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1st Choice 

Emergency & Safety Training

1st Choice EST Blog


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Here's what you need to know about the AHA instrumented directive feedback device (IDFD) requirements.

Posted on December 20, 2018 at 1:35 AM Comments comments (20)

To teach AHA courses involving adult CPR, you will be required, as of January 31, 2019, to use manikins or devices that feature an instrumented directive feedback device (IDFD), providing real-time feedback on student CPR performance.

The AHA requirement:

"By January 31, 2019, the AHA will require the use of an instrumented directive feedback device or manikin in all AHA courses that teach the skills of adult CPR. Specifically, an instrumented directive feedback device or manikin is one that, at a minimum, provides audio or visual (or both) feedback on the rate and depth of compressions during CPR training."" target="_blank">See the entire document.

Why this new requirement?

Research by experts in the field has shown that real-time feedback on adult CPR performance significantly increases students' ability to perform quality CPR -- specifically, to achieve the recommended rate of 100-120 compressions per minute and the recommended compression depth

of 2 inches.


Which AHA courses are involved?

Basic Life Support (BLS)

Advanced Cardiovascular Life Support (ACLS)

Advanced Cardiovascular Life Support for Experienced Providers (ACLS EP)

Heartsaver® First Aid CPR AED

Heartsaver® CPR AED

The requirement applies to both U.S. and international training, adult CPR only.


How do I know if my manikins comply?

All major manufacturers are working to find ways to incorporate the feedback requirements into their adult manikins, either by building in electronic feedback capabilities or by developing add-on equipment. Many already have. 

To comply, your existing adult manikins must feature:


a clicker or any other device that gives audio or visual feedback to indicate compression depth, and

audio or visual feedback indicating a compression rate of 100-120 compressions per minute, through either exact numbers or lights that illuminate progressively.

How do I know if new manikins I purchase comply?

We clearly label all compliant manikins on this Web site:

"Meets the AHA CPR feedback device requirements"


Which manikins comply with the new requirements?


Please note: AHA does not endorse or recommend any specific equipment to meet the requirements.

Dame Dash from the Dash Diabetes Network on TMZ

Posted on September 3, 2017 at 7:55 PM Comments comments (33)

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Family Tree

Posted on September 3, 2017 at 7:45 PM Comments comments (39)

Use this family tree to map out your family's health history. Identify family members who have lived with diabetes or other serious health conditions. Then, talk with your healthcare provider about what this means to you and others in your family.

Power Ambassador Ashanti´┐Ż??s Master Plan Workout

Posted on June 26, 2017 at 8:50 PM Comments comments (10)

The American Heart Association suggests at least 150 minutes per week of moderate exercise or 75 minutes per week of vigorous exercise (or a combination of moderate and vigorous activity). Thirty minutes a day, five times a week is an easy goal to remember. And, it is a goal you can reach.


Power Ambassador Ashanti and her team of trainers have put together a series of workout videos to help you meet that goal! Today is the day to begin your journey toward a healthier you!


Posted on December 25, 2016 at 3:10 PM Comments comments (11)


Dial 9-1-1 Fast


Heart attack and stroke are life-and-death emergencies — every second counts. If you see or have any of the listed symptoms, immediately call 9-1-1 or your emergency response number. Not all these signs occur in every heart attack or stroke. Sometimes they go away and return. If some occur, get help fast! Today heart attack and stroke victims can benefit from new medications and treatments unavailable to patients in years past. For example, clot-busting drugs can stop some heart attacks and strokes in progress, reducing disability and saving lives. But to be effective, these drugs must be given relatively quickly after heart attack or stroke symptoms first appear. So again, don't delay — get help right away!

Read more below:

Publix joins the fight to save lives!

Posted on December 4, 2016 at 6:45 PM Comments comments (17)

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1st Choice Emergency & Safety Training has heard it through the grapevine that Publix has put Philips Brand AED's in all 1,134 store locations and had various members of their team get American Heart Association CPR/AED training! I spoke with a member of management today at one of my local stores. When I mentioned that I was an instructor and had heard what Publix decided to do her face lit up and she said, "This was the first time I left a CPR class and felt confident that I could really help someone!"

This video is a perfect example on how they are involved in helping their local community.

Automated External Defibrillators Can Save Lives During Cardiac Emergencies

Posted on September 19, 2016 at 11:10 PM Comments comments (10)

Automated External Defibrillators (AEDs)

improve survival after an out-of-hospital cardiac

arrest. Their presence reduces the critical time for

treatment. Less time to defibrillation improves

victims’ chances of survival. Having the devices

appropriately located in a business or workplace

improves the survivability of people experiencing a

cardiac crisis.

Why should employers make Automated

External Defibrillators available to


■ There are 300,000-400,000 deaths per year

in the United States from cardiac arrest.

■ Most cardiac arrest deaths occur outside the

hospital. Current out-of-hospital survival rates

are 1 to 5 percent.

■ In 1999 and 2000, 815 of 6,339 workplace

fatalities reported to OSHA were caused by

cardiac arrest.

■ Jobs with shift work, high stress, and exposure

to certain chemicals and electrical hazards

increase the risks of heart disease and cardiac


What causes cardiac arrest, and how

does an AED improve survivability?

■ Abnormal heart rhythms, with ventricular

fibrillation (VF) being the most common,

cause cardiac arrest.

U.S. Department of Labor

Occupational Safety and Health Administration

OSHA 3174 (2001)

■ Treatment of VF with immediate electronic

defibrillation can increase survival to more

than 90 percent.

■ With each minute of delay in defibrillation,

10 percent fewer victims survive.

Is AED equipment expensive?

■ The average initial cost for an AED ranges

from $3,000 to $4,500.

Are AEDs difficult to use?

■ AEDs are easy to use. In mock cardiac arrest,

untrained sixth-grade children were able to

use AEDs without difficulty.

■ Automated external defribrillators are effective,

easy to use, and relatively inexpensive.

Friends and Family CPR in St. Augustine, Florida

Posted on August 25, 2016 at 2:05 AM Comments comments (1)

Healthfair 2016

Posted on June 12, 2016 at 6:00 PM Comments comments (12)

Why learn CPR

Posted on April 5, 2016 at 7:45 PM Comments comments (8)


Cardiac arrests are more common than you think, and they can happen to anyone at any time.

• Nearly 383,000 out-of-hospital sudden cardiac arrests occur annually, and 88 percent of cardiac arrests occur at home.

• Many victims appear healthy with no known heart disease or other risk factors.

• Sudden cardiac arrest is not the same as a heart attack.

o Sudden cardiac arrest occurs when electrical impulses in the heart become rapid or chaotic, which causes the heart to suddenly stop beating.

o A heart attack occurs when the blood supply to part of the heart muscle is blocked. A heart attack may cause cardiac arrest.


The life you save with CPR is mostly likely to be a loved one!

• Four out of five cardiac arrests happen at home.

• Statistically speaking, if called on to administer CPR in an emergency, the life you save is likely to be someone at home: a child, a spouse, a parent or a friend.

• African-Americans are almost twice as likely to experience cardiac arrest at home, work or in another public location than Caucasians, and their survival rates are twice as poor as for Caucasians.


• Failure to act in a cardiac emergency can lead to unnecessary deaths.

• Effective bystander CPR provided immediately after sudden cardiac arrest can double or triple a victim’s chance of survival, but only 32 percent of cardiac arrest victims get CPR from a bystander.

• Sadly, less than eight percent of people who suffer cardiac arrest outside the hospital survive.

• The American Heart Association trains more than 12 million people in CPR annually, to equip Americans with the skills they need to perform bystander CPR.