Cardiac arrest outcomes at the Melbourne Cricket Ground and Shrine of Remembrance using a tiered response strategy-a forerunner to public access defibrillation

Wassertheil, Jeff; Keane, G; Fisher, N. I.; Leditschke, J. F.

doi:10.1016/s0300-9572(99)00168-9

Cited by 83 publications

(43 citation statements)

References 24 publications

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“…Cardiac arrests occur infrequently-Wassertheil et al have shown (1:500,000 at Australian Rules football events) though on-site resuscitation and early defibrillation are important and can improve patient survival rates. 12 Broadly speaking, these presentation types are similar across countries and commonly reported in the international literature. Differences that do occur appear to be associated more closely with key features of events, such as weather and the nature of the activity.…”

Section: Profile Of Casualty Types and Range Of Severity/acuity Of Prmentioning

confidence: 59%

Mass-Gathering Medicine: A Review of the Evidence and Future Directions for Research

Arbon

2007

Prehosp. Disaster med.

139

218

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A review of mass-gathering medicine literature published by the Journal Prehospital and Disaster Medicine, demonstrates the progressive development of our knowledge and understanding of the health effects of mass gatherings and the strategies that appear to contribute positively to effective health services delivery during these events. In addition, the growing need for research that can underpin a more evidence-based approach to planning for and managing these events is apparent. The call for less descriptive and more critical and conceptual analyses has been increasing in volume and, it is argued, the challenge now is to apply research frameworks that can contribute more effectively to science-based, medical practice.

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Section: Profile Of Casualty Types and Range Of Severity/acuity Of Prmentioning

confidence: 59%

Mass-Gathering Medicine: A Review of the Evidence and Future Directions for Research

Arbon

2007

Prehosp. Disaster med.

139

218

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“…Table 3 shows the absolute number and rate ratio of cardiac arrest in relation to the geographic character- istic of the grid cells. Equipping the 5 highest-ranked locations listed in Table 3 with AEDs would require 210 AEDs and would provide the possibility of reaching 243 cardiac arrests, 19.1% of all cardiac arrests in public. Placing 1 AED in all the grid cells listed in Table 3 would require 915 AEDs and cover 447 cardiac arrests (35.1% of all cardiac arrests in public).…”

Section: Resultsmentioning

confidence: 99%

“…17,18 Without an AED program, the 30-day survival rate was 13.9% in Copenhagen (Table 1). On the basis of several studies examining the use of AEDs by laypersons, 1,4,19 we assumed that an AED would be used in all cases of out-of-hospital cardiac arrest occurring at a site equipped with an AED. We estimated a hospitalization cost of $17 000 for death in hospital and $61 000 for survival to discharge with an annual medical cost for survivors of $14 500 by taking the costs reported by Cram et al 18 Maintenance costs per AED were estimated to be $180 a year, with an additional cost of $150 each time an AED was used.…”

Section: Cost-effectiveness Calculationsmentioning

confidence: 99%

Location of Cardiac Arrest in a City Center

et al. 2009

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Background— Public-access defibrillation with automated external defibrillators (AEDs) is being implemented in many countries worldwide with considerable financial implications. The potential benefit and economic consequences of focused or unfocused AED deployment are unknown. Methods and Results— All cardiac arrests in public in Copenhagen, Denmark, from 1994 through 2005 were geographically located, as were 104 public AEDs placed by local initiatives. In accordance with European Resuscitation Council and American Heart Association (AHA) guidelines, areas with a high incidence of cardiac arrests were defined as those with 1 cardiac arrest every 2 or 5 years, respectively. There were 1274 cardiac arrests in public locations. According to the European Resuscitation Council or AHA guidelines, AEDs needed to be deployed in 1.2% and 10.6% of the city area, providing coverage for 19.5% (n=249) and 66.8% (n=851) of all cardiac arrests, respectively. The excessive cost of such AED deployments was estimated to be $33 100 or $41 000 per additional quality-adjusted life year, whereas unguided AED placement covering the entire city had an estimated cost of $108 700 per quality-adjusted life year. Areas with major train stations (1.8 arrests every 5 years per area), large public squares, and pedestrianized areas (0.6 arrests every 5 years per area) were main predictors of frequent cardiac arrests. Conclusion— To achieve wide AED coverage, AEDs need to be more widely distributed than recommended by the European Resuscitation Council guidelines but consistent with the American Heart Association guidelines. Strategic placement of AEDs is pivotal for public-access defibrillation, whereas with unguided initiatives, AEDs are likely to be placed inappropriately.

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“…At some public sites, volunteer first-aid agencies have AEDs for use by trained staff. 11 AV also maintains a register of AED locations via an "opt in" AED Registry. 12 The locations of approximately 1500 registered AEDs in Victoria are identified in the computer aided dispatch system.…”

Section: Study Settingmentioning

confidence: 99%

Public access defibrillation—Results from the Victorian Ambulance Cardiac Arrest Registry

et al. 2014

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Cardiac arrest outcomes at the Melbourne Cricket Ground and Shrine of Remembrance using a tiered response strategy-a forerunner to public access defibrillation

Cited by 83 publications

References 24 publications

Mass-Gathering Medicine: A Review of the Evidence and Future Directions for Research

Mass-Gathering Medicine: A Review of the Evidence and Future Directions for Research

Location of Cardiac Arrest in a City Center

Public access defibrillation—Results from the Victorian Ambulance Cardiac Arrest Registry

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