Following prompts from AEDs programmed with a protocol similar to Guidelines 2005, firefighters shortened pauses in CPR and improved overall hands-on time, but survival to hospital admission of patients with ventricular fibrillation out-of-hospital cardiac arrest did not improve. Clinical Trial Registration- http://www.clinicaltrials.gov. Unique identifier: NCT00139542.
Public-access defibrillation programs have thus been developed to make automatic external defibrillators (AEDs) publicly available, allowing rapid early defibrillation.
11-17Although the benefits of AED are undeniable, public use rates remain very low, 4,15,18 and thus the effectiveness of such programs could be dramatically improved. One of the key issues is the disparity between the locations of AEDs and SCAs. In Paris, although AED deployment in the community, which started in 1993 with the progressive equipping of EMS ambulances, has been particularly active over the last decade, the choice of where to install AEDs in public places has been driven mainly by empirical considerations (local unguided initiatives). Recent studies have already pointed out the limitations of such an approach, calling for an evidence-based strategy.
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