Automated external defibrillator use in public places: a study of acquisition time

Telec, Wojciech; Baszko, Artur; Dąbrowski, Marek; Dąbrowska, Agata; Sip, Maciej; Puslecki, Mateusz; Kłosiewicz, Tomasz; Potyrała, Patrycja; Jurczyk, W; Maciejewski, Adrian; Zalewski, Radosław; Witt, Magdalena; Ładny, Jerzy Robert; Szarpak, Łukasz

doi:10.5603/kp.a2017.0199

Cited by 10 publications

(10 citation statements)

References 20 publications

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“…Lifeguards fulfil their duties at swimming pools and on beaches, and can also perform cardiopulmonary resuscitation as bystanders in emergency situations [11][12][13]. They are obliged to participate in courses on BLS and automated external defibrillators (AED) on a regular basis [14]. There are several factors influencing high-quality adult chest compression, including trunk and arm muscle mass, basal metabolic rate, mean fat-free mass, and other individual parameters [15][16][17][18].…”

Section: Discussionmentioning

confidence: 99%

The effect of chest compression frequency on the quality of resuscitation by lifeguards. A prospective randomized crossover multicenter simulation trial

et al. 2020

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Background: The ability to perform high-quality cardiopulmonary resuscitation is one of the basic skills for lifeguards. The aim of the study was to assess the influence of chest compression frequency on the quality of the parameters of chest compressions performed by lifeguards. Methods: This prospective observational, randomized, crossover simulation study was performed with 40 lifeguards working in Warsaw, Wroclaw, and Poznan, Poland. The subjects then participated in a target study, in which they were asked to perform 2-min cycles of metronome-guided chest compres

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Section: Discussionmentioning

confidence: 99%

The effect of chest compression frequency on the quality of resuscitation by lifeguards. A prospective randomized crossover multicenter simulation trial

et al. 2020

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“…Each time the European Resuscitation Council or American Heart Association recommends the fastest possible defibrillation, which performed within 3–5 min from cardiac arrest determines the survival rate of 50–70%. It is worth noting that with every minute of delay in implementation of AED, the probability decreases by 10–12% [ 25 , 26 , 27 , 28 , 29 ]. As mentioned, the rapid response of the witness to the event is important.…”

Section: Discussionmentioning

confidence: 99%

“…As stated in the 2015 ERC resuscitation guidelines, the medical dispatcher should have knowledge of the current distribution of AEDs in their area. Telec et al [ 27 ] investigated the assessment of actual AED availability and the assessment of possible sources of defibrillation delays in Poznań, Łódź, and Warsaw. From a selected group of 200 sites, they chose 78 sites and sent volunteers who had no knowledge of the location of AEDs in that site.…”

Section: Discussionmentioning

confidence: 99%

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

Ślęzak

Robakowska

Żuratyński

et al. 2021

IJERPH

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Immediate resuscitation is required for any sudden cardiac arrest. To improve the survival of the patient, a device to be operated by witnesses of the event—automated external defibrillator (AED)—has been produced. The aim of this study is to analyze the way and correctness of use of automated external defibrillators placed in public spaces in Polish cities. The data analyzed (using Excel 2019 and R 3.5.3 software) are 120 cases of use of automated external defibrillators, placed in public spaces in the territory of Poland in 2008–2018. The predominant location of AED use is in public transportation facilities, and the injured party is the traveler. AED use in non-hospital settings is more common in male victims aged 50–60 years. Owners of AEDs inadequately provide information about their use. The documentation that forms the basis of the emergency medical services intervention needs to be refined. There is no mention of resuscitation performed by a witness of an event or of the use of an AED. In addition, Poland lacks the legal basis for maintaining a register of automated external defibrillators. There is a need to develop appropriate documents to determine the process of reporting by the owners of the use of AEDs in out-of-hospital conditions (OHCA).

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“…21) Some reports have pointed out the need for larger AED signs that clearly indicate the location of a device. 22,23) There are other strategies such as a smartphone application, drones, and rental AEDs. [24][25][26] These should allow easy access to AED, leading to autonomous CPR with an AED.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Autonomous Actions on Bystander-Initiated Cardiopulmonary Resuscitation and Public Access Defibrillation in Tokyo

et al. 2021

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The frequencies of autonomous bystander-initiated cardiopulmonary resuscitation (CPR) and public access defibrillation have not yet been clarified. We aimed to evaluate the frequency of autonomous actions by citizens not having a duty to act.This retrospective observational study included patients who suffered an out-of-hospital cardiac arrest (OHCA) in Tokyo between January 1, 2013 and December 31, 2017. The Delphi method with a panel of 11 experts classified the locations of OHCA resuscitations into 3 categories as follows; autonomous, non autonomous, and undetermined. The locations determined as autonomous were further divided into 2 groups; home and other locations. Bystander-initiated CPR and application of an automated external defibrillator (AED) pad were evaluated in 43,460 patients with OHCA.Group A (non autonomous), group B (autonomous, not home), and group C (home), consisted of 7,352, 3,193, and 32,915 patients, respectively. Compared with group A, group B and group C had significantly lower rates of bystander-initiated CPR (group A, B, C; 68.3% versus 38.6% versus 23.9%) and AED pad application (groups A, B, C; 26.8% versus 15.1% versus 0.6%). In addition, multivariate analysis demonstrated that an autonomous location of resuscitation was independently associated with the frequencies of bystander-initiated CPR and AED pad application, even after adjusting for age, sex, and witness status.Autonomous actions by citizens were unacceptably infrequent. Therefore, the education and training of citizens is necessary to further enhance autonomous CPR.

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Automated external defibrillator use in public places: a study of acquisition time

Cited by 10 publications

References 20 publications

The effect of chest compression frequency on the quality of resuscitation by lifeguards. A prospective randomized crossover multicenter simulation trial

The effect of chest compression frequency on the quality of resuscitation by lifeguards. A prospective randomized crossover multicenter simulation trial

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

Evaluation of Autonomous Actions on Bystander-Initiated Cardiopulmonary Resuscitation and Public Access Defibrillation in Tokyo

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