High Discharge Survival Rate After Out-of-Hospital Ventricular Fibrillation With Rapid Defibrillation by Police and Paramedics

White, Roger D.; Asplin, Brent R.; Bugliosi, Thomas F.; Hankins, Daniel

doi:10.1016/s0196-0644(96)70109-9

Cited by 301 publications

(123 citation statements)

References 28 publications

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“…9 -12 Police-responder programs may also increase survival. [13][14][15] Finally, specialized community-responder programs in select European communities have demonstrated potential survival improvements. 16 However, the optimal strategy of community-wide AED distribution is not yet certain.…”

mentioning

confidence: 99%

Public Access Defibrillation in Out-of-Hospital Cardiac Arrest

et al. 2004

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Background-The dissemination and use of automated external defibrillators (AEDs) beyond traditional emergency medical services (EMS) into the community has not been fully evaluated. We evaluated the frequency and outcome of non-EMS AED use in a community experience. Methods and Results-The investigation was a cohort study of out-of-hospital cardiac arrest cases due to underlying heart disease treated by public access defibrillation (

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confidence: 99%

Public Access Defibrillation in Out-of-Hospital Cardiac Arrest

et al. 2004

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“…Studies of rapid defibrillation using AEDs with nontraditional first responders and trained or untrained laypersons in high-risk locations such as casinos, airlines, and airports have demonstrated survival rates from 41% to 74% if bystander CPR is provided and defibrillation occurs within 3 to 5 minutes of collapse. 11,[35][36][37][38][39][40][41][42][43] Key elements to the success of these programs include training of motivated responders in CPR and AED use, a structured and practiced response, and short response times.…”

Section: Survival After Sudden Cardiac Arrestmentioning

confidence: 99%

Inter Association Task Force Recommendations on Emergency Preparedness andManagement of Sudden Cardiac Arrest in High School andCollege Athletic Programs: A Consensus Statement

Drezner

Courson

Roberts

et al. 2007

Prehospital Emergency Care

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Objective: To assist high school and college athletic programs prepare for and respond to a sudden cardiac arrest (SCA). This consensus statement summarizes our current understanding of SCA in young athletes, defines the necessary elements for emergency preparedness, and establishes uniform treatment protocols for the management of SCA.Background: Sudden cardiac arrest is the leading cause of death in young athletes. The increasing presence of and timely access to automated external defibrillators (AEDs) at sporting events provides a means of early defibrillation and the potential for effective secondary prevention of sudden cardiac death. An Inter-Association Task Force was sponsored by the National Athletic Trainers' Association to develop consensus recommendations on emergency preparedness and management of SCA in athletes.Recommendations: Comprehensive emergency planning is needed for high school and college athletic programs to ensure an efficient and structured response to SCA. Essential elements of an emergency action plan include establishment of an effective communication system, training of anticipated responders in cardiopulmonary resuscitation and AED use, access to an AED for early defibrillation, acquisition of necessary emergency equipment, coordination and integration of on-site responder and AED programs with the local emergency medical services system, and practice and review of the response plan. Prompt recognition of SCA, early activation of the emergency medical services system, the presence of a trained rescuer to initiate cardiopulmonary resuscitation, and access to early defibrillation are critical in the management of SCA. In any collapsed and unresponsive athlete, SCA should be suspected and an AED applied as soon as possible for rhythm analysis and defibrillation if indicated.Key Words: sudden cardiac death, athletes, emergency action plan, automated external defibrillators S udden cardiac arrest (SCA) is the leading cause of death in young athletes. 1,2 Athletes are considered the healthiest members of our society, and their unexpected death during training or competition is a catastrophic event that stimulates debate regarding both preparticipation screening evaluations and appropriate emergency planning for athletic events. Despite preparticipation screening, healthy-appearing competitive athletes may harbor unsuspected cardiovascular diseases with the potential to cause sudden death. 3 With the increasing availability of automated external defibrillators (AEDs) at athletic events, there is potential for effective secondary prevention of sudden cardiac death (SCD). The presence and timely access of AEDs at sporting venues provide a means of early defibrillation not only for athletes but also for spectators, coaches, officials, event staff, and other attendees on campus in the case of an unexpected SCA.Many health-related organizations have guidelines for managing SCA during athletic practices and competitions. However, these guidelines have not directly linked emergency planning and...

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“…These adult survival rates have been documented in settings such as airports, 39 commercial airlines, 40,41 casinos, 42 and communities with police who are trained and equipped to respond to SCA. [43][44][45][46] …”

Section: Sca In Adultsmentioning

confidence: 99%

Response to Cardiac Arrest and Selected Life-Threatening Medical Emergencies

Hazinski¹,

Markenson²,

Neish³

et al. 2004

Circulation

132

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T his document introduces a public health initiative, the Medical Emergency Response Plan for Schools. This initiative will help schools prepare to respond to lifethreatening medical emergencies in the first minutes before the arrival of emergency medical services (EMS) personnel.This statement is for healthcare providers, policymakers, school personnel, and community leaders. It summarizes essential information about life-threatening emergencies, including details about sudden cardiac arrest (SCA). This statement describes the components of an emergency response plan, the training of school personnel and students to respond to a life-threatening emergency, and the equipment required for this emergency response. Detailed information about SCA and cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) programs is provided to assist schools in prioritizing and preparing for emergencies to maximize the number of lives saved.Life-threatening emergencies can happen in any school at any time. These emergencies can be the result of preexisting health problems, violence, unintentional injuries, natural disasters, and toxins. In recent years, stories in the lay press have documented tragic premature deaths in schools from SCA, blunt trauma to the chest, firearm injuries, asthma, head injuries, drug overdose, allergic reactions, and heatstroke. School leaders should establish an emergency response plan to deal with life-threatening medical emergencies in addition to the emergency plan for tornados or fires.This statement has been endorsed by the following organiza-

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High Discharge Survival Rate After Out-of-Hospital Ventricular Fibrillation With Rapid Defibrillation by Police and Paramedics

Cited by 301 publications

References 28 publications

Public Access Defibrillation in Out-of-Hospital Cardiac Arrest

Public Access Defibrillation in Out-of-Hospital Cardiac Arrest

Inter Association Task Force Recommendations on Emergency Preparedness andManagement of Sudden Cardiac Arrest in High School andCollege Athletic Programs: A Consensus Statement

Response to Cardiac Arrest and Selected Life-Threatening Medical Emergencies

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