society. (n.d.). Sudden Cardiac Arrest (SCA). Retrieved December 04, 2017, from http://www.hrsonline.org/Patient-Resources/Heart-Diseases-Disorders/Sudden-Cardiac-Arrest-SCA. 2. Ibrahim WH. Recent advances and controversies in adult cardiopulmonary resuscitation. Postgraduate Medical Journal. 2007;83(984),649–654. DOI: 10.1136/pgmj.2007.057133. 3. Sudden Cardiac Arrest Foundation. (n.d.) About SCA. Retrieved December 04, 2017, from http://www.sca-aware.org/about-sca. 4. American Heart Association. (n.d.) Every Second Counts: Rural and Community Access to Emergency Devices. Retrieved January 24, 2018, from https://www.heart.org/idc/groups/heart-public/@wcm/@adv/documents/downloadable/ucm_301646.pdf. 5. United States Department Of Labor. (n.d.). Retrieved December 04, 2017, from https://www.osha.gov/dts/tib/tib_data/tib20011217.html. 6. Sudden Cardiac Arrest Association. (n.d.) Fact Sheet: Sudden Cardiac Arrest. Retrieved December 1, 2020, from https://associationdatabase.com/aws/SCAA/asset_manager/get_file/43858?ver=32583#: ~ :text=Sudden%20cardiac%20arrest%20(SCA) %20is,ceases%20abruptly%20and%20without%20warning. 7. Sudden Cardiac Arrest Foundation. (n.d.) Proper Placement of AEDs Key to Effective Use. Retrieved December 4, 2017, from http://www.sca-aware.org/sca-news/proper-placement-of-aeds-key-to-effective-use.

Results from case studies are not predictive of results in other cases. Results in other cases may vary.

Philips Medical Systems 22100 Bothell Everett Highway Bothell, WA 98021-8431, USA

Philips Medizin Systeme Boeblingen GmbH Hewlett-Packard-Strasse 2 71034 Boeblingen, Germany

© 2021 Koninklijke Philips N.V. All rights are reserved. Philips reserves the right to make changes in specifications and/or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication. Trademarks are the property of Koninklijke Philips N.V. or their respective owners.

www.philips.com

Printed in the Netherlands. 4522 991 64021 * JUN 2021

Emergency Care and Resuscitation

Customer story

Fitness fanatic saves a life at a sports club and gets the ultimate workout

It was early morning on December 8, 2020 and the sports club in Mumbai, India was buzzing with people trying to get in their workouts.

Sixty-year-old businessman, Mukesh Shah, was playing badminton with his brother, Rakesh; something they did daily. Meanwhile, 35-year old fitness fanatic, Ravindra Bhattad, a banking professional from Mumbai, was busy working out just a few feet away. After the rst badminton game, Mukesh took a break and sat on a chair because he started feeling uneasy. Within a minute, he lost consciousness and collapsed. With the crowd gathering near him, Ravindra realized something was wrong. Upon seeing Mukesh lying on the ground and the futile attempts of other club

goers to revive him by splashing water on his face and shaking his shoulders, Ravindra knew he needed to act quickly.

“The last I remembered, I was playing badminton game and then when I was lying in Ravindra’s car. Certainly without the AED, I would have died.”

Mukesh Shah

Top left, Ravindra Bhattad and the Philips India team. Right, Mukesh Shah, survivor of SCA.

Instinct kicked in. “I realized that the symptoms were similar to Sudden Cardiac Arrest (SCA) and that the victim needed both Cardiopulmonary Resuscitation (CPR) and an Automatic External De brillator (AED) shock instantly,” Ravindra explained. Just a year earlier, he had taken an AED training course at his office and learned the symptoms of SCA. He quickly remembered what to do, calling for an ambulance and inquiring if there was a doctor in the club. As luck would have it, the club had installed a few Philips HeartStart FRx AEDs a few months earlier. While waiting for the AED to arrive, Ravindra started CPR. After 2-3 minutes, club security arrived with the HeartStart FRx AED. Ravindra said he was worried using the AED because it had been a year ago since he had seen one. But thanks to the self-learning feature on the HeartStart FRx AED, the device started communicating in simple, easy-to-follow steps for Ravindra to follow, making him feel very comfortable.

