Mobile Intensive Care in Myocardial Infarction

Kernohan, R. J.; McGucken, R B

doi:10.1136/bmj.3.5611.178

Cited by 34 publications

(3 citation statements)

References 7 publications

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“…The service began in 1966 and the team reported their findings after fifteen months in operation, describing ten occasions when defibrillation was performed successfully (Pantridge and Geddes, 1967). Similar schemes were set up in Ballymena (Kernohan and McGucken, 1968), Newcastle upon Tyne (Dewar and McCollum, 1969) Barnsley (Sandler and Pistevos, 1972) and in another part of Belfast (Barber, Boyle, Chaturvedi et al, 1970). In the US, others were inspired by this work and two physicians, William Grace and Richard…”

Section: Defibrillation Outside Of Hospitalmentioning

confidence: 99%

Training lay-people to use automatic external defibrillators: Are all of their needs being met?

2006

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This thesis draws upon data gathered during research undertaken with a grant from the Resuscitation Council (UK). It explores the use of Automatic External Defibrillators (AEDs) by laypeople, which is known as Public Access Defibrillation (PAD). Whilst an abundance of research has been undertaken about this phenomenon, it has predominately been conducted using quantitative methods; however the data I am using was collected using a qualitative approach. During the research, fifty-three semi-structured interviews were carried out. Most of these were with laypeople who had been trained to use AEDs, and nine involved those who delivered the training. These interviews were conducted at sites typical of those where these devices have been introduced, such as railway stations and airports. The geographical area of these locations covered the East and West Midlands, South and West Yorkshire, Lincolnshire and Essex. The aims of the research were quite broad and included exploring how to make training more realistic, how debriefing and support for those who had used an AED should be organised and how the interviewees perceived the technology inherent in the AED.This thesis reanalyses the data that was collected during that research and focuses on two themes. Firstly, some of the theories of technologies in transition are used to illustrate how AEDs were developed in a laboratory and progressed from that setting to become commonplace in public locations. The actor-network theory is adopted to argue that these technological devices exert an influence on the human actors in the networks that exist within society. Specifically, my analysis is informed by the work of Timmermans (1998; 1999; 1997) whose theories about external chest compressions I have developed and applied to AEDs. They suggest that these devices achieved universality, in part, through the influence of debates and medical protocols.One significant factor was that AEDs allowed for defibrillation to be redefined from a medical, to a first aid procedure. Eventually, using these devices was included in the protocols for first aid and this legitimised their use by laypeople. These theories are observable in the data through the interviewees" accounts of how they came to accept being trained to use AEDs. The experiences of those who had used an AED during a resuscitation attempt are provided and suggest that these are distressing and unpleasant events.Consequently, a key component of this thesis is a discussion of the necessity to provide psychological debriefing for those who have been involved in these incidents.The findings of this thesis suggest that laypeople who have used an AED usually have questions about the actions they took during the attempted resuscitation and need to address these with someone soon afterwards.

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Section: Defibrillation Outside Of Hospitalmentioning

confidence: 99%

Training lay-people to use automatic external defibrillators: Are all of their needs being met?

2006

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“…The median response time from receipt of a collapse call to the arrival of the emergency ambulance at the scene was eight minutes compared with the mobile coronary care unit's median response time of 20 minutes for 100 consecutive calls documented during this study (fig 2). For the 18 cases of ventricular fibrillation the mean response time for the emergency ambulance was eight (range [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] minutes while the mean response time for the mobile coronary care unit to these patients after they were summoned by the emergency ambulance was 18 (range 6-30) minutes. An additional 78 arrhythmias were documented by the emergency ambulance crews in patients without cardiac arrest (table 2).…”

Section: Resultsmentioning

confidence: 99%

Integration of ambulance staff trained in cardiopulmonary resuscitation with a medical team providing prehospital coronary care.

McCrea¹,

Hunter²,

Wilson³

1989

Heart

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“…Within healthcare, reduction in size, weight and cost of defibrillation devices led to the development of out of hospital mobile intensive care units in the 1960s which delivered the ability to provide defibrillation in a transport setting 9 10. With the increasing use of aeromedical transport, the need for defibrillation and cardioversion has also increased during aeromedical flight.…”

Section: Introductionmentioning

confidence: 99%

Defibrillation and external pacing in flight: incidence and implications

Daly¹,

Milne²,

Holmes

et al. 2012

Emerg Med J

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Electrical intervention in a transport environment brings unique challenges, particularly during aeromedical transport. Our study in a European model shows that there is a small but significant incidence of electrical intervention required during aeromedical flight for critically ill patients. There are potential safety issues with electrical intervention in aeromedical flight; therefore, any service involved in the transport of critically ill patients needs to have a robust procedure in place to deliver this safely.

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Mobile Intensive Care in Myocardial Infarction

Cited by 34 publications

References 7 publications

Training lay-people to use automatic external defibrillators: Are all of their needs being met?

Training lay-people to use automatic external defibrillators: Are all of their needs being met?

Integration of ambulance staff trained in cardiopulmonary resuscitation with a medical team providing prehospital coronary care.

Defibrillation and external pacing in flight: incidence and implications

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