A Day at the Spa

HYPERLINK ?rate 14 doc guide page -structure-and-definitions HYPERLINK ?rate 14 doc guide page -structure-and-definitions SEQ CHAPTER \h \r 1 Case study : HYPERLINK /sys /index .php ?rate 14 doc writing_guide page structure-requirements A Day at the Spa

The pressing question in this case is can automated external defibrillators save lives . The answer is yes . The secondary question is how many . With no other considerations the addition of defibrillators to a gym 's first aid protocols will help save additional lives . But in to adequately determine how many more lives defibrillators can save

, one must examine factors such as the overall health condition of the recipient , personnel knowledge , and response time

Based on the details of this case , an on-sight defibrillators at Silver 's Gym may save the majority of those expected 100 incidents . Of the 30 that would die before paramedics arrive , 24 will live with the use of the defibrillator . Of the remaining 70 that would otherwise live , improper use of the defibrillator may cause 2 .1 deaths , saving 67 .9 lives . The defibrillator is 91 .9

The estimates cannot be accurate , however , when considering the health issues that are evident in this case . Beginning with Tommy , high cholesterol and high blood pressure changes the probability that a defibrillator would be effective . Also , as people exercise in the gym their heart rates and blood pressures increases making them prone to a sudden cardiac arrest . If the increased rates from exercise are compounded by poor health conditions , like Tommy 's that changes the estimates to a much lower figure as well . The use of CPS and EMT response time also change those figures . Finally , the actual condition that makes the person need medical assistance - heart attack , sudden cardiac arrest , or other condition - changes the figures

Untrained personnel cannot properly assess what aid to administer Obviously CPR is appropriate in some cases , the AED in others , and in some cases both CPR and use of the AED will be indicated . Untrained personnel may not know how to check for devices such as a pacemaker which affects the use of the defibrillator . Pacemakers could compound the improper use factor . There is a chance of improper use on a person who has no pacemaker . There may be a higher chance of improper use when a pacemaker is present

In Tommy 's case , since he was not breathing , CPR was a proper response to help restore his breathing . Without proper oxygen to the brain and heart the defibrillator may not have worked . Silver 's Gym was not negligent in Tommy 's death . Gym personnel administered CPR upon finding that he was not breathing . A proper and expected response . Had there been no personnel with CPR training , that would be a case for negligence . Without knowing how quickly the call was made , a 12 minute response from EMTs was reasonable , so there was no negligence on the part of gym personnel calling , nor on the part of EMTs for poor response time . Also , it appears...