All Toronto Transit Commission (“TTC”) subway stations are now equipped with Automated External Defibrillators (AED’s); all are located within the line of sight of a collector booth at each TTC subway station. Some stations are equipped with two (2) units.
The TTC is pleased to announce that Automated External Defibrillators (AEDs) are now available in all 69 subway/rt stations. The AEDs can be used by anyone in the event of a cardiac emergency. The final 22 stations were equipped with the units earlier this month.
Defibrillators are simple to use and can be accessed by anybody who encounters a medical emergency, such as a sudden cardiac arrest. These subway units were made possible in partnership with the Heart and Stroke Foundation of Ontario and the Ontario Ministry of Health Promotion, and their partners.
The AEDs are installed within line of sight of a Collector Booth at every station. Each unit is encased in appropriately labelled, glass-fronted, white cabinets, 15 inches by 13 inches in size. Some stations are equipped with two units. To date, none of the AEDs in the system have had to be activated.
The physical placement of defibrillator units was assessed by TTC staff and Toronto Emergency Medical Services (EMS) based on a combination of customer volume and proximity to a Collector Booth. Toronto EMS owns and maintains the AEDs. The units were provided to EMS by the Heart and Stroke Foundation of Ontario.
Combined with the platform paramedics on duty during rush hours, the TTC is helping to fast track potentially life-saving response and treatment to more than 800,000 daily subway riders.
AEDs are used in combination with CPR to help restore heart rhythm when a person goes into cardiac arrest. Defibrillation, when used with CPR, can improve cardiac arrest survival by more than 50 per cent if delivered in the first few minutes.
In 2010, the TTC experienced approximately 1,400 incidents of customers becoming ill or injured on subway trains or in subway stations. Of those, about 950 people (or 68 per cent of incidents) required a trip to the hospital. Last year, the subway station with the most EMS calls was Bloor-Yonge.
The first unit was installed at Bloor-Yonge Station – Collectors Level on March 2, 2009. Last year, 47 stations had the units. The installation of AEDs at the remaining stations was completed this month.
Here is some information from the Heart and Stroke Foundation of Ontario:
Cardiac arrest (or sudden cardiac arrest, sudden cardiac death) is a medical emergency. When a person stops breathing and the heart stops beating, then a person is experiencing cardiac arrest. (It is not a heart attack, which occurs when the blood supply to the heart is slowed or stopped because of a blockage.)
Cardiopulmonary resuscitation (CPR) is an emergency procedure involving chest compressions (pressing down on the chest) and artificial respiration (rescue breathing). It has the power to restore blood flow to someone suffering cardiac arrest, keeping them alive until an ambulance arrives.
Why get trained?
Once the heart stops pumping, seconds count. For every minute that passes without help, a person’s chance of surviving drops by about 10%. But if you know how to respond to a cardiac arrest, a person’s odds of survival and recovery may increase by 30% or more.
Learning CPR is easy and inexpensive – just a few hours could make an important difference in someone’s life. Find out about the different kinds of CPR courses available.
Since most cardiac arrests happen at home, you could be saving the life of a family member or friend. Find out about CPR training in your area.
Or if you’d like to learn CPR at home, learn more about the Heart& Stroke CPR Anytime™ Family & Friends™ Personal Learning Program kit.
You don’t have to be a doctor to save a life. New Automated External Defibrillators (AEDs) make it possible for even non-medical personnel to restore heart rhythm and life.
An AED is a machine that can monitor heart rhythms. It can tell if the heart has stopped beating effectively. If required, the machine can then deliver an electric shock to the heart. Most of the time, this shock will restart the heart.
The Heart and Stroke Foundation of Canada sets the Canadian Guidelines for CPR, defibrillation and other aspects of emergency cardiovascular care in Canada. HSFC is a founding member of the International Liaison Committee on Resuscitation (ILCOR). ILCOR is the international body that reviews emerging resuscitation research and summarizes the latest findings to give direction when there is strong scientific evidence to lead to a guideline change. HSFC, in collaboration with the American Heart Association, uses ILCOR’s information to continuously update Guidelines for North America.
The 2010 Guidelines for CPR and Emergency Cardiovascular Care are the most current Guidelines, which are the foundation for all HSFC CPR courses in Canada. All HSFC courses incorporate the latest evidence in resuscitation science and training. All CPR training agencies in Canada should refer to the Guidelines when developing their own training programs.
CPR Guidelines (2010)
Emergency signs and actions – for life (PDF)
Heart&Stroke courses for the general public
HSFC Position Statement on Public Access to AEDs
Order the CPR Anytime™ Family & Friends™ Personal Learning Program kit to learn CPR at home
Some Quick Facts:
- A defibrillator gives an electrical shock to the heart to reset a normal beat. It scans for abnormal heart rhythms and advises the first responder to administer the jolt. Receiving immediate treatment could save lives and reduce the need for long-term hospitalization.
- Early intervention using a defibrillator, together with CPR, can save lives and improve survival rates by up to 50 per cent.
- Ontario passed the Chase McEachern Act in 2007 which provides liability protection to individuals who attempt to use a defibrillator in an emergency and to property owners and tenants.
- The Heart and Stroke Foundation of Ontario — in partnership with the province — has already installed 2,711 defibrillators throughout Ontario at sport, recreation and community centres. Nearly 21,688 first responders have been trained and 30 lives have been saved.
Chase McEachern Act – Bill 41 – 2007 – Liability Protection for those utilizing AED’s (Defibrillator):
Chase McEachern Act (Heart Defibrillator Civil Liability), 2007
S.O. 2007, CHAPTER 10
Consolidation Period: From July 3, 2007 to the e-Laws currency date.
1. In this Act,
“defibrillator” means an automated external medical heart monitor and defibrillator that is capable of,
(a) recognizing the presence or absence of ventricular fibrillation or rapid ventricular tachycardia,
(b) determining, without intervention by an operator, whether defibrillation should be performed,
(c) automatically charging and requesting delivery of an electrical impulse to an individual’s heart as medically required, and
(d) satisfying any other criteria that may be prescribed by regulation; (“défibrillateur”)
“emergency” means a situation during which the behaviour of an individual reasonably leads another individual to believe that the first individual is experiencing a life-threatening event that requires the provision of immediate care to assist the heart or other cardiopulmonary functioning of that person; (“situation d’urgence”)
“health care professional” means,
(a) a member of a College of a health profession set out in Schedule 1 to the Regulated Health Professions Act, 1991,
(b) such other persons or classes of persons as may be prescribed. (“professionnel de la santé”) 2007, c. 10, Sched. N, s. 1.
Protection from civil liability, user of defibrillator
2. (1) Despite the rules of common law, a person described in subsection (2) who, in good faith, voluntarily and without reasonable expectation of compensation or reward uses a defibrillator on a person experiencing an emergency is not liable for damages that result from the person’s negligence in acting or failing to act while using the defibrillator, unless it is established that the damages were caused by the gross negligence of the person. 2007, c. 10, Sched. N, s. 2 (1).
(2) Subsection (1) applies to,
(a) a health care professional, if the health care professional does not use the defibrillator at a hospital or other place having appropriate health care facilities and equipment for the purpose of defibrillation; and
(b) an individual, other than a health care professional described in clause (a), who uses a defibrillator at the immediate scene of an emergency. 2007, c. 10, Sched. N, s. 2 (2).
Reimbursement of expenses
(3) Reasonable reimbursement that a person receives for expenses that the person reasonably incurs in using a defibrillator shall be deemed not to be compensation or reward for the purpose of subsection (1). 2007, c. 10, Sched. N, s. 2 (3).
Protection from civil liability, owner or operator of premises
3. (1) Despite the Occupiers’ Liability Act and the rules of common law, any person who owns or occupies premises where a defibrillator is made available for use and who acts in good faith with respect to the availability or use of the defibrillator is exempt from civil liability for any harm or damage that may occur from the use of the defibrillator. 2007, c. 10, Sched. N, s. 3 (1).
(2) Subsection (1) does not exempt the person who owns or occupies the premises where a defibrillator is made available for use from civil liability if,
(a) that person acts with gross negligence with respect to making the defibrillator available;
(b) that person fails to properly maintain the defibrillator; or
(c) the premises where the defibrillator is made available for use is a hospital or other premises used primarily for the purpose of providing health care to individuals. 2007, c. 10, Sched. N, s. 3 (2).
4. The Lieutenant Governor in Council may make regulations,
(a) prescribing criteria for the purpose of the definition of “defibrillator” in section 1;
(b) prescribing persons or classes of persons for the purposes of the definition of “health care professional” in section 1;
(c) governing standards for the proper maintenance of defibrillators;
(d) respecting any matter necessary or advisable to carry out effectively the purposes of this Act. 2007, c. 10, Sched. N, s. 4.
Applies to the Crown
5. This Act applies to the Crown and any agency of the Crown. 2007, c. 10, Sched. N, s. 5.
6. Omitted (provides for coming into force of provisions of this Act). 2007, c. 10, Sched. N, s. 6.
7. Omitted (enacts short title of this Act). 2007, c. 10, Sched. N, s. 7.