The purpose of this directive is to assist an individual, company, organization or other organization in understanding the process of notifying the operation of an automated external defibrillator, in accordance with a cooperation agreement provided for in Chapter 552 of the 1998 legislation, which authorizes the defibrillation of public access. A Public Access Defibrillation (PAD) program aims to promote the acquisition, use and use of automatic external defibrillators (EDAs) in government municipalities to reduce the number of sudden cardiac arrest-related deaths. Since the introduction of the enabling laws, 4,889 PAD programs have been implemented with more than 156,167 AED machines trained and 21,692 on public sites throughout the state. This program has saved many lives throughout New York State. In order to use a PAD program and use an AED, the following steps must be implemented: As part of the regional IQ process, the following minimum data set must be developed and collected. A copy of the data set must be sent quarterly by region to the EMS DOH Office: to be admitted to use a DED in accordance with this status, an individual or organization must submit a specific statement of intent for the implementation of a PAD program to the relevant Regional Emergency Medical Services Council (REMSCO) and the New York Department of State of Health (DOH). Each REMSCO is responsible for receiving and maintaining notification and usage documents. REMSOSCs must develop and implement the following policies and procedures: Currently, the following institutions or organisations must have trained providers and an EDA on site: a copy of the usage report should also be made available to the EHCP. REMSCO quality improvement programs are encouraged to use data elements of the Utstein Guidelines for pre-hospital cardiac arrest research (Cumming RO, Chamberlain DA, Abramson NS, et al, Circulation 1991; 84:960-975). Please note that the Prehospital Care Report (PCR) contains a checkbox for EMS providers to report that a patient has been defibrillated by a community or stationary PAD provider prior to the arrival of the EMS. Documentation of this information is necessary to enable the DOH to monitor the effectiveness of these community-based programs that may not participate in emergency ADP programs. Certified EMS agencies must apply for the authority to equip and use DEDs through their local regional advisory committee for emergency physicians (REMAC).
In the event that the PAD program uses the EDA to defibrillated an individual, the program must report the incident to the corresponding REMSCO. The REMSCO may request additional information about the incident, but the PAD must provide at least the following information.