A Poor Association Between Out-of-Hospital Cardiac Arrest Location and Public Automated External Defibrillator Placement

2013 ◽  
Vol 28 (4) ◽  
pp. 342-347 ◽  
Author(s):  
Matthew J. Levy ◽  
Kevin G. Seaman ◽  
Michael G. Millin ◽  
Richard A. Bissell ◽  
J. Lee Jenkins
Keyword(s):  
Cardiac Arrest ◽  
Assisted Living ◽  
Assisted Living Facilities ◽  
Automated External Defibrillator ◽  
Nursing Facilities ◽  
Publication Type ◽  
Skilled Nursing ◽  
Automated External Defibrillators ◽  
Hospital Cardiac Arrest ◽  
External Defibrillator

AbstractIntroductionMuch attention has been given to the strategic placement of automated external defibrillators (AEDs). The purpose of this study was to examine the correlation of strategically placed AEDs and the actual location of cardiac arrests.MethodsA retrospective review of data maintained by the Maryland Institute for Emergency Medical Services Systems (MIEMSS), specifically, the Maryland Cardiac Arrest Database and the Maryland AED Registry, was conducted. Location types for AEDs were compared with the locations of out-of-hospital cardiac arrests in Howard County, Maryland. The respective locations were compared using scatter diagrams and r2 statistics.ResultsThe r2 statistics for AED location compared with witnessed cardiac arrest and total cardiac arrests were 0.054 and 0.051 respectively, indicating a weak relationship between the two variables in each case. No AEDs were registered in the three most frequently occurring locations for cardiac arrests (private homes, skilled nursing facilities, assisted living facilities) and no cardiac arrests occurred at the locations where AEDs were most commonly placed (community pools, nongovernment public buildings, schools/educational facilities).ConclusionA poor association exists between the location of cardiac arrests and the location of AEDs.LevyMJ, SeamanKG, MillinMG, BissellRA, JenkinsJL. A poor association between out-of-hospital cardiac arrest location and public automated external defibrillator placement. Prehosp Disaster Med. 2013;28(4):1-6.

scholarly journals Use of Public Automated External Defibrillators in Out-of-Hospital Cardiac Arrest in Poland

Medicina ◽  
2021 ◽  
Vol 57 (3) ◽  
pp. 298
Author(s):  
Przemysław Żuratyński ◽  
Daniel Ślęzak ◽  
Sebastian Dąbrowski ◽  
Kamil Krzyżanowski ◽  
Wioletta Mędrzycka-Dąbrowska ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Public Space ◽  
Public Awareness ◽  
Fire Service ◽  
Public Access ◽  
Automated External Defibrillator ◽  
Public Place ◽  
Automated External Defibrillators ◽  
Hospital Cardiac Arrest ◽  
External Defibrillator

Background and objectives: National medical records indicate that approximately 350,000–700,000 people die each year from sudden cardiac arrest. The guidelines of the European Resuscitation Council (ERC) and the International Liaison Committee on Resuscitation (ILCOR) indicate that in addition to resuscitation, it is important—in the case of so-called defibrillation rhythms—to perform defibrillation as quickly as possible. The aim of this study was to assess the use of public automated external defibrillators in out of hospital cardiac arrest in Poland between 2008 and 2018. Materials and Methods: One hundred and twenty cases of use of an automated external defibrillator placed in a public space between 2008 and 2018 were analyzed. The study material consisted of data on cases of use of an automated external defibrillator in adults (over 18 years of age). Only cases of automated external defibrillators (AED) use in a public place other than a medical facility were analysed, additionally excluding emergency services, i.e., the State Fire Service and the Volunteer Fire Service, which have an AED as part of their emergency equipment. The survey questionnaire was sent electronically to 1165 sites with AEDs and AED manufacturers. A total of 298 relevant feedback responses were received. Results: The analysis yielded data on 120 cases of AED use in a public place. Conclusions: Since 2016, there has been a noticeable increase in the frequency of use of AEDs located in public spaces. This is most likely related to the spread of public access to defibrillation and increased public awareness.

scholarly journals Impact of Onsite or Dispatched Automated External Defibrillator Use on Survival After Out-of-Hospital Cardiac Arrest

Circulation ◽  
2011 ◽  
Vol 124 (20) ◽  
pp. 2225-2232 ◽  
Author(s):  
Jocelyn Berdowski ◽  
Marieke T. Blom ◽  
Abdennasser Bardai ◽  
Hanno L. Tan ◽  
Jan G.P. Tijssen ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Automated External Defibrillator ◽  
Hospital Cardiac Arrest ◽  
External Defibrillator

Abstract 01: Dispatching Lay Rescuers Through a Smartphone Application is Associated With Increased Bystander Defibrillation in Out-of-Hospital Cardiac Arrest

Circulation ◽  
2018 ◽  
Vol 138 (Suppl_2) ◽  
Author(s):  
Linn Andelius ◽  
Carolina Malta Hansen ◽  
Freddy Lippert ◽  
Lena Karlsson ◽  
Christian Torp-Pedersen ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Smartphone Application ◽  
Automated External Defibrillator ◽  
Early Defibrillation ◽  
Emergency Medical Dispatch ◽  
Capital Region ◽  
Electronic Survey ◽  
Emergency Medical ◽  
Hospital Cardiac Arrest ◽  
External Defibrillator

Introduction: Survival after out-of-hospital cardiac arrest (OHCA) is dependent on early defibrillation. To increase bystander defibrillation in OHCAs, a first-responder program dispatching lay rescuers (Heart Runners) through a smartphone application (Heart Runner-app) was implemented in the Capital Region of Denmark. We investigated the proportion of Heart Runners arriving prior to the Emergency Medical Services (EMS) and rates of bystander defibrillation. Methods: The Capital Region of Denmark comprises 1.8 mil. inhabitants and 19,048 Heart Runners were registered. In cases of suspected OHCA, the Heart Runner-app was activated by the Emergency Medical Dispatch Center. Up to 20 Heart Runners < 1.8 km from the OHCA were dispatched to either start cardiopulmonary resuscitation (CPR) or to retrieve and use a publicly accessible automated external defibrillator (AED). Through an electronic survey, Heart Runners reported if they arrived before EMS and if they applied an AED. OHCAs where at least one Heart Runner arrived before EMS were compared with OHCAs where EMS arrived first. All OHCAs from September 2017 to May 2018, where Heart Runners had been dispatched, were included. Results: Of 399 EMS treated OHCAs, 78% (n=313/399) had a matching survey. A Heart Runner arrived before EMS in 47% (n=147/313) of the cases, and applied an AED in 41% (n=61/147) of these cases. Rate of bystander defibrillation was 2.5-fold higher compared to cases where the EMS arrived first (Table 1). Conclusions: By activation of the Heart Runner-app, Heart Runners arrived prior to EMS in nearly half of all the OHCA cases. Bystander defibrillation rate was significantly higher when Heart Runners arrived prior to EMS.

scholarly journals Changes in automated external defibrillator use and survival after out-of-hospital cardiac arrest in the Nijmegen area

2018 ◽  
Vol 26 (12) ◽  
pp. 600-605 ◽  
Author(s):  
J. Nas ◽  
J. Thannhauser ◽  
J. J. Herrmann ◽  
K. van der Wulp ◽  
P. M. van Grunsven ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Automated External Defibrillator ◽  
Hospital Cardiac Arrest ◽  
External Defibrillator

scholarly journals What Do Adolescents Learn from a 50 Minute Cardiopulmonary Resuscitation/Automated External Defibrillator Education in a Rural Area: A Pre-Post Design

2019 ◽  
Vol 16 (6) ◽  
pp. 1053
Author(s):  
Ming-Fen Tsai ◽  
Li-Hsiang Wang ◽  
Ming-Shyan Lin ◽  
Mei-Yen Chen
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Education Program ◽  
Individual Performance ◽  
Automated External Defibrillator ◽  
Quasi Experimental ◽  
Rescue Time ◽  
The Impact ◽  
Hospital Cardiac Arrest ◽  
External Defibrillator

Background: Literature indicates that patients who receive cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) from bystanders have a greater chance of surviving out-of-hospital cardiac arrest (OHCA). A few evaluative studies involving CPR/AED education programs for rural adolescents have been initiated. This study aimed to examine the impact of a 50 min education program that combined CPR with AED training in two rural campuses. Methods: A quasi-experimental pre-post design was used. The 50 min CPR/AED training and individual performance using a Resusci Anne manikin was implemented with seventh grade students between August and December 2018. Results: A total of 336 participants were included in this study. The findings indicated that the 50 min CPR/AED education program significantly improved participant knowledge of emergency responses (p < 0.001), correct actions at home (p < 0.01) and outside (p < 0.001) during an emergency, and willingness to perform CPR if necessary (p < 0.001). Many participants described that “I felt more confident to perform CPR/AED,” and that “It reduces my anxiety and saves the valuable rescue time.” Conclusions: The brief education program significantly improved the immediate knowledge of cardiac emergency in participants and empowered them to act as first responders when they witnessed someone experiencing a cardiac arrest. Further studies should consider the study design and explore the effectiveness of such brief programs.

scholarly journals Significance of blood pH value and automated external defibrillator shock in determining the outcomes of out-of-hospital cardiac arrest patients

2017 ◽  
Vol 25 (2) ◽  
pp. 73-82
Author(s):  
Li-Heng Tsai ◽  
Chen-Bin Chen ◽  
Peng-Huei Liu ◽  
Chung-Hsien Chaou ◽  
Chien-Hsiung Huang ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Troponin I ◽  
Chang Gung Memorial Hospital ◽  
Time Interval ◽  
Automated External Defibrillator ◽  
Clinical Practices ◽  
Blood Ph ◽  
Hospital Cardiac Arrest ◽  
Defibrillator Shock ◽  
External Defibrillator

Background: The prognosis of out-of-hospital cardiac arrest is generally poor. It is known that the survival of out-of-hospital cardiac arrest patients depends on treatments delivered in a very short time frame. Identifying outcome-associated factors may provide valuable information for decision-making in clinical practices. Aim: The objective of the present study was to assess the associations between various factors (e.g. serum biomarker levels and prehospital factors) and outcomes in adult, non-traumatic out-of-hospital cardiac arrest patients. Methods: Data from 386 consecutive out-of-hospital cardiac arrest patients treated from January 2012 to December 2015 at Taoyuan Chang Gung Memorial Hospital (Taiwan, ROC) were collected. While performing cardiopulmonary resuscitation in the emergency room, the levels of creatinine, aspartate aminotransferase, sodium, potassium, troponin-I, hydrogen bicarbonate and haemoglobin were determined, blood pH and pCO2 were measured and the white blood cell count was calculated. The response time and scene time interval were also recorded. Results: Here we found that out-of-hospital cardiac arrest patients with blood pH values of <7.34 had a lower chance of survival to 24 h (Odds Ratio (OR) = 2.77), survival to discharge (OR = 7.06) and a good neurological outcome (OR = 64.59). Moreover, patients without an automated external defibrillator shock had a lower chance of being discharged (OR = 4.27) and enjoying good neurological outcomes (OR = 25.09). Conclusion: Our data suggest that the blood pH and an automated external defibrillator shockable rhythm are two easily measurable factors strongly associated with the outcomes of out-of-hospital cardiac arrest patients.

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