Analysis of the Way and Correctness of Using Automated External Defibrillators Placed in Public Space in Polish Cities—Continuation of Research

Ślęzak, Daniel; Robakowska, Marlena; Żuratyński, Przemysław; Synoweć, Joanna; Pogorzelczyk, Katarzyna; Krzyżanowski, Kamil; Błażek, Magdalena; Woroń, Jarosław

doi:10.3390/ijerph18189892

Cited by 4 publications

(1 citation statement)

References 23 publications

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“…In an event of SCA, even where there is bystander CPR, any willing rescuer would become exhausted with consequent ineffective chest compressions by that length of time. It is for this reason that drone delivery of automated external defibrillators (AEDs) has been introduced and public access defibrillators are recommended to be located in sports facilities, offices, cinemas, schools, markets in addition to hospitals [ 35 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

State-wide situation analysis of availability of basic resuscitation devices and essential drugs in primary and secondary healthcare facilities in Cross River State, Nigeria

Kalu¹,

Edentekhe²,

Omoronyia³

et al. 2022

Pan Afr Med J

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Introduction Provision of Basic Life Support (BLS) to victims of cardiac arrest and other common causes of sudden death, is a key function of healthcare systems. Such life-saving service, which is lacking in many low- and middle-income countries (LMIC), is highly dependent on consistent availability of BLS devices and essential drugs. These devices are used to secure airway, deliver oxygen, gain intravenous access for infusions, provide cardiac defibrillation and monitor the cardiorespiratory systems. This study was aimed at evaluating the current state of availability of these devices and essential drugs in healthcare facilities in a developing country setting, within the context of urgent need to curb increasing burden of preventable sudden death. Methods descriptive cross-sectional study design was employed to assess availability of each of the aforementioned subgroups of resuscitation devices and drugs, in each primary and secondary healthcare facility in all eighteen (18) Local Government Areas (LGAs) of Cross River State, in Southern Nigeria. Quantitative data was obtained using structured proforma, which was used to document presence and quantity of physically seen device(s) and drugs in each facility. The proportion of health facilities with presence of the devices and drugs, was compared between the three districts using chi-square test. P-value was set at 0.05. Results two hundred and five (205) health care facilities across the eighteen (18) LGAs of Cross River State were assessed. Approximately one-tenth of health facilities had oropharyngeal airway (10.2%) and laryngoscope (9.3%). Only 5.4% and 3.9% had nasopharyngeal and endotracheal tubes, respectively. None of all of these airway devices was found in all health facilities within four LGAs (22.2%). The most commonly available breathing device was self-inflation bag (SIB), which was found in 51.7% of facilities. Seven LGAs (38.9%) had all of their health facilities not having either oxygen delivery devices, oxygen supply or both. Most health facilities had each of the IV access devices and infusion fluids, but only five facilities had automated external defibrillator (AED). Most health facilities had stethoscope (91.2%) and sphygmomanometer (72.2%), but only 15.1% and 9.3% had pulse oximeter and airway nebulizer, respectively. Less than one-fifth (18.5%) of facilities had atropine, and only 3.9% had amiodarone. Except for amiodarone, there was significantly higher proportion of health facilities that had each of the other essential drugs, in northern compared with other districts (p<0.05). Conclusion devices and essential drugs required for provision of resuscitation are lacking in most health facilities in Cross River State. This situation significantly limits the health system’s capacity to save lives, especially during emergencies. The implications of these state-wide findings, as well as modalities and options for improvement in availability ...

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Section: Discussionmentioning

confidence: 99%

State-wide situation analysis of availability of basic resuscitation devices and essential drugs in primary and secondary healthcare facilities in Cross River State, Nigeria

Kalu¹,

Edentekhe²,

Omoronyia³

et al. 2022

Pan Afr Med J

View full text Add to dashboard Cite

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Current status of support for Automated External Defibrillators (AEDs) in public places and factors influencing their use in China: a cross-sectional study

Zhou

Zhang

Zhao

et al. 2023

J Public Health (Berl.)

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Automated external defibrillator location selection considering myocardial infarction risk and medical resources

Yao,

Shao,

Yin

et al. 2024

Transactions in GIS

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The effective deployment of medical emergency equipment, such as automated external defibrillator (AED), is essential to myocardial infarction (MI) patients. However, there are shortcomings in current studies that simultaneously consider the risk of MI and the availability of medical resources when siting the AEDs. In this study, an AED site recommendation framework was proposed to address the lack of consideration for both the MI risk and medical resources when siting the AEDs. It conducts the AED sitting under different scenarios considering the spatial distribution of MI risk and healthcare accessibility in Chinese cities. First, an automated machine learning framework data is proposed to estimate the MI risk at the community scale based on multi‐source spatio‐temporal. Second, the accessibility of medical resources was calculated by an improved Gaussian two‐step moving search algorithm. Finally, the AED siting in multiple scenarios is conducted based on the coverage model. The performance of the AED siting model was evaluated at Wuhan city. The results show that MI risk is impacted by both socioeconomic and cultural characteristics (municipal utilities, streetscape environment, educational and commercial facilities). There is a strong spatial heterogeneity in the distribution of both MI risk and medical resources in Wuhan, and an unreasonable match between the two was detected in some regions. Medical resources need to be strengthened in some high‐risk areas, such as rural areas and tourist attractions. In addition, 1015 AED candidate sites were identified by the location set covering problem model, with a 15‐min accessibility rate of 96.5%. Given the limited resources, mobile AEDs which have about 15‐min service range can be deployed based on the maximum covering location problem model to meet the demand in central urban areas efficiently. This study can contribute to more rational selection of AED sites and the prevention of myocardial infarction among residents, particularly when supported by policies that promote balanced regional development of pre‐hospital medical emergency networks.

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Analysis of the Way and Correctness of Using Automated External Defibrillators Placed in Public Space in Polish Cities—Continuation of Research

Cited by 4 publications

References 23 publications

State-wide situation analysis of availability of basic resuscitation devices and essential drugs in primary and secondary healthcare facilities in Cross River State, Nigeria

State-wide situation analysis of availability of basic resuscitation devices and essential drugs in primary and secondary healthcare facilities in Cross River State, Nigeria

Current status of support for Automated External Defibrillators (AEDs) in public places and factors influencing their use in China: a cross-sectional study

Automated external defibrillator location selection considering myocardial infarction risk and medical resources

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