The AED instructed Ravindra to put the AED pads on Mukesh’s chest and continue CPR. Suddenly, the device announced, “Analyzing. Deliver shock now. Press the flashing orange button now.” As Ravindra pressed the orange ashing button, a shock was delivered and he was instructed by the AED to continue CPR. Two times is the charm. After another two minutes, the AED started analyzing heart rhythm again and advised for second shock. After the second shock, Ravindra could immediately see some movement in Mukesh as he slowly regained consciousness. Although he was starting to regain consciousness, Rakesh was concerned about his brother’s condition. With the ambulance not there yet, Ravindra decided to take Mukesh in his car to the nearest hospital.

An SCA can happen to anyone, anywhere, anytime.

Mukesh knows he’s lucky because the statistics are sobering.

• The National Safety Council estimates that 40,000 more lives could be saved each year if AEDs were more widely available. 1 • About 90% of the people who suffer an SCA do not survive unless the right help (CPR with defibrillation) is provided right away. 2

• If CPR and AEDs are used immediately, five in 10 SCA victims could survive. 3 • When bystanders provide immediate CPR and the rst shock from a de brillator is delivered within three to ve minutes, 4 reported survival rates from sudden cardiac arrest triple. 5

“You may think you’ll never need an AED, and maybe you won’t, but it’s that one time you do have to use it that makes it worth every penny.” Executive at the sports club

That’s why the sports club is so grateful they invested in the Philips HeartStart FRx AEDs.

HeartStart FRx AED: designed for the ordinary person in the extraordinary moment. After two days in the hospital and a two-week home recovery, Mukesh was back to work and feeling ne. He is grateful that he can continue spending time with his family and emphatically believes that every person should receive CPR/AED training, whatever their job may be. Mukesh said he owes a debt of gratitude to Ravindra for saving his life. For his part, Ravindra said he was glad he was at the sports club that day and that the HeartStart FRx AED was nearby and provided step by-step voice commands.

“It was such a wonderful and simple device; it started prompting me at every step about the next step I need to take. This machine was so simple, safe and easy to use that anybody could have used it.”

Ravindra Bhattad

To learn more about Philips HeartStart defibrillators or purchase an AED, visit www.philips.com/heartstart today.

1. Greater Access to AEDs Could Save 40,000 Lives Each Year: National Safety Council . 2. CPR Facts & Stats: How CPR is changing (and saving) lives, American Heart Association CPR & First Aid Emergency Cardiovascular Care , https://cpr.heart.org/en/ resources/cpr-facts-and-stats 3. About Sudden Cardiac Arrest: Sudden Cardiac Arrest: A Healthcare Crisis, Sudden Cardiac Arrest Foundation , https://www.sca-aware.org/about-sca 4. Part 4: The Automated External Defibrillator, American Heart Association , September 16, 2016. 5. Response to Cardiac Arrest and Selected Life-Threatening Medical Emergencies, Mary Fran Hazinski; et al, American Heart Association , September 16, 2016.

Philips Medical Systems Nederland B.V. Veenpluis 6 5684PC Best The Netherlands

Philips Medical Systems 22100 Bothell Everett Highway Bothell, WA 98021-8431, USA

© 2021 Koninklijke Philips N.V. All rights are reserved. Philips reserves the right to make changes in specifications and/or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication. Trademarks are the property of Koninklijke Philips N.V. or their respective owners.

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Printed in the Netherlands. 4522 991 70691 * JUL 2021

Automated External De brillator

HeartStart HS1

Side by side. Step by step. Philips HeartStart HS1 AED

To save a life

Most people have never been in a position to administer an AED. When the moment arrives, it is easy to panic. A calm voice walking you through the process step by step means you are never alone. With Philips AED Solutions, you can have an expert by your side. It is crucial that AEDs be close at hand, ready to go, designed to be easy to use, lightweight and rugged.

