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Home My WebLink About3/19/2008 - STAFF REPORTS - 2.E. ;QF p A LM SA4 r2 c u u ° ° °T` ' CITY COUNCIL STAFF REPORT Tt DATE: March 19, 2008 CONSENT AGENDA SUBJECT: APPROVE A PUBLIC ACCESS DEFIBRILLATION PROGRAM AND PURCHASE FIFTEEN AUTOMATIC EXTERNAL DEFIBRILLATORS FOR VARIOUS CITY FACILITIES FROM: David H. Ready, City Manager BY: Blake Goetz- Fire Chief SUMMARY Sudden Cardiac Arrest can happen at any time and any place. Palm Springs has a high incidence of sudden cardiac arrest patients. Rapid Cardio Pulmonary Resuscitation (CPR) and early defibrillation with an Automatic External Defibrillator (AED) can drastically increase a victim's survivability. Staff recommends that city facilities be provided with AED's to provide for emergency life saving actions for our visitors and employees. The AEDs will be accessible to trained city staff and any appropriately trained bystanders. Under the supervision of the fire department, the City will partner with the Weil Institute of Critical Care Medicine in Rancho Mirage for medical oversight of this new public access defibrillation program. RECOMMENDATION: Approve a purchase order with Zoll Medical Corporation in the amount of $31,128.98 for 15 automatic external defibrillators and related equipment. STAFF ANALYSIS: About 325,000 people a year die of coronary heart disease without being hospitalized or admitted to an emergency room. Many of these individuals could have been saved if a trained person with an Automatic External Defibrillator (AED) were nearby. With the exception of the fire department, city staff has not been trained in Cardio Pulmonary Resuscitation (CPR) and there are no Automatic External Defibrillators (AED's) in City owned buildings. A trained individual who knows CPR and is trained to use an AED can make the difference between life and death. For every minute that passes without CPR and defibrillation, the chances of survival decrease by 7-10%. The goal of the Palm Springs Fire Department is to be on scene within five minutes of a sudden cardiac arrest. During these five minutes the survival rate for the individual drops by 35-50%. On site AED's with CPR/AED trained employees can drastically increase survival. ITEM NO. � City Council Staff Report (March 19, 2008) -- Page 2 (Public Access Defibrillation Program) Proposed locations for AED's in City facilities include: Quantity Building 4 Airport 2 City Hall 2 City Yard (one in each building) 1 James O. Jessie Desert Highland Unity Center 1 Library 1 Parks and Recreation 1 Park Ranger's vehicle 2 Police Department 1 Swim Center City departments receiving AED's will be provided CPR and AED training as required by law. Training and program oversight will be provided by the Fire Department. Medical oversight will be provided by the Weil Institute of Critical Care Medicine for $100.00 per year. AED's will be installed in visible and secure locations with the assistance of the facilities department. Each AED will be in kept in a visible white cabinet that emits an audible alarm when the door is opened. Many governmental agencies have programs similar to this and have even gone a step further. The City of New York has enacted Local Law 20 that requires placement of AED's in areas of public assembly, nursing homes, senior centers, golf courses, etc. The City of San Diego has initiated project Heart Beat and has placed 4,000 AED's throughout the city. At this point in time they boast a 71% save rate in cases where an AED was deployed. The City of San Diego is also considering creating a municipal code that will require new buildings that meet certain criteria to install and maintain AED's on site for the life of the structure. Staff recommends awarding a Purchase Order in the amount of $31,128.98 to Zoll Medical Corporation who was the lowest bidder. FISCAL IMPACT: Funds for this program are available in the Safety and Training account # 540-5904- 48620 David H. Ready, Cj R ager Blake Goetz, Fire Cf of Attachments:Western City, December 2007, Presidents Message American Heart Association, AED Facts President's Message II Seizing the Opportunity To Save Lives by.TitnModaffer oday, it would be unthinkable to construct a building without smoke detectors or fire alarms. These devices save lives, and we consider them essential. But there is another killer lurking in our communities that takes even more lives than fire, and it too is preventable with a simple electronic device that's easily installed in public facilities. Sudden cardiac arrest(SCA) (rills 1,000 people a day—or one person every rwo minutes. It is a leading cause of death in dxe United States.According to the Amer- . ican Heart Association,as many as 7,000 - ,.L' n : children and more than 450,000 adults die each year from SCA_It can happen without warning at any time to anyone. An estimated 95 percent of its victims die before they can get cmcrgenry help. Without emergency help, SCA results in death within minutes.Victims can be saved if an automated extereal dcfxbril- later(AL'.D) is immediately available to deliver an electrical shock through the Chest to restore tre heart to Its normal rhythm.When a person suffers from SCA,each minure that passes without t. defibrillation decreases their chance of survival by 10 percent. In October 1999,a hcalehy,athletic ._ friend of mine was panicipating in a `� '_•�- 10If race when he collapsed from.SCA- ! Two respirazory clinicians,who-also were 'running in the race,immediately started CPR-Tb,e,ambulaace char had been as- signed to the-race wide anAFD had been - called away moments earlier to a'n6n- . cmcrgcncy.cvcnt. , .. Sudden cardiac arrest canstt'aenybne at any rime.-Men it does;adminislerbg an elec- , 'Mcatshock-immediately using anautornated extemaldefibrEldtoris critically important. rived•' a.000 (�www.wesferncitycom _ . • - Western City,pe�emkieF2007113 Seizing the Opportunity Co Save Lives,rnnnnm d My friend was rmnsparted to a hospird 'iCA ih lint,I heart atrack or myocardial the Super Bowl in January 2003.We where he was pronounced dead. I Ir w.a, nt.0 L11011 (MI), whlcb is a"plumbing exceeded that goal by nearly 550 AEDs, 56 years old. If an AED had been ay.IJ- problem" where a blood vessel block- and the program has been growing ever able er the race,his chance of survivioL; •Iris inter uprs blood flow to the heart, since.As of October 2007,we installed would have been dramatically IMPICIveLL Gap+inl;all Infarct(an area of dead heart more than 4,000 Wars In San Diego monde). It Is possible,however, for a County"We have a 71 percent"save"rare Sudden Cardiac Arrest Is Nota pri%on III suffer SCA in conjunction with m cases where an AED is deployed and Heart Attack a heart attack. have now saved 45 people who likely In SCA,the heau abruptly and uncxpeeo- would have died wirhour access ro one. Idly ceases to function normally. it is an Project Heart Beat Projecr Heart Bear was designed to offer "electrical problem"caused by a hear) Improves the Odds all agencies, businesses and organiza- rhythm disorder called venrrieular fibril- After my friend's tragic death, I seL out [ions die opportunity to implement these laden.When SCA strikes, the heart is no to make AEDs as readily available as fire life-saving programs affordably,easily and longer able ro pump oxygen-rich blood to Lxlinguiyhers. In October 2001,working successfully.The project has developed a the rest of the body. with his widow and the San Diego Fire- compiehmsive life-saving program that Rescue Department, i helped launch San provides training and assistance with Diego Project Heal c Beal.The program's implementing,managing and maintain- initial goal was to increase the survival ing AEDs. razes for SCA victims by placing ar least 'l here ect's ulrimare goal is to ensure • 1 ' 0 - 250 AFM%rhroughour the county before P ) that AEDs are as accessible as fire exrin- Y' yy In l' l^ Z' - Every second counts in an SCA.emergency.Making automated external defibrillators,the device used l'o resl'ore heart rhythm,readily available in publicfacilities is an inexpensive and simple way to help save lives. n 0 ry ry A P 4 League of California cities www.cacities.vrg guishers throughout our county and state, morels, restaurants and common areas Over the past several years,a number of thus maximizing SCA survival rates.We of residential condominiums and apart- cities have made AEDs available in public also want every high-school student in meats. AED%would also be required in facilities—yet surprisingly,we have a California to graduate with experience places of assembly with capaciry Foi more long way to go before AEDs are as com- and certification in CPR and AFD so than 300 people,and educational facili- mon as fire extinguishers. that they, too,can help save lives. ties with 200 or more students.The code will require new comrruction to be Pre- Does Your City Have a Program? Liability Issues Addressed wired on all Boors with dedicated wall mounts for the AED system with self- Creating a public access defibrillation Early un in San Diego's Project Heartacring alarms. Owners would be required program is something your city may be Bear,property owners and businesses ex- to register their AED equipment with die considering.The sraff and volunteers pressed concerns about liability related to Fire Rescue Dcpartmenr,test it annually at Project Heart Beat uffcr support using an A-ED.They wanted to make sure and technical assistance to help ocher du and notifv the department each time y wouldn't get sued if something wear the device is used. Eventually, 1 envision jurisdictions set up such programs, and wrong following an AED deployment.In they can help your city as well. For more AEDs becoming mandatory in all public response, I worked with then-Assembly buildings—just like fire extinguishers. information, visit the San Diego Project Member Juan Vargas(D-San Diego) to Heart Bear websire at www.sdproI sponsor AB 204, Elie AED Good Samar- The County of San Diego is parmering hcaribcar.com. ■ itan Law. It provides legal coverage for with Project Heart Bear to get AEDs in property owners,landlords and others public facilities. Recently, San Diego concerned with potential liability. County Supervisor and League Past Presi- denr Greg Cox led die effort to install Maureen O'Connor, a San Diego emer- AEDs inever}'public school throughout with t medical technician who has been his south San Diego County district.And with he program since its inception, oG in the San Diego Unificd School District, SCA / fern some interesting observations.1-lb. a the states second largest school district,day,we arc finthng more businesses and ^ • if an automated building owners who are concerned over fiend-raising drive is under way to install liability if they do not have an AFD,° AEDs at each of the 265 school sites in external defibrillator he districr- 1n facr, the district has ad- she says,er experiences."complete reversal from our opred a plan to install three AEDs at each " • ' • early exper high school, two in each middle school O'Connor adds,"If you talk to firefight- and one in each elementary school. ers, they will tell you that in any public venue they end up using an AED more than a fire extinguisher,and most of chose who have used an AED have never deployed a fire extinguisher-" Thanks to Project Heart Bear,AEDs can be found almost everywhere in San Diego, including office buildings,hotels,public parks,swimming pools and libraries. Fu turis%_ Making AEDs Part of the Keenan & Associates introduces Municipal Code Futuris, a comprehensive program i1 I recently proposed new municipal code language that will require A-EDstobe that provides all your GASB 43 and 45 installed in new construction in San compliance liance needs from a sin esource. Diego.The intent is to create a citywide _ program'rhat will establish AED protocols For more information please contact -» . and create a system for tracking usage Maria Applegate at 1-800-654-8702 ,�..,,,_ •v i- darazspccifialy,the.draft codcwiBapply 2355 Crenshaw Blvd., Suite 200 miall new,-buildings of more rl n.t ice.. Torrance, CA 90501 scgries.or70;000.sgd3re%Fete,inchrditfg www.keenanpa.com i°.o�4eandscoinmercialbuililings;'incdi�' •, License No 0451271 .. - -:cal;+dental:::and outpaticnt diuic5;'hotel5, 13;U.0 d'.ty'�•. •_ ste n ty,wma• _ _ _ __ _ _ .�¢� ..:- . . .;Wesfern 0tgrDecem6er 2007r;� Heart Disease and Stroke, You're the cure'. American Heart I American Stroke Association., Association, Learn and Live,. FACTS Every Second Counts Rural and Community Access to Emergency Devices OVERVIEW Each year, at least 164 thousand Distribution of AEDs-- FY 2002 AEDAmericans experience sudden Location Percentage cardiac arrest (SCA) outside of a EMS, Police, and Fire 59% hospital.1-3 SCA affects people of o Schools and Government 17/0 all ages and with many types of Faith-Based and Recreation 12 % heart problems, but occurs most commonly in adults with Nursing Homes&Senior Centers 4% coronary artery disease, and so Hospitals, Clinics, and Other 8% it will only become more common as America ages.` On average in the FEDERAL AED PROGRAMS HELP, U.S., just 6% of SCA victims survive.' BUT MORE FUNDING IS NEEDED Cardiopulmonary resuscitation (CPR) and early . Congress created the Rural and Community defibrillation with an automated external Access to Emergency Devices Program, enacted defibrillator (AED) more than double a victim's through legislations and administered by the Health chance of survival.5 In fact, early defibrillation Resources&Services Administration(HRSA). with CPR is the only way to restore the SCA victim's heart rhythm to normal5 For every This program helped communities to buy AE minute that passes without CPR and and train lay responders in their use outside the e hospital. defibrillation, the chances of survival decrease by 7-10%.6 However, there are not enough In 2002, 5,400 AEDs were purchased, and 38,800 AEDs and persons trained in using AEDs and individuals were trained. performing CPR to provide this life-saving • During 2005, 48 states and 4 cities received treatment, resulting in lost opportunities to save funding. more lives. Tragically, 64% of Americans have • From FY 2002-2004, less than half of the grant never even seen an AED.' dollars requested by states were awarded." AED PROGRAMS CAN TESTIMONIALS FROM THOSE SAVED IMPROVE SURVIVAL RATES BY THIS PROGRAM: 2002-2005 • Communities with comprehensive AED programs • Butch Gibbs, 57, of rural Humeston, Iowa that include training of anticipated rescuers in both suffered SCA after performing in a play at the local CPR and AED use have achieved survival rates of elementary school. His wife, a trained community volunteer, brought him back to life by providing 40 percent or higher.' CPR and shocking his heart 22 times with an • Making AEDs more available to lay responders AED. The nearest ambulance in his area is nearly trained in their use could save more lives. 30 miles away, so Butch knows the AED in the school saved his life. He was quite familiar with the device even before his SCA, because it was American Heart Association •Advocacy Department• 1150 Connecticut Ave.NW•Suite 300 •Washington, DC 20036 Phone: (202)785-7900 • Fax: (202)785-7950 •w .americanheart.org/yourethecure 00000s FACT 5ME;rT. Rural and Community Access to Emergency Devices the one of the AEDs that he and fellow EMS ACTION PLAN FOR THE RURAL AND volunteers received through a grant from the Rural COMMUNITY ACCESS TO EMERGENCY and Community Emergency Access to Devices DEVICES PROGRAM Program. Butch, now an even stronger advocate for the program, has visited his lawmakers in Appropriations for the program have decreased Washington, D-C., showing them haw easy it is to S11.1 million (89%) from 2002 to 2006, Cuts made use an AED and urging them to keep this in FY 2006 will reduce rural grants from 48 to 4- lifesaving program alive. This funding level is inadequate to provide the Richard O'Connor, 62, of Groton, New access to AEDs that rural and community America • heeds. The American Heart Association urges Hampshire, suffered SCA from a potassium Congress to restore funding for the Rural and imbalance while undergoing a routine examination in his doctor's office. An office nurse administered Community Access to Emergency Devices Program to the FY 2e to be saved each year. level of$9 million, so that more lives CPR and used an AED to shock him back to life. can continue to That very nurse had purchased the AED for the Plymouth Family Practice Center through a grant from the Rural and Community Access to References Emergency Devices Program. Richard is 1. Heart Diacaso and Stroke Statistics—2007 Update. A Report from extremely grateful that the AED was readily the American Heart Association Statistics Committee and Stroke statistics Subcommittee. available in the office and urges all Members of hrtp://tire ahajournals.org/cgi/reprint/CIRCULAI'IONAHA 106 179918v Congress to restore funds to the program that 1 saved his life. 2 Chugh SS,Gunson J,Gunson K at al.Current burden of sudden cardiac death multiple source surveillance versus retrospective death • Police lieutenant R.J. Thibodeaux, 55, of dertficate review in a largo U S.community,JAm Coll Cardioi.2004' Abbeville, Louisiana suffered SCA while attending 44(6)'1268-1275 a movie with his sons. CPR administered on the 3 united states Census bureau hrtp://w .cansus.gov/population. scene was not enough — but, luckily, his police 4. Zlpss DP Comm AJ,Dcrggrcfc M P1 al ACCJAHAIESC 2006 gmdolmcs h the for management of oafronts w/fh ventl1c.ular .amhythmias and the department had just received an AED through ptotimlion of.sudden Cardiac death Circulation 2006;114'1056.1137, Rural and Community Access to Emergency 5 Wclsfeldl ML, Kerber RE, McGoldrick RP et al. A statement for Devices Program, and Lt. Thibodeaux was the first healthcare professionals from the American Heart Association taskforce person to be treated with the device.Thanks to the on automatic external deflbriliation.Circulation 1995 92'2753. AED, he survived and has since returned to the 5 2055 Anehcan Heart Association guidelines for eardinpulmonary resuscitation and emergency cardiovascular care Cimulanon 2005'112 police force- He and his children urge Members of (suppl IV)IV-35 Congress to provide adequate funding for this vital 7 The PARADE/Research!America Hivallh Poll Charllon Research and lifesaving program. Company 2005 B. PL 106-505 (Public Health improvement Act)and PL 107-188 (Public • Former state legislator Ron Nichols, 62, of Hearth security and Bielermnsm RCSponse Act) Palermo, North Dakota Went to the emergency 9 U$ Department of Health and Human sorvlcCs, Repon to Congress. room complaining a e e ire an achy.that h felt tired d hy mural Access to Emergency Devices Grant Program rvv mot-2004, February 15 2000. Doctors decided to send Ron to a larger hospital 1p hrtp.//wwwhrsa.gov/Gmnisipreview/rural.11tn1 55 miles away, but during the ambulance 11 Huilth Resources and Services Administration. Porsunal transport, he suffered SCA. The ambulance nurse cnmmunkarmn. used an AED several times to shock his heart back to a normal rhythm. Ron credits the AED -- purchased through the Rural and Community Access to Emergency Devices Program for the Stanley, North Dakota ambulance service — with saving his life. He hopes that federal lawmakers will fund this critical program adequately, so that others Can have a second chance at life. 00000