Limited Public Access Defibrillation (LPAD)
In April 2001, the University's Department of Emergency Management began implementation of an exciting and important new program - Limited Public Access Defibrillation (LPAD). The program is designed to allow University departments to purchase and maintain Automated External Defibrillators (AED’s) for use by staff and faculty in the event someone suffers sudden cardiac arrest.
Which AED Is Authorized For Use At The University of Minnesota, And Why?
The Department of Emergency Management began outfitting the University of Minnesota Emergency Medical Services (UMEMS) volunteers with AED’s in 1990. Then, in 1999, a special grant was developed by the state of Minnesota to provide AED’s to law enforcement agencies. A representative from Emergency Management was on the committee that selected the device for the grant and the University Police Department applied for grant AED’s.
The device chosen for the grant program was the Heartstream Forerunner AED, manufactured by Agilent Technologies. The Police Department was awarded four AED’s through the grant and these devices are now in squad cars every day. Additionally, UMEMS has two Forerunners and other U of M departments have Forerunners as well.
Because the UMPD is the primary first responder to medical calls on campus, and because the device is offered through the grant to other law enforcement agencies state wide, and because of the already-installed base, the decision was made to authorize the Forerunner as the AED for use at the University of Minnesota.
This makes sense for several reasons: the police who respond to calls on campus (Twin Cities) and who are in many of the communities surrounding campus (all campuses) are equipped with the Heartstream forerunner. We felt it was imperative to ensure police would be familiar with whatever device was chosen.
Also, there are several other forerunners on campus already. This means that we can concentrate on buying, storing and supporting a single type of device. This decreases the need to purchase multiple spare parts (batteries and pads), simplifies record keeping, data analysis and training, and maximizes the discount available to us on pricing.
In August of 2002, the University went out to bid for a new AED contract. After consulting and reviewing a number of AED’s from a variety of vendors, the University chose to contract with Philips Medical Systems, Inc., and use the Heartstart FR 2. Philips Medical Systems, Inc., formerly Agilent Technologies, had all the components that the University was looking for. Philips Medical Systems agreed to the contract and was willing to swap-out all of the preexisting AED’s on campus with the newest model, the Heartstart FR 2 also.
While all AED’s are "good," the Department of Public Safety and its Emergency Management Department believe that the technological and functional aspects of the Heartstart FR 2 device best meets our needs. Thus, Philips Medical Systems, Inc. Heartstart FR 2 is the only AED authorized for use at the University.
Maintenance
Regular Maintenance:
Once in place, a member of your department will need to inspect the AED weekly. All this entails is checking to see that the seal on the case is intact (indicating that all supplies are in place), and that the flashing hourglass icon is seen. That person will need to email the DEM to confirm that the AED is ready.
DEM will maintain a database of all AEDs, batteries and pads. Annually, you may need to replace these items. The University Purchasing Department is working to implement the ordering process at this moment and you will be able to order expired equipment directly. This means that you do NOT need to keep batteries or pads on the shelf. You can buy them as needed and have them delivered the next day.
Periodically, DEM staff will visit your site and inspect the devices as well.
After Use:
If the AED is used, you will complete a form (provided by DEM) and send it to DEM within 24 hours. You will also send your AEDs Data Card to us. We will provide you with a replacement data card and download all data for QA and records purposes. Dr. Wang will review the data, and a report will be sent back to you. Additionally, DEM will gather additional survival data from the receiving hospital. DEM owns the card readers, software, etc., so you do not need to purchase or operate any of that additional hardware or software.
The last step is to restock the AED and return it to service. DEM maintains pads in stock (we will send it to you at cost, no profits are being built in) and can get them to you immediately.
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