Public access defibrillation: challenges and new solutions

Folke, Fredrik; Shahriari, Persia; Hansen, Carolina Malta; Gregers, Mads Christian Tofte

doi:10.1097/mcc.0000000000001051

Cited by 10 publications

(4 citation statements)

References 49 publications

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“…Additionally, accelerating technological progress is constantly creating new potential opportunities that will ultimately lead to faster use of AEDs [11,12]. Unfortunately, statistics and the real-life history of many situations related to OHCA in public spaces show that the use of an AED that could potentially be available on site encounters many barriers [13][14][15].…”

Section: Discussionmentioning

confidence: 99%

Automatic External Defibrillator (AED) Location – seconds that save lifes

Timler,

Jaskiewicz,

Kempa

et al. 2024

Preprint

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1. Introduction and objective Sudden cardiac arrest (SCA) is a significant cause of adult mortality, categorized into in-hospital (IHCA) and out-of-hospital (OHCA). Survival in OHCA depends on early diagnosis, alerting