Club Management Summer 2013 - (Page 12)
Protecting Your Club
Examining the human, economic, and reputational damage of sudden cardiac arrest
A member has collapsed in the club dining
room, and a call for help is made. The 911
responder asks if anyone knows cardiopulmonary resuscitation (CPR ) and if the club has
an Automated External Defibrillator (AED).
The answer to both is “no.” Three minutes
have elapsed, the member remains unresponsive, and the ambulance has only just left the
station. The ambulance arrives eight minutes
after being called, but it is too late. The member was in Sudden Cardiac Arrest (SCA), and
died a tragic but preventable death.
A member collapses suddenly, and the call for
help is made. This time, there is an AED onsite. CPR is begun, and the AED is attached to
the victim within minutes. The AED delivers
the shock needed to restart the victim’s heart.
The victim is awake and responsive when the
SCA is an “electrical” problem in which the
heart ceases to function properly and enters a
spastic state that renders it incapable of pumping blood; more than 300,000 die from SCA
annually. While CPR will maintain blood flow
to the brain and organs until normal heart
rhythm can be restored, SCA is usually fatal
without prompt defibrillation.
The probability of surviving SCA decreases
10 percent for each minute that elapses from
collapse until treatment. Fortunately, there
is a way to substantially elevate the odds of
survival: Public Access Defibrillation (PAD)
programs. Defibrillation entails administration of an electric shock to a cardiac arrest victim. The shock will stop the heart and permit
the heart to re-start in a normal rhythm. use
of an AED in conjunction with an appropriate
emergency response program can generate
remarkable improvements in survival rates in
Technology has advanced, now
making AEDs affordable: Devices
are available for less than $1,000.
Smaller than a laptop computer,
AEDs are lightweight and portable.
Designed for lay people with features
such as voice prompts and visual
cues, AEDs are easy to use. In fact,
one study published in Circulation
found the ability of untrained sixth
graders to correctly use an AED were
at levels comparable to an emergency
medical technician (EMT) control
sample. Good Samaritan protections
are in place in all 50 states to protect AED
users from liability.
While AEDs are simple to use, there are
some important factors to keep in mind when
deploying these lifesaving devices. When we
engage to help clubs, we routinely see:
Poor communication regarding the
presence and location of AEDs.
Failure to complete monthly AED
Lack of compliance with regulatory
and filing requirements.
An insufficient number of
An inadequate number of AEDs.
Fortunately, there are easy and readily available solutions to ensure that your club avoids
unnecessary liability exposure or other problems. First, you should ensure that your club
has a robust and well-documented program in
place to manage its AEDs. When developing a
program for your club, consider:
Appropriate quantity and locations
of AEDs to ensure the ability to
reach a victim within three minutes.
Compliance with regulations, including
EMS filings and physician oversight.
Image courtesy of CardioReady
By Stacey Wright
Readiness checks to ensure that
warranty, indemnity, and Good
Samaritan provisions are not compromised.
A sufficient number of trained
responders with current CPR/AED
qualifications to provide adequate
redundancy of protection.
A system to track, maintain, and document key elements of your program.
Establishing post-event protocols
Communicating the existence of your
program and its key parameters to
your employees, members, and guests.
AED programs save lives. Should an SCA
event transpire at your location, your club
will provide the victim with the best chance
About the author:
Stacey Wright is the fitness and recreation
practice leader at CardioReady. Headquartered
in suburban Philadelphia, CardioReady has a
team of professionals skilled in medicine, risk
management, and emergency response services.
CardioReady is a CMAA ClubSolutionsSM
partner. To read the full article, visit the White
Papers section of www.preparemyclub.org.
Table of Contents for the Digital Edition of Club Management Summer 2013
Club Executive of the Year 2013
Profiles in Excellence
Bridging the Expectations Gap
When Death Visits Your Club
Design for the Bottome Line
Have a Seat
The 19th Hole
Club Management Summer 2013