Cardiovascular disease is a leading cause of global mortality, accounting for almost 17 million deaths annually, or 30% of all global mortality. 1

1. Mehra, R. (2007). Global public health problem of sudden cardiac death. Journal of Electrocardiology, 40(6 Suppl), S118-122.doi:10.1016/j.jelectro card.2007.06.023

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The Philips HeartStart HS1 assists you through the process of treating a victim of suspected sudden cardiac arrest (SCA). The HS1 AED provides practically real-time guidance through step-by-step voice commands and CPR guidance. • Includes features to help guide the treatment of sudden cardiac arrest with easy setup, clear voice commands and real time metronome • Arrives virtually ready to use. With the Ready-Pack configuration, the HS1 AED is positioned inside the carry case with Adult SMART Pads Cartridge and battery already installed and with a spare Adult SMART pads cartridge in place • Guides you through a cardiac emergency with a simple, step-by step process, adaptive instructions and intelligent sensors to help deliver therapy • Use on infants and children under 25 kg or 55 lbs or 0-8 years old, and adults and children over 25 kg or 55 lbs or greater than 8 years old • Senses when the special Infant/Child SMART Pads cartridge is installed, and automatically adjusts CPR instructions and shock energy • Can be converted to a trainer with installation of training pads cartridge • Conducts a series of automatic self-tests daily, weekly and monthly, to check pad readiness and verify functionality and calibration of circuits and systems

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Advanced technology. Proven therapy.

Patented Quick Shock feature allows the HS1 to typically deliver a shock within 8 seconds after CPR. 2

2. Nichol, G., Sayre, M. R., Guerra, F., & Poole, J. (2017). Defibrillation for Ventricular Fibrillation: A Shocking Update., 70(12), 1496-1509. doi:10.1016/j. jacc.2017.07.778. Journal American College of Cardiology doi:10.1016/j. jacc.2017.07.778

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Ready to act. Ready to go. Designed for the ordinary person in the extraordinary moment, Philips HeartStart HS1 AED is ready to act and virtually ready to go. It allows anyone with little or no training to treat the most common cause of sudden cardiac arrest (SCA) by delivering a shock quickly and effectively, wherever SCA happens.

Start quickly. Treat confidently. With access to the right equipment and support, you can help save a life. The HS1 AED guides you through the process of treating a victim of suspected sudden cardiac arrest. The HS1 AED provides practically real-time guidance through step-by-step voice commands and CPR guidance.

Easy as 1-2-3 We’ve equipped HS1 with

integrated SMART Pads that will provide feedback to the AED so it can adapt its voice instructions to your actions and your pace. The system won’t announce the next step until you are ready. Prompts are repeated and rephrased if needed and include additional instruction to aid understanding.

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Answers for your questions Sudden Cardiac Arrest Q: What causes SCA?

Q: What do I tell the professionals when they arrive? A: They will know what questions to ask you. If an Emergency Medical Services (EMS) responder needs a summary of care, it can be retrieved from the defibrillator’s internal memory. The EMS provider simply presses the i-button, and HS1 will verbally recount events from its last clinical use. Technology Q: How does HS1 assess heart rhythm? A: HS1 includes proven Philips technology for heart rhythm assessment, called SMART Analysis. SMART Analysis is a sophisticated algorithm that simultaneously evaluates several attributes of a person’s heart rhythm to determine if the rhythm is shockable. Q: How does HS1 know how much energy to deliver? A: A technology called SMART Biphasic Impedance Compensation helps HS1 deliver the optimal amount of current and energy. Smart Biphasic is the first biphasic therapy with sufficient evidence to be classed “standard of care” and “intervention of choice” by the American Heart Association. 4-9 SMART Analysis and SMART Biphasic’s effectiveness are backed by over 40 published, peer-reviewed studies. 10 Training Q: Is training available? A: Yes. A special training SMART Pads cartridge can be installed in the defibrillator. It disables the defibrillator’s ability to shock, while walking you through patient care scenarios. We also offer easily accessible, online training that discusses everything from setting up an AED program to replacing your defibrillator’s battery.

