Community-based automated external defibrillator only resuscitation for out-of-hospital cardiac arrest patients

Capucci, Alessandro; Aschieri, Daniela; Guerra, Federico; Pelizzoni, Valentina; Nani, Stefano; Villani, Giovanni; Bardy, Gust H.

doi:10.1016/j.ahj.2015.10.018

Cited by 39 publications

(26 citation statements)

References 37 publications

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“…Administering a fast standard CPR or even just hands-only-CPR in victims older than 12 years of age before a medical team arrives can improve the chances of survival up to 10 percent. Automated external defibrillators (AEDs) contribute to standard CPR and also demonstrated a more excellent survival from out-of-hospital SCAs even with AED-only approach without performing CPR (12). Contribution of an AED to CPR procedure within 1–2 minutes increases survival rate up to 60% (13).…”

Section: Discussionmentioning

confidence: 99%

Cardiopulmonary resuscitation knowledge among nursing students: a questionnaire study

Vural

Koşar²,

Kerimoğlu³

et al. 2017

Anatol J Cardiol

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Objective:Nurses are usually first witnesses to in-hospital sudden cardiac arrests. Training of nurses has an impact on the efficiency and outcome of cardiopulmonary resuscitation (CPR), and thus, assessment of CPR knowledge among undergraduate nurses is very important to improve training program.Methods:The questionnaire comprised of three parts about CPR knowledge: the first dealing with general questions to understand the importance of CPR in clinical practice; the second comprising the main goal and accuracy of CPR intervention; and the last consisting of questions targeting the indications, methods, and effectiveness of CPR. Descriptive statistics and multiple response analyses were done by IBM SPSS version 20.Results:The students had good knowledge about the importance of CPR in clinical practice and stood average in knowing its indications and effectiveness. The mean score was 64.62±17.84 out of 100 points. While only 11% of them were completely aware about the universal compression ventilation ratio, 16.2% were aware of the current compression depth. In addition, 21.8% of participants have only indicated the order of CPR being compression, airway, and breathing.Conclusion:Knowledge of CPR is good among the nursing students. However, skills of CPR have to be improved by current training programs at regular intervals. Their knowledge and practical approach have to be updated with the current guidelines in CPR.

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Section: Discussionmentioning

confidence: 99%

Cardiopulmonary resuscitation knowledge among nursing students: a questionnaire study

Vural

Koşar²,

Kerimoğlu³

et al. 2017

Anatol J Cardiol

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“…Therefore, all volunteers are instructed to access and turn on a nearby AED, relegating cardiopulmonary resuscitation to a secondary role. The rationale of this approach is that it vastly simplifies the response, focusing on the single item most likely to save a life, that is, shockable ventricular fibrillation 15. Although overlooking chest compressions in the resuscitation process is controversial, the results of this study provide further evidence that early defibrillation can achieve an excellent rate of survival after SCA, even when non-medical responders perform it.…”

Section: Discussionmentioning

confidence: 84%

“…In addition, in 1999 Piacenza Progetto Vita (PPV) was set up to enable rapid defibrillation. The aim and background of PPV have been previously described 15. In brief, PPV works mainly through three approaches: (1) By increasing the common awareness on the issue of SCA in the population through educational programmes; (2) By training lay volunteers to perform only early defibrillation through quick AED use.…”

Section: Methodsmentioning

confidence: 99%

Outcomes after sudden cardiac arrest in sports centres with and without on-site external defibrillators

Aschieri

Penela

Pelizzoni

et al. 2018

Heart

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“…One possible drawback of AV‐feedback could be that voice prompts and visual indicators add noise and may distract the CPR provider, thereby prolonging time to defibrillation. Capucci et al29 recently reported a beneficial effect on survival when laymen applied an AED in OHCA without performing any other CPR, thereby shortening time to first shock. Considering our results, it can be discussed whether the AV‐feedback can be omitted to avoid disturbing elements for CPR providers who are not professionals as the key issues are rapid CPR and defibrillation if the rhythm is shockable.…”

Section: Discussionmentioning

confidence: 99%

Return of spontaneous circulation and long‐term survival according to feedback provided by automated external defibrillators

Agerskov

Hansen

Nielsen

et al. 2017

Acta Anaesthesiol Scand

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BackgroundWe aimed to investigate the effect of automated external defibrillator (AED) feedback mechanisms on survival in out‐of‐hospital cardiac arrest (OHCA) victims. In addition, we investigated converting rates in patients with shockable rhythms according to AED shock waveforms and energy levels.MethodsWe collected data on OHCA occurring between 2011 and 2014 in the Capital Region of Denmark where an AED was applied prior to ambulance arrival. Patient data were obtained from the Danish Cardiac Arrest Registry and medical records. AED data were retrieved from the Emergency Medical Dispatch Centre (EMDC) and information on feedback mechanisms, energy waveform and energy level was downloaded from the applied AEDs.ResultsA total of 196 OHCAs had an AED applied prior to ambulance arrival; 62 of these (32%) provided audio visual (AV) feedback while no feedback was provided in 134 (68%). We found no difference in return of spontaneous circulation (ROSC) at hospital arrival according to AV‐feedback; 34 (55%, 95% confidence interval (CI) [13–67]) vs. 72 (54%, 95% CI [45–62]), P = 1 (odds ratio (OR) 1.1, 95% CI [0.6–1.9]) or 30‐day survival; 24 (39%, 95% CI [28–51]) vs. 53 (40%, 95% CI [32–49]), P = 0.88 (OR 1.1 (95% CI [0.6–2.0])). Moreover, we found no difference in converting rates among patients with initial shockable rhythm receiving one or more shocks according to AED energy waveform and energy level.ConclusionsNo difference in survival after OHCA according to AED feedback mechanisms, nor any difference in converting rates according to AED waveform or energy levels was detected.

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Community-based automated external defibrillator only resuscitation for out-of-hospital cardiac arrest patients

Cited by 39 publications

References 37 publications

Cardiopulmonary resuscitation knowledge among nursing students: a questionnaire study

Cardiopulmonary resuscitation knowledge among nursing students: a questionnaire study

Outcomes after sudden cardiac arrest in sports centres with and without on-site external defibrillators

Return of spontaneous circulation and long‐term survival according to feedback provided by automated external defibrillators

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