Michael Lowry (Tipperary North, Independent)

According to the Central Statistics Office, over 11,000 people died in 2002 from cardiovascular disease. It is estimated that outside the hospital system, 6,000 people will suffer cardiac arrest this year. Up to 99% of these patients will unfortunately die. At present, survival prospects are down to 1%. For every one minute delay in treating a cardiac arrest patient, there is a 10% reduction in survival chances. There is almost no chance of survival after a ten to 12 minute delay awaiting treatment. If a patient receives defibrillation, the chance of survival increases to 60%.

Ireland is lagging behind the developed world in the promotion of community-based defibrillators. By comparison, in mainland Europe, a cardiac arrest patient outside of the hospital system has up to a 60% chance of survival. Likewise, in the US there is a 60% survival rate. We regularly hear about tragic sudden deaths. This year it is estimated that 6,000 people will suffer from cardiac arrests, and unfortunately only 60 will survive. The Minister is aware of the chain of survival concept which consists of early access and involves recognising that a person is in cardiac arrest and calling 999 immediately, early cardiopulmonary resuscitation, early defibrillation and early advanced care.

It is essential that every link is as strong as possible because the chain of survival is only as strong as its weakest link. It is worth noting that the first three links take place at the location of a cardiac arrest before professional emergency medical attention is given and that often only the final link of early advanced care is administered by emergency medical technicians or in hospitals.

There are excellent examples of how the availability of defibrillation machines in places where people congregate has saved lives. Dublin Airport installed defibrillation units last year. Since installation, there have been four incidents where they have been used and credited with saving lives.

Defibrillation units are installed in Croke Park, RTE in Montrose and Leinster House. Only two weeks ago, Shannon Airport installed three public access units. It should be the accepted norm that these devices are available and accessible throughout the workplace and at locations where people congregate in large numbers.

AEDs are similar to fire prevention systems in that they are devices which communities and companies should have, but hope not to have reason to use. Unfortunately, while companies spend hundreds of thousands of euro on elaborate fire systems, many do not spend the relatively small amount required to purchase an AED unit and train staff in its use. Many experts agree that we need to reach a stage where public access AED units are as commonplace as the familiar fire extinguisher.

The chain of survival is only as strong as its weakest link, and at present the weakest link is access to defibrillators. In the United States, AED units are carried on all fire engines and in every police squad car. In Ireland, on the other hand, only a handful of fire engines carry AEDs, and it will be years before every Garda car has one.

Communities across Ireland are willing to install these units, but need encouragement and financial support by way of grant aid to make it possible. I urge the Minister to wait no longer but to take decisive action. An AED unit placed strategically in a community ensures that the weakest link in the chain is significantly strengthened. A national programme to encourage public access is needed. The Department should initiate a funding scheme for structured voluntary and community groups which comply with established criteria. With equipment, training and accessories, the average total cost of installing such a unit is €5,000. A sliding scale of funding for groups would act as a significant incentive in promoting wider availability of AED units. Community and voluntary groups face huge obstacles such as difficulties in receiving public liability and medical indemnity insurance cover, the high costs of initial training by professionals and ongoing training and maintaining the interest and commitment of volunteers over long periods of time.

Making more people aware of sudden cardiac arrest and improving access to defibrillators permits an increase in the survival rate for many people. I call on the Minister to take immediate steps to establish a national AED access programme to provide financial assistance for equipment and training to the live-saving and invaluable work being undertaken by community and voluntary groups across the country. Such a scheme will give every cardiac arrest patient the best chance of survival.

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