Pilot Program Leverages Off-Duty Professional Firefighters

I have always had an uncomfortable feeling that I could have made a significant difference in the outcome had I just known. Instead of listening to that siren I could have been performing CPR or using the AED (automated external defibrillator) I carry in my car. My saving grace is knowing that this tragic event led to the creation of PulsePoint. The idea was a simple one. Use mobile phones to alert nearby CPR-trained individuals to cardiac emergencies simultaneously with the dispatch of traditional responders.

PulsePoint, which is now in more than 2,500 communities, links directly to the emergency dispatch system. When someone suffers a cardiac arrest in a public place, CPR-trained citizens within walking distance of the emergency are alerted along with the professional responders. The thought being that initiating early bystander CPR, before professional first responders arrive, can double, maybe even triple a person’s chance of survival from cardiac arrest. Additionally, PulsePoint shows the location of all nearby public AEDs – so responders think about using them and know where to find the closest one.

Since launching in 2011, PulsePoint has focused solely on events occurring in a public place like shopping malls and schools, but these account for only 20 percent of out-of-hospital cardiac arrests (OHCA). The remaining 80 percent occur in a home or private residence. That is why a coalition of professional first responders, clinicians and researchers along with Philips Healthcare, are working together to improve cardiac arrest response and survival through an innovative program that alerts off-duty firefighters to nearby cardiac arrest events—in public and private residences.

Participating firefighters carry a professional version of the PulsePoint Respond app called Verified Responder. The app notifies these vetted individuals of cardiac arrest calls in both public and private settings when they are in the immediate vicinity - such as the business next door or the house across the street. These off-duty firefighters are equipped with a personal AED provided by Philips.

Critical 24/7/365 jobs such as paramedics and firefighters typically work three distinct shifts. With one shift on-duty and two shifts off-duty, off-duty personnel in many cases are closer to a person in need than the nearest on duty responder. By alerting these professionals to extremely time sensitive emergencies it is anticipated that collapse-to-CPR and collapse-to-defibrillation times can be reduced by increasing awareness of cardiac arrest events beyond that traditional witnessed area.

Cardiac arrest survival continues to be a serious challenge and we need to take advantage of innovative ideas and technology if we intend to save more lives. The Verified Responder program is a remarkable community project – the first of its kind in the US. The program may transform the way we approach this leading cause of death and provide a new and effective strategy for resuscitation.