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CPR and The Chain of Survival



What is the Chain of Survival?

The “Chain of Survival” is a concept developed by the American Heart Association (AHA). It includes the components or “links” that must be in place to increase a patient’s chance of survival from sudden cardiac arrest. The links include; early access care (early 911), early CPR, early defibrillation/basic life support and early advanced life support. The AHA has shown through research that the highest chances for survival are when CPR is provided as soon as possible, BLS (with defibrillation) is provided within four minutes and ALS is provided within eight minutes. Stay tuned to this website for information concerning the development of community CPR classes to be provided by the St. Charles Fire Department. In the mean time, please visit the American Red Cross at for more information and class schedules.

How does the St. Charles Fire Department provide “Links” of the “Chain of Survival?”

First, the County’s state of the art communications center provides the “Early Access” link with the latest in Emergency Medical Dispatch and enhanced 911. The enhanced 911 system allows dispatchers to quickly pin point your location, as long as you are not on a cell phone, and send the closest appropriate unit.

Next, the paramedics and first responders on the fire apparatus arrive and begin CPR (if not already in progress) and begin advanced life support including advanced airway management, electrical therapy, intravenous access and medications. The final link we provide is ambulance transport to the hospital.

Why does a fire engine come when someone is sick or injured?

Primarily, a fire engine is sent on a medical call as part of the “Chain of Survival.” All of our apparatus are staffed with firefighter/paramedics and equipped with all necessary advanced life support equipment. The engine company can provide the same care as the ambulance, with the exception of transport. Many times, given the call volume for our department, simultaneous calls may be received which means that our two ambulances are out of position. In these situations, one of our five fire apparatus can arrive more quickly to begin life saving care. When a life-threatening condition occurs, such as sudden cardiac arrest or severe allergic reaction, minutes, even seconds make the difference.

Additionally, the extra personnel help reduce the time it takes to assess a patient and prepare them for transport to a medical facility. They also provide a level of safety for the personnel on the ambulance and the patient by assisting with removal of patients in tight quarters or very large patients.

Your emergency call to 911 begins a series of events to deliver you the highest quality emergency medical care with rapid transportation to the most appropriate medical facility. In fact, emergency care actually begins with a call to a civilian dispatcher who is trained to provide emergency medical instructions on the phone while prioritizing your needs. Once the level of response is determined, the nearest appropriate advanced life support fire apparatus and ambulance are sent.

This tiered response by the closest advanced life support fire units provides immediate response to your medical emergency. The St. Charles Fire Department can also utilize two medical flight helicopters for transportation of the most seriously injured patients to the highest level trauma facilities. Whatever the call, one simple number, 911, brings our highly qualified emergency medical personnel to your door within minutes.

 
   


  
The mission of the St. Charles Fire Department is:

·
Service without boundaries;
· Compassion and Integrity in all that we do;
· Courage to move forward.


      Ernie Rhodes,     
   City of St. Charles
Fire Chief