A: SCA occurs when the electrical system of the heart becomes chaotic, causing it to stop beating effectively. Lacking proper blood flow, the person becomes unresponsive and stops breathing normally. CPR is important, but it alone cannot restore a normal heart rhythm. 3,4 A shock from a defibrillator is the most effective way to restore the heart’s normal pumping rhythm. 6 Technique Q: What if I don’t know the proper technique? A: HS1 acts as your personal coach to guide you through the process of treating a victim of suspected sudden cardiac arrest. HS1 provides practically real-time guidance with real-time step-by-step voice instructions. Q: How soon must the defibrillator shock be administered? A: The person’s best chance of survival is to receive that shock within 3-5 minutes of collapse. 7,8 A defibrillator will not save every person who experiences SCA, but more lives could be saved if those affected were reached more quickly. 7-9 Your A: The defibrillator assesses the patient’s heart rhythm. If a shock is advised, it directs you to press the flashing orange Shock button. Q: What if I don’t know where to put the pads? A: The SMART Pads cartridge contains two adhesive pads that have pictures on them to show you where to place the pads on the person’s bare skin, and voice instructions will remind you to look at the pictures. The pads are “smart” because they sense when they have been removed from the cartridge, peeled from their liners, and applied to the patient, causing the voice instruction to adjust to your actions. quick response makes a real difference. Q: How do I know if a shock is needed?

3. Kleinman, M. E., Brennan, E. E., Goldberger, Z. D., Swor, R. A., Terry, M., Bobrow, B. J., . . . Rea, T. (2015). Part 5: Adult basic life support and cardio pulmonary resuscitation quality: 2015 american heart association guidelines update for cardiopulmonary resuscitation and emergency cardiovascu lar care. Circulation , 132(18 suppl 2), S414-S435. 4. Link, M. S., Atkins, D. L., Passman, R. S., Halperin, H. R., Samson, R.A., White, R. D., . . . Kerber, R. E. (2010). Part 6: Electrical therapies: Automated external defibrillators, defibrillation, cardioversion, and pacing: 2010 american heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation , 122(18 Suppl 3), S706-719. doi:10.1161/CIRCULATIONAHA.110.970954. 5. Aschieri, D., Penela, D., Pelizzoni, V., Guerra, F., Vermi, A. C., Rossi, L., . . . Capucci, A. (2018). Outcomes after sudden cardiac arrest in sports centres with and without on-site external defibrillators. Heart. doi:10.1136/heartjnl-2017-312441. 6. Patil, K. D., Halperin, H. R., & Becker, L. B. (2015). Cardiac arrest resuscitation and reperfusion. Circulation Research , 116(12), 2041-2049. doi:10.1161/ circresaha.116.304495. 7. Scott, T. (2017). Use of automated external defibrillators saves lives. Emergency Nurse , 25(3), 5-5. 8. Myat, A., Song, K.-J., & Rea, T. (2018). Out-of-hospital cardiac arrest: Current concepts. The Lancet, 391(10124), 970-979. doi:https://doi. org/10.1016/S0140-6736(18)30472-0. 9. Guidelines 2000 for cardiopulmonary resuscitation and emergency cardiovascular care. Part 4: The automated external defibrillator: Key link in the chain of survival. The american heart association in collaboration with the international liaison committee on resuscitation. (2000). Circulation , 102(8 Suppl), I60-76. 10. Philips Medical Systems. (2009). Philips smart biphasic therapy. Retrieved from https://www.usa.philips.com/healthcare/product/HC861304/ heartstart-frx-automated-externaldefibrillator

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HeartStart HS1 AED specifications

Defibrillator Defibrillator family Standard configuration

Patient analysis system Patient analysis Evaluates patient ECG to determine if a rhythm is shockable. Rhythms considered shockable are ventricular fibrillation

HS1. Order M5066A

Defibrillator, battery, adult SMART Pads cartridge (1 set), Setup and Maintenance Guides, Owner’s Manual, Quick Reference Guide, date sticker

(VF) and certain ventricular tachycardias (VT) associated with lack of circulation. For safety reasons, some VT rhythms associated with circulation will not be interpreted as shockable, and some very low-amplitude or low-frequency rhythms will not be interpreted as shockable VF. Meets AAMI DF80 guidelines and AHA recommendations for adult defibrillation (Circulation 1997;95:1677-1682) The effects of pacemaker artifact and electrical noise are minimized

