Automatic external defibrillators

Bocka, Joseph J.

doi:10.1016/s0196-0644(89)80256-2

Cited by 25 publications

(8 citation statements)

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“…Administration and in 1982 they agreed that clinical trials could be carried out (Bocka, 1989). The personnel who were primarily involved in these early trials were Emergency Medical Technicians (EMTs) who might be any emergency worker required to respond to an emergency including police and fire officers Eisenberg, Copass, Hallstrom et al, 1980).…”

Section: 13mentioning

confidence: 99%

“…The other article is described as a "brief report" and contains little information regarding such important details as the time over which the study was conducted or the location of the cardiac arrests reported (Chadda and Kammerer, 1987). There are also differing statements in these reports, with one concluding that the use of AEDs by -minimally trained laypersons‖ was safe and effective (Chadda et al, 1987b, p.IV-12) whilst another suggested that locating AEDs in public places for use by -adequately trained and responsible personnel‖ may improve survival rates (Chadda and Kammerer, 1987, p.733 This increased use of AEDs generated much debate and many suggested that they needed to be fully evaluated before this expansion should continue 23 (Bocka, 1989;Cummins, 1989;Cummins, Eisenberg, Moore et al, 1985c;Jacobs, 1986). Whilst it was generally accepted that they were simple and easy to use, some studies had demonstrated that they did not reduce mortality from cardiac arrest (Cummins, 1989;Eisenberg, Moore, Cummins et al, 1989).…”

Section: 13mentioning

confidence: 99%

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Training lay-people to use automatic external defibrillators: Are all of their needs being met?

2006

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This thesis draws upon data gathered during research undertaken with a grant from the Resuscitation Council (UK). It explores the use of Automatic External Defibrillators (AEDs) by laypeople, which is known as Public Access Defibrillation (PAD). Whilst an abundance of research has been undertaken about this phenomenon, it has predominately been conducted using quantitative methods; however the data I am using was collected using a qualitative approach. During the research, fifty-three semi-structured interviews were carried out. Most of these were with laypeople who had been trained to use AEDs, and nine involved those who delivered the training. These interviews were conducted at sites typical of those where these devices have been introduced, such as railway stations and airports. The geographical area of these locations covered the East and West Midlands, South and West Yorkshire, Lincolnshire and Essex. The aims of the research were quite broad and included exploring how to make training more realistic, how debriefing and support for those who had used an AED should be organised and how the interviewees perceived the technology inherent in the AED.This thesis reanalyses the data that was collected during that research and focuses on two themes. Firstly, some of the theories of technologies in transition are used to illustrate how AEDs were developed in a laboratory and progressed from that setting to become commonplace in public locations. The actor-network theory is adopted to argue that these technological devices exert an influence on the human actors in the networks that exist within society. Specifically, my analysis is informed by the work of Timmermans (1998; 1999; 1997) whose theories about external chest compressions I have developed and applied to AEDs. They suggest that these devices achieved universality, in part, through the influence of debates and medical protocols.One significant factor was that AEDs allowed for defibrillation to be redefined from a medical, to a first aid procedure. Eventually, using these devices was included in the protocols for first aid and this legitimised their use by laypeople. These theories are observable in the data through the interviewees" accounts of how they came to accept being trained to use AEDs. The experiences of those who had used an AED during a resuscitation attempt are provided and suggest that these are distressing and unpleasant events.Consequently, a key component of this thesis is a discussion of the necessity to provide psychological debriefing for those who have been involved in these incidents.The findings of this thesis suggest that laypeople who have used an AED usually have questions about the actions they took during the attempted resuscitation and need to address these with someone soon afterwards.

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Section: 13mentioning

confidence: 99%

Section: 13mentioning

confidence: 99%

Training lay-people to use automatic external defibrillators: Are all of their needs being met?

2006

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“…One of these methods was the implementation of cardiopulmonary resuscitation (CPR), which is “a series of lifesaving actions that improve the chance of survival following cardiac arrest.”[ 1 ] The first CPR method was the mouth-to-mouth method, in the year 1740. The methods of CPR have evolved and in 1891, the first certified chest compression was performed by Dr. Friedrich Maass, and it was first successfully achieved in 1903 by Dr. George Crile (American Heart Association [AHA], 2013), in the 1920s, development of practical defibrillators began[ 2 ] and in 1979, Advanced Cardiac Life Support (ACLS) developed (AHA, 2013), and nowadays, ACLS has evolved to the use of chest compressions, ventilation, defibrillation, and medications in ACLS management. [ 1 ]…”

Section: Introductionmentioning

confidence: 99%

Intensive care unit physician's attitudes on do not resuscitate order in palestine

Abdallah

Radaeda

Gaghama

et al. 2016

Indian J Palliat Care

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Background:There is some ambiguity concerning the do-not-resuscitate (DNR) orders in the Arabic world. DNR is an order written by a doctor, approved by the patient or patient surrogate, which instructs health care providers to not do CPR when cardiac or respiratory arrest occurs. Therefore, this research study investigated the attitudes of Intensive Care Unit physicians and nurses on DNR order in Palestine.Materials and Methods:A total of 123 males and females from four different hospitals voluntarily participated in this study by signing a consent form; which was approved by the Ethical Committee at Birzeit University and the Ministry of Health. A non-experimental, quantitative, descriptive, and co-relational method was used, the data collection was done by a three page form consisting of the consent form, demographical data, and 24 item-based questionnaire based on a 5-point-Likert scale from strongly agree (score 1) to strongly disagree (score 5).Results:The Statistical Package for Social Sciences (SPSS) software program version 17.0 was used to analyze the data. Finding showed no significant relationship between culture and opinion regarding the DNR order, but religion did. There was statistical significance difference between the physicians’ and nurses’ religious beliefs, but there was no correlation. Moreover, a total of 79 (64.3%) physicians and nurses agreed with legalizing the DNR order in Palestine.Conclusion:There was a positive attitude towards the legalization of the DNR order in Palestine, and culture and religion did not have any affect towards their attitudes regarding the legalization in Palestine.

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“…The defibrillation of ventricular fibrillation is the single most effective therapy for this dysrhythmia [2], and the specificity and sensitivity of the AED to identify shockable rhythms correctly has been shown to be very high [7]. Furthermore, the use of AED by first responders had already been encouraged by the European Resuscitation Council in 1998 [8].…”

Section: Discussionmentioning

confidence: 99%

The use of automated external defibrillators by non-medical first responders in Finland

Harve

Silfvast²

2004

European Journal of Emergency Medicine

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Although there are many automated external defibrillators in use by non-medical first responders in Finland, the results of this study show that there are large variations between individual fire brigades regarding the use of these devices as part of the first response system. This is considered to be caused by the lack of national standards and regulations, which should define a full integration of first-responder programmes into the emergency medical service system.

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Automatic external defibrillators

Cited by 25 publications

References 50 publications

Training lay-people to use automatic external defibrillators: Are all of their needs being met?

Training lay-people to use automatic external defibrillators: Are all of their needs being met?

Intensive care unit physician's attitudes on do not resuscitate order in palestine

The use of automated external defibrillators by non-medical first responders in Finland

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Automatic external defibrillators

Cited by 25 publications

References 50 publications

Training lay-people to use automatic external defibrillators: Are all of their needs being met?

Training lay-people to use automatic external defibrillators: Are all of their needs being met?

Intensive care unit physician&#39;s attitudes on do not resuscitate order in palestine

The use of automated external defibrillators by non-medical first responders in Finland

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Product

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Intensive care unit physician's attitudes on do not resuscitate order in palestine