The American Heart Association reports that more than 350,000 out-of-hospital cardiac arrests occur each year, including more than 23,000 youth under age 18, making it the leading cause of death in the United States.
Although a heart attack can lead to sudden cardiac arrest (SCA), the two are not the same. SCA is when the heart malfunctions and suddenly stops beating unexpectedly, whereas a heart attack is when blood flow to the heart is blocked but the heart continues to beat. Survival rates nationally for SCA are less than 10%, but delivery of CPR can sustain life until paramedics arrive by maintaining vital blood flow to the heart and brain. However, only about a third of SCA victims receive bystander CPR. Without CPR, brain damage or death can occur in minutes. The average EMS response time is nine minutes, even in urban settings; after 10 minutes there is little chance of successful resuscitation. The American Heart Association estimates that effective bystander CPR, provided immediately after SCA, can double or triple a person’s chance of survival.
Based on data submitted by EMS agencies to CSEMS, in the SAW area, when an AED was used, 82% of the time it was used by a first responder or healthcare worker. CPR was performed in approximately 45% of prehospital cardiac arrests. In these cases, bystanders only performed CPR 39% of the time. SAW responders see increasing bystander responses as an area for improvement.