“…National AED registers may provide information about the location of the AED, but it is important to keep the information up to date. A recent study from Bornholm, Denmark found that 18% of all registered AEDs was not functional (mainly due to invalid electrodes), with a clear gradient between the date of registration and functionality [15 ▪▪ ]. Similar results with invalid electrodes have been reported from Seoul, Korea [16].…”
Purpose of review
Automated external defibrillators are a very effective treatment to convert ventricular fibrillation (VF) in out-of-hospital cardiac arrest. The purpose of this paper is to review recent publications related to automated external defibrillators (AEDs).
Recent findings
Much of the recent research focus on ways to utilize publicly available AEDs included in different national/regional registers. More and more research present positive associations between engaging volunteers to increase the use of AEDs. There are only a few recent studies focusing on professional first responders such as fire fighters/police with mixed results. The use of unmanned aerial vehicles (drones) lacks clinical data and is therefore difficult to evaluate. On-site use of AED shows high survival rates but suffers from low incidence of out-of-hospital cardiac arrest (OHCA).
Summary
The use of public AEDs in OHCA are still low. Systems focusing on engaging volunteers in the cardiac arrest response have shown to be associated with higher AED usage. Dispatching drones equipped with AEDs is promising, but research lacks clinical data. On-site defibrillation is associated with high survival rates but is not available for most cardiac arrests.
“…National AED registers may provide information about the location of the AED, but it is important to keep the information up to date. A recent study from Bornholm, Denmark found that 18% of all registered AEDs was not functional (mainly due to invalid electrodes), with a clear gradient between the date of registration and functionality [15 ▪▪ ]. Similar results with invalid electrodes have been reported from Seoul, Korea [16].…”
Purpose of review
Automated external defibrillators are a very effective treatment to convert ventricular fibrillation (VF) in out-of-hospital cardiac arrest. The purpose of this paper is to review recent publications related to automated external defibrillators (AEDs).
Recent findings
Much of the recent research focus on ways to utilize publicly available AEDs included in different national/regional registers. More and more research present positive associations between engaging volunteers to increase the use of AEDs. There are only a few recent studies focusing on professional first responders such as fire fighters/police with mixed results. The use of unmanned aerial vehicles (drones) lacks clinical data and is therefore difficult to evaluate. On-site use of AED shows high survival rates but suffers from low incidence of out-of-hospital cardiac arrest (OHCA).
Summary
The use of public AEDs in OHCA are still low. Systems focusing on engaging volunteers in the cardiac arrest response have shown to be associated with higher AED usage. Dispatching drones equipped with AEDs is promising, but research lacks clinical data. On-site defibrillation is associated with high survival rates but is not available for most cardiac arrests.
“…Defibrillators last about seven years, with ultra‐portable defibrillators lasting about one year 14 . It is concerning that one‐fifth of PADs are non‐functional when tested, 15 potentially wasting time and worsening outcomes in time‐critical cardiac arrest management. Ensuring the defibrillator is electrically sound (battery and electrodes) is a clear prerequisite for restarting the patient's electrical circuitry.…”
Section: Locked‐up or Faulty Pads Are Not Publicly Accessiblementioning
“…Sir, I read the article by Jespersen et al titled "Functionality of registered automated external defibrillators" with great interest. 1 It was an unexpected and shocking result that the possibility of defibrillation failure was so high (approximately 20%) because of expired electrodes, failed self-tests, or obstacles to retrieving automated external defibrillators (AED). 1 To increase the functionality of AED, strict and reasonable guidelines may be helpful.…”
Section: Importance Of Proper Management Of Automated External Defibr...mentioning
confidence: 99%
“…1 It was an unexpected and shocking result that the possibility of defibrillation failure was so high (approximately 20%) because of expired electrodes, failed self-tests, or obstacles to retrieving automated external defibrillators (AED). 1 To increase the functionality of AED, strict and reasonable guidelines may be helpful. I would like to introduce the guidelines for managing registered AED in South Korea.…”
Section: Importance Of Proper Management Of Automated External Defibr...mentioning
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