HeartStart HS1 Ready-Pack configuration Order option R01. Defibrillator, battery, carry case, adult SMART Pads (1 pre-installed set, 1 spare set), Setup and Maintenance Guides, Owner’s Manual, Quick Reference Guide, date sticker Waveform Truncated Exponential Biphasic; waveform parameters adjusted as a function of each patient’s impedance Therapy Adult defibrillation: peak current 32 A (150 J nominal into a 50-ohm load)

Sensitivity/ specificity

Artifact detection

Battery (M5070A) Type

9 Volt DC, 4.2 Ah, composed of disposable long-life lithium manganese dioxide primary cells

Pediatric defibrillation with optional Infant/ Child SMART Pads cartridge installed: peak current 19 A (50 J nominal into 50-ohm load) Typically less than 20 seconds between shocks in a series Able to deliver a shock after the end of a CPR interval, typically in 8 seconds

Capacity Minimum 200 shocks or 4 hours of operating time Install-by date Battery is labeled with an install-by date of at least 5 years from date of manufacture Standby life Typically, 4 years when battery is installed and when stored and maintained according to directions provided in this document

Shock-to-shock cycle time

Quick Shock

Voice instructions Detailed voice messages guides the responder through use of the defibrillator CPR guidance Instructions for infants and children under 25 kg or 55 lbs. or 0-8 years old, and adults and children over 25 kg or 55 lbs or greater than 8 years old Shock delivery Via adhesive pads placed on patient’s bare skin as illustrated on pads Controls Green SMART Pads cartridge handle, green On/ Off button, blue i-button, orange Shock button Indicators Ready light; blue i-button; caution light, Shock button lights up when shock is advised Physical Size 7.2 cm H x 19 cm D x 21 cm W (2.8˝ H x 7.4˝ D x 8.3˝ W) Weight With battery and pads cartridge: 1.5 kg (3.3 lbs.) Without battery or pads cartridge: 1 kg (2.4 lbs.) Solid objects per EN60529 class IPX2 Drip-proof per EN60529 class IPX1 Temperature Operating: 0° – 50° C (32° – 122° F) Standby: 10° – 43° C (50° – 109° F) Humidity Operating: 0% to 95% relative, non condensing Standby: 10% to 75% relative, non condensing Altitude Operating: 0 to 4,572 m (15,000 feet) Standby: up to 2,591 m (8,500 feet) Environmental/physical requirements Sealing

SMART Pads Adult SMART Pads cartridge Infant/Child SMART Pads cartridge Active surface area

M5071A defibrillation pads for patients over 8 years of age or 25 kg (55 lbs.) and over M5072A defibrillation pads for patients 0-8 years of age and under 25 kg (55 lbs) by prescription only

85 cm 2 (13.2˝ 2 ) each

Cable length

Adult SMART Pads: 137.1 cm (54˝) Infant/Child SMART Pads: 101.6 cm (40˝) Cartridge is labeled with a use-by date of at least 2 years from date of manufacture

Use-by date

Training SMART Pads M5073A

Adult Training SMART Pads cartridge

M5074A

Infant/Child Training SMART Pads cartridge

Function

Training SMART Pads cartridges feature 8 real-world training scripts; used with training mat (included) or with adapters on manikins

Automated and user-activated self-tests Daily automatic self-tests

Tests internal circuitry, waveform delivery system, pads cartridge, and battery capacity Specifically tests readiness-for-use of pads (gel moisture)

Pads integrity test

Battery insertion test Upon battery insertion, extensive automatic self-tests and user-interactive test check device readiness Status Indicators Blinking green “Ready” light indicates ready for use; audible “chirp” indicates need for maintenance

Shock/drop abuse

Withstands one-meter drop to any edge, corner or surface Meets EN1789 random and swept sine, road ambulance specification in operating and standby states Meets EN55011 Group 1 Level B Class B and EN61000-4-3

Vibration

EMI (radiated/ immunity)

Data recording and transmission Infrared Wireless transmission of event data to a Smartphone or PC, using the IrDA protocol Data stored First 15 minutes of ECG and the entire incident’s events and analysis decisions

* R efer to the HeartStart HS1 Defibrillator Owner’s Manual for detailed product instructions. All specifications based on 25° C unless otherwise noted. The defibrillator and its accessories are made of latex-free materials.

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