Early defibrillation by police: Initial experience with measurement of critical time intervals and patient outcome

White, Roger D.; Vukov, Larry F.; Bugliosi, Thomas F.

doi:10.1016/s0196-0644(94)70095-8

Cited by 125 publications

(32 citation statements)

References 22 publications

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“…Police officers used AEDs in 69% of cases when they arrived before the EMS and they reduced call-to shock time by 51% (3.5 min). [39][40][41] A similar result was reported from Miami Dade county where there was a higher survival rate after AED use by police officer as compared with a historic control in which AEDs were used by EMS (17.2% vs 9%). 42 However, there some concerns have been reported about the response time and attitude of police officers towards AED use.…”

Section: Types Of Responders and Work Places For The Pad Programsupporting

confidence: 71%

Sudden Cardiac Arrest and Automated External Defibrillators

Das

Zipes

2003

Circ J

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Section: Types Of Responders and Work Places For The Pad Programsupporting

confidence: 71%

Sudden Cardiac Arrest and Automated External Defibrillators

Das

Zipes

2003

Circ J

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“…The critical time appears to be 4 min, which is comparable with previous reports. 5,[11][12][13][14][15] The interval from scene to hospital was, however, not significantly associated with survival. These findings indicate the importance of quick arrival of an ambulance at the scene and early life support interventions, irrespective of the interval to hospital.…”

Section: Discussionmentioning

confidence: 86%

Out-of-Hospital Cardiac Arrest and Survival-An Epidemiological Analysis of Emergency Service Reports in a Large City in Japan-

Kida¹,

Kawamura

Fukuoka

et al. 2004

Circ J

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BackgroundThe factors that influence survival of out-of-hospital cardiac arrest in Japan have not been fully investigated. Methods and ResultsThe official emergency service record was used to investigate 1,600 patients for whom cardiopulmonary resuscitation was attempted by the city's emergency personnel. Only 45 (2.8%) patients survived for 1 month. The survival rate was 9.8% in the patients under 20 years of age, with a marked decreasing trend to 0.8% in the patients aged 80 years or older. The rate peaked at 4.8% on Sunday and bottomed out at 0.5% on Thursday, forming a distinct sine curve. The survival rate was 9.9% when an ambulance arrived at the scene within 4 min, with a steep drop to 2.5% when 4-7 min elapsed. However, the rate was not significantly different by the interval to hospital. Although bystander resuscitation did not significantly affect the survival, paramedics on board significantly improved the rate (3.5% vs 1.6%). Multivariate analysis confirmed that age, day of the week, place, interval to ambulance's arrival, and personnel on board were independently associated with the probability of survival. Conclusions Quick arrival of a paramedic team would improve the survival after out-of-hospital cardiac arrest. General education of lifesaving techniques would be another key factor. (Circ J 2004; 68: 603 -609)

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“…34,36,45,46 In recent clinical trials, 18,19 modified prototype AEDs recorded information about frequency and depth of chest compressions during CPR. If such devices become commercially available, AEDs may one day prompt rescuers to improve CPR performance.…”

Section: Automated External Defibrillatorsmentioning

confidence: 99%

“…To maximize the effectiveness of these programs, the AHA has emphasized the importance of organization, planning, training, linking with the EMS system, and establishing a process of continuous quality improvement. 50,51 Studies of lay rescuer AED programs in airports 52 and casinos 53,54 and first-responder programs with police officers 26,34,36,44,[55][56][57] have shown a survival rate of 41% to 74% from out-of-hospital witnessed VF SCA when immediate bystander CPR is provided and defibrillation occurs within about 3 to 5 minutes of collapse. These high survival rates, however, are not attained in programs that fail to reduce time to defibrillation.…”

Section: Lay Rescuer Aed Programsmentioning

confidence: 99%

Part 5: Electrical Therapies

2005

Circulation

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Early defibrillation by police: Initial experience with measurement of critical time intervals and patient outcome

Cited by 125 publications

References 22 publications

Sudden Cardiac Arrest and Automated External Defibrillators

Sudden Cardiac Arrest and Automated External Defibrillators

Out-of-Hospital Cardiac Arrest and Survival-An Epidemiological Analysis of Emergency Service Reports in a Large City in Japan-

Part 5: Electrical Therapies

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