Royal Philips, a global leader in health technology, and Saudi Arabia’s Ministry of Health have announced a collaboration on the Heart Safe City project to increase survival rates from sudden cardiac arrest.

The programme will be tested in the city of Makkah utilizing the expertise Philips.

The programme will leverage a unique end-to-end solution combining education programmes to increase awareness of CPR, the use of publicly-available AEDs (Automated External Defibrillator), and new technologies to strengthen the ‘chain of survival’ from the moment an incident occurs to the patient reaching the hospital.

The Minister Dr Tawfiq Al Rabiah explained: “We are very excited to test this staged programme in Makkah. This will be the first city in Saudi Arabia to participate in this kind of programme and the project will better prepare us for shaping a Heart Safe City around Makkah that is both efficient, effective and technologically enabled. It is a pragmatic approach to better managing morbidity and mortality associated with cardiovascular disease. Leveraging solutions across the chain of survival to combat the millions of deaths that occur from cardiac arrest each year.”

Cardiovascular disease is a leading cause of global mortality, accounting for almost 17 million deaths annually – 44 per cent of all known-communicable disease deaths globally. In the Kingdom, that percentage is 37 per cent according to the WHO statistics. It is estimated that about 40-50 per cent of all cardiovascular deaths are due to sudden cardiac arrest. The average age for developing heart disease in the Kingdom is 56, 10 years younger than the global average.

The Minister added: “The Kingdom also annually hosts over 2 million pilgrims in Makkah from around the world. It is estimated 64 per cent of admissions to the ICU during the Hajj season are due to cardiovascular disease. Over 45 per cent of these patients unfortunately do not survive. The sheer volume of incidents makes Makkah an excellent choice as the inaugural city and represents the start of a programme of critical importance to us at the Ministry and the Kingdom overall.”  

It is estimated that 70 to 80 percent of sudden cardiac arrest incidents happen outside the hospital [6]. For every minute that passes without CPR and defibrillation, an SCA victim’s chance of survival decreases by 7 to 10 percent. These cardiac arrests can happen anywhere, at any time. With bystander intervention and treatment with an AED, the survival triples to 31.4 percent.

“Philips is dedicated to providing integrated cardiology solutions with a focus on prevention, diagnosis and treatment,” said Ozlem Fidanci, CEO, Philips MET at Philips. “By working directly with the Ministry of Health to offer a large-scale, integrated suite of services and expertise, we have the opportunity to make a significant positive impact on the chances of survival from sudden cardiac arrests that occur outside of the hospital.”

 

Strengthening the chain of survival for sudden cardiac arrest

The chain of survival has four critical steps: 1) alerting emergency medical services; 2) giving CPR to the patient; 3) delivering treatment using an AED; and 4) advanced critical life support, provided by the emergency medical services.

Training and awareness programmes increase the likelihood of a lay first responder being on-hand to provide CPR and treatment using an AED. In addition to the AEDs themselves, technology applications including mapping AEDs and automated alerting of nearby lay first responders have the potential to significantly strengthen the chain of survival and increase survival rates.

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