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Locating AEDs to Improve
   Community Access
            By Alison Leung
    Mentor: Raina Merchant, MD, MS
If someone in this room
were to collapse, become
  unresponsive and stop
breathing, what would you
           do?
Chain of Survival
Background: What’s an AED?
 AED is an automated
   external defibrillator

 Can shock and restart
   the heart if it stops
   beating normally

 Provide life-saving
   audible CPR
   instructions
Background: Why do we need
               AEDs?
 Every year, 300,000 Americans suffer from out-of-
   hospital cardiac arrest.

 One study estimates that an AED is used in 8% of
   out-of-hospital cardiac arrests.
    In Philadelphia, an AED is used approximately 1-2%
      of out-of-hospital cardiac arrests.

 Rapid defibrillation in some cases can significantly
   improve chances of survival from <1% to >50%.

 The chance of survival decreases 7-10% each
   minute in cardiac arrest.
Where are the closest
  AEDs to CPC?
AEDs around CPC
          3
                          3


          1   1               1


  1
                      1

      2
                  1
What are the problems
regarding AED access?
Lack of knowledge
People don’t know what AEDs are, nor do they know where they are.
Accessibility
For places that already have AEDs, are these AEDs accessible?
Distribution
       Rural vs. Urban
 Low income vs. High income
Financial
 AEDs are expensive.
How can we address these
             issues?
 Project goals
    Raise AED awareness
    Find out where AEDs are and build a map for the
       general public and 911 dispatchers!


                                               Map for 911
                Launch the         Validate    dispatchers
Canvassing      MyHeartMap         Contest         and
                 Challenge         Entries     smartphone
                                                   app
Methodology: Canvassing
 2 teams of 2 summer students collected information in
   Philadelphia County about AEDs

 Door-to-door asking if buildings have installed AEDs

 Developed a survey
      Type of building
      Time spent in building
      Number of people contacted
      AED location
      Has the AED ever been used?
      Is the AED readily visible to visitors?
Where we canvassed
 Used block groups
   (U.S. Census)

 Canvassed 12 block
   groups in Philadelphia

 Selected block groups
   with the most jobs
   because of more
   public locations
Preliminary Results
Process of Canvassing

 No patterns regarding which buildings have them
    and which buildings don’t.
     Many large buildings do not have them, yet some
       small retail businesses do have them.

 It often requires contacting more than one person to
    find out whether or not a building has an AED.

   Searching for AEDs is time consuming
     Ranged from 1 minute to 1 hour for a building
Preliminary Results
                    % of bldgs Number of blds
Block Group #Jobs   with AED's per block group   Confirmed AED use
1          43655    14%       171                3
2          22874    32%       63                 3
3          21847    4%        150                1
4          17834    9%        101                2
5          12456    26%       23                 0
6          12325    5%        324                1
7          11824    5%        82                 0
Total      142815   9%        914                10
What’s next?


                                      Map for 911
              Launch the   Validate   dispatchers
Canvassing    MyHeartMap   Contest        and
               Challenge   Entries    smartphone
                                          app
Upcoming Events
        Release of contest
          rules

        Release of the app

        Promoting contest and
          AED awareness
           Flashmob
           Lipdub
Acknowledgements
 Raina Merchant
 The MyHeartMap research team
    Jeremy Asch

    Kirk Lozada

    Olivia Saynisch
 Joanne Levy
 Lissy Madden
 SUMR Scholars
Check out
www.myheartmap.org

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Locating AEDs to Improve Community Access

  • 1. Locating AEDs to Improve Community Access By Alison Leung Mentor: Raina Merchant, MD, MS
  • 2. If someone in this room were to collapse, become unresponsive and stop breathing, what would you do?
  • 4. Background: What’s an AED?  AED is an automated external defibrillator  Can shock and restart the heart if it stops beating normally  Provide life-saving audible CPR instructions
  • 5. Background: Why do we need AEDs?  Every year, 300,000 Americans suffer from out-of- hospital cardiac arrest.  One study estimates that an AED is used in 8% of out-of-hospital cardiac arrests.  In Philadelphia, an AED is used approximately 1-2% of out-of-hospital cardiac arrests.  Rapid defibrillation in some cases can significantly improve chances of survival from <1% to >50%.  The chance of survival decreases 7-10% each minute in cardiac arrest.
  • 6. Where are the closest AEDs to CPC?
  • 7. AEDs around CPC 3 3 1 1 1 1 1 2 1
  • 8. What are the problems regarding AED access?
  • 9. Lack of knowledge People don’t know what AEDs are, nor do they know where they are.
  • 10. Accessibility For places that already have AEDs, are these AEDs accessible?
  • 11. Distribution Rural vs. Urban Low income vs. High income
  • 12. Financial AEDs are expensive.
  • 13. How can we address these issues?  Project goals  Raise AED awareness  Find out where AEDs are and build a map for the general public and 911 dispatchers! Map for 911 Launch the Validate dispatchers Canvassing MyHeartMap Contest and Challenge Entries smartphone app
  • 14. Methodology: Canvassing  2 teams of 2 summer students collected information in Philadelphia County about AEDs  Door-to-door asking if buildings have installed AEDs  Developed a survey  Type of building  Time spent in building  Number of people contacted  AED location  Has the AED ever been used?  Is the AED readily visible to visitors?
  • 15. Where we canvassed  Used block groups (U.S. Census)  Canvassed 12 block groups in Philadelphia  Selected block groups with the most jobs because of more public locations
  • 16. Preliminary Results Process of Canvassing  No patterns regarding which buildings have them and which buildings don’t.  Many large buildings do not have them, yet some small retail businesses do have them.  It often requires contacting more than one person to find out whether or not a building has an AED.  Searching for AEDs is time consuming  Ranged from 1 minute to 1 hour for a building
  • 17. Preliminary Results % of bldgs Number of blds Block Group #Jobs with AED's per block group Confirmed AED use 1 43655 14% 171 3 2 22874 32% 63 3 3 21847 4% 150 1 4 17834 9% 101 2 5 12456 26% 23 0 6 12325 5% 324 1 7 11824 5% 82 0 Total 142815 9% 914 10
  • 18. What’s next? Map for 911 Launch the Validate dispatchers Canvassing MyHeartMap Contest and Challenge Entries smartphone app
  • 19. Upcoming Events  Release of contest rules  Release of the app  Promoting contest and AED awareness  Flashmob  Lipdub
  • 20. Acknowledgements  Raina Merchant  The MyHeartMap research team  Jeremy Asch  Kirk Lozada  Olivia Saynisch  Joanne Levy  Lissy Madden  SUMR Scholars

Editor's Notes

  1. Then, where is the closest defibrillator?
  2. What does all this mean?-Sudden cardiac arrest is a common problem.-AEDs can improve survival rates -Philadelphia needs help-Sudden cardiac arrest is a time sensitive issue.
  3. What if you weren’t here for the summer or a Penn student?What if you were in Center City?What if you were in an unfamiliar area?Would you know where to look?
  4. People don’t know what AEDs are. -often had to show people a picturePeople don’t know where AEDs are even in buildings that do have them. Manufacturers don’t know where they are. -AEDs get moved
  5. For places that already have AEDs, are these AEDs accessible?
  6. Rural vs. urbanLow income vs. high incomeFinancial contraints
  7. Draw attn to the variability in aed placement across block groups
  8. Canvassing creates a gold standard