HomeMy WebLinkAboutMINUTES - 09282004 - C.80 TO: BOARD OF SUPERVISORS , Contra
FROM: William B. Walker, MD, Director,
Health Services Department Costa
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DATE: September 28, 2004Y,
SUBJECT: Public Access Defibrillation Programr
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SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATIONS:
(1) Authorize the Health Services Emergency Medical Services Agency to purchase 42 Medtronic Physio-Control CR
Plus automatic defibrillators that have been in use by fire service agencies in Contra Costa County participating in
vendor-sponsored product evaluation.
(2) Authorize the Health Services Emergency Medical Services Agency to assign these defibrillators to public
agencies within the county agreeing to establish or participate in a Public Access Defibrillation Program,
FISCAL IMPACT:
No County General Fund impact. Medtronic Physio-Control has agreed to provide these defibrillators to the County
for$1,400 each for a total cost of$58,800. This cost will be covered by CSA EM-1 (Measure H).
BACKGROUND:
For the past two years,Medtronic Physio-Control has placed 42 CR Plus automatic defibrillators on first responder
units in fire service agencies in Contra Costa County as part of a vendor-sponsored product evaluation. (Note that
these units were approved by the Federal Drug Administration and were publicly available prior to being placed on
first responder units.) The purpose of the product evaluation was to enable the vendor to collect detailed data on
product performance in the field. Now that the product evaluation has been completed,the first responder units that
participated in the evaluation will resume use of the Medtronic Physio-Control LifePak 500 defibrillators used by first
responders countywide.
Public Access Defibrillation(PAD)is now recognized as an effective community program to save lives of sudden
cardiac arrest victims. A study published in the August 11, 2004 New England Journal of Medicine reaffirmed the
American Heart Association's position supporting community-based lay rescuer programs that include both
cardiopulmonary resuscitation(CPR)and automated external defibrillation(AED).
The CR Plus is an ideal unit for use by lay rescuers. The units proposed for purchase are in like--new condition and
have been used under close supervision by the EMS Agency and by the vendor. Medtronic Physio-Control is making
these units available to the County for purchase at$1,400/unit,a$799/unit savings from the $2,199 new purchase
price. The EMS Agency is developing a program that will provide defibrillators and initial training to public agencies
within the county agreeing to participate in a ongoing Public Access Defibrillation program. Priority in selection of
participants in the Public Access Defibrillation program will go to locations serving large numbers of the public, to
agencies agreeing to ongoing training and maintenance of equipment, and to establishing programs in all regions of
the county.
CONTINUED ON ATTACHMENT: —YES SIGNATURE:
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`RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD CO ITTEE
1--APPROVE OTHER
SIGNATURE(S): � t
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ACTION OF BOARRD ONI� f`. ,._ # X,l , IA- APPROVE AS RECOMMENDED OTHER
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VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE
AND CORRECT COPY OF AN ACTION TAKEN
r� UNANIMOUS(ABSENT s�"�{''1 -� ) AND ENTERED ON THE MINUTES OF THE
BOARD OF SUPERVISORS ON THE DATE
AYES: NOES: SHOWN.
ABSENT: ABSTAIN:
ATTESTED
JOHOJ SWEETEN,CLERK OF THE BOARD OF
Originating Department: Emergency Medical Services 646-4690 SUPERVISORS AND COUNTY ADMINISTRATOR
cc: County Administrator
County Counsel
Health Services Administration
Emergency Medical Services
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