From: J. Biggart
Sent: Tuesday, July 28, 2015 6:06 PM
To: Owners of Unit 812
Cc: David David Rasmussen; Laura Windpassinger ; Joel Fleischer
Subject: Fwd: AED in Exercise Room? Not the Best Practice--Just ask the experts
Sent: Tuesday, July 28, 2015 6:06 PM
To: Owners of Unit 812
Cc: David David Rasmussen; Laura Windpassinger ; Joel Fleischer
Subject: Fwd: AED in Exercise Room? Not the Best Practice--Just ask the experts
Look
- you guys are not communicating in a manner with us like you do with others.
You attack then cry foul whenever your answered in the very way you address
people. Your continued insults and harassment of us seems to be ok, but when
your responded to in kind you're being harassed. It is mind boggling to me. So,
to help you further understand that significant thought went into this decision
let me further clarify how little this had to do with Dave and I.
I not only used my 20 years of
prehospital cardiac arrest experience, but researched other condo buildings,
and discussed placement with a medical control physician and the community
resource person at the Milwaukee Fire Department, in addition to being a
paramedic, paramedic, CPR, PALS and ACLS instructor. If I'm 100% totally wrong
I turn to you to educate me with some evidence that would dictate one placement
is so much more superior than the other. I then think it's important that I
share your evidence based statements with all of them so that we can not all be
wrong when dealing with a life saving machine.
We are being praised by outsiders and hung from the highest tree by a vocal minority with little or no prehospital experience in cardiac arrest scenarios.
We thoroughly discussed putting it on two but the consensus decision after evaluating the evidence and recommendations deemed the cardio workout room as appropriate or more appropriate than the second floor.
When we have the resources we will likely buy a second AED to place in another strategic location. The one valid point that you have is that a FOB is needed to access the AED. We may consider the potential of relocating it in the board room for that reason. Nonetheless, the second floor is quite likely not going to be the location of the AED until and if a second AED is purchased.
At some point the two you you could find yourself much more meaningful if you write in a civil and non-attacking way.
Laura
doesn't make final decisions for this building without consultation with the RC
and / or Board does. Address those two bodies like you address Laura and you
will likely have much more success in your efforts to make a meaningful
contribution to this community.
We
made an evidenced based decision knowing that there were a few locations of
merit. The second floor was not excluded from the discussion. The second floor
and the fitness room were the two locations being considered. I will consult
with Dave and others to see if a different location near the fitness center is
as good or better. Bottom line is that the AED will remain close to the fitness
center and the rooms where people congregate which is also between two
elevators and a stairwell.
Don't
loose tract of the fact that this is how the scenario is going to go for an
unwitnessed or witnessed arrest in a unit with two people in it:
1.
Person is deemed unresponsive which triggers the person to call 911
2.
911 is called, help is sent, and the dispatcher will keep you on the phone
explaining pre-arrival instructions and walking you through CPR
3.
Good quality CPR is key, without another person to call the front desk
(provided someone is there to begin with) or to run and get the AED it's highly
unlikely that the AED will play into this scenario prior to MFD arrival from
1st and Virginia.
4.
Evidence supports that the most likely room in this building for sudden cardiac
arrest is the fitness center, next would be rooms where parties are thrown due
to the mix of people attending - many who are elderly throughout the
year.
5.
People have muscle memory with respect to their brain. If any effort at all is
placed into remembering this tool, you will remember its existence and location
on one of the worst days of your life. That being said, I truly believe that
the fire department will be here with an AED before you could access it unless
there are at least 2 alive people in the unit. The chances of witnessed cardiac
arrest by bystanders, where there is more than one person to call 911 and do
pre-arrival CPR is most likely rooms where people congregate.
6.
At a minimum we will buy a placard for the fitness center door (or wherever this
ends up should the location change) that lets people know there is an AED in
the room.
7.
Many cardiac arrests are not able to be turned around by an AED, and if the
person isn't found within 10 minutes of dying the AED is likely to make no
difference in someone's quality of life unless amazing CPR is performed. If you
choose to run down to the second floor for an AED and not perform chest
compressions the person would be much less viable for defibrillation. 10% drop
in success every minute CPR is not occurring. Additionally, in a non-witnessed
arrest you are to do two minutes of CPR before delivering a shock. This is to
move some blood through the heart and make it more viable to stop, then
restart, after the shock (if they are even in a shockable rhythm). The majority
of cardiac arrests outside the clinical setting are not witnessed, with the
national average of resuscitation being 5-7% (and that doesn't speak to quality
of life if you survive).
8.
The fire department will not shock an unwitnessed arrest unless at least 2
minutes of quality CPR has been completed. The focus needs to be on listening
to the dispatcher.
The
AED is placed in the location that we, and those we consulted with, believe
will give someone the best chance at survival and is predicated on where the
risk increases and the likelihood that it will even have the chance of being
used.
Believe
it or not, the decisions that we make are not made with to upset or agitate
you, make you feel harassed, or without evidence supporting the decision. We
can make no right move in your eyes and we've come to accept that while at the
same time conducting business, competing projects that increase the quality of
life, wellbeing and safety of the residents, fund long term infrastructure
plans fairly and without surprise, stabilizing costs, investing in the longterm
health of the POR community, facilities, and financial security, and holding
people accountable to the Association when the violate rules in order to have a
fair, equitable, and consistent way to keep the POR a luxury property in
downtown Milwaukee amongst many other initiatives.
Since
neither you or your wife have run for the POR RC in years, and since most of
the leaders have run unopposed every term, you've got to, at some point, let those
people work under the auspices that they have researched their decision and
have used evidence to come up with the disposition.
Countless
hours have been spent on trying to work with you and keep you happy over the
last 4 + years to no avail. Every team has been under fire from you regardless
the person or the issue. From garage doors to river walk lights, rule
enforcement to AEDs, and everything in between.
You've
got to let up Harvey or people are never going to volunteer here. From Chuck to
John, Jerry to Dave, Lynn to Joel, you've mercilessly and brutally attacked
them and threatened to ruin them, make the loose their house, demand their
resignation, publicly ridiculed them, and even worried one about their safety
in the building.
I
may correspond with you in the same disrespectful manner that you address me,
but you've really behaved yourself into it and that's the playing field we are
on now. You can't insult and harass people then threaten them with lawsuits
when they respond in kind.
The
only thing I will ever ask of you is to lighten up on the people willing to
volunteer around here. You always find a way to vilify each and every one of
them. We will have no one to take these jobs and do this work if they have to
deal with the harassment that you dole out to them. We need people to volunteer
and not all of them can take folks like you as Dave and I can. Only for the
work Dave and I are in are we likely able to deal with your insults,
harassment, and threats while at the same time working hard for the vast
majority of owners and residents happy with what's all been accomplished since
Mandel left.
This
website advises that fitness centers are a key location to place AEDs:
Fitness
centers are always referenced as the top location for AED placement:
Fitness
Centers:
Fitness
Center:
Fitness
Center:
http://m.injuryclaimcoach.com/?url=http%3A%2F%2Fwww.injuryclaimcoach.com%2Fgym-insurance-claims.html
Please
excuse typos or grammar errors. It's tough to do this on an iPhone.
Jerry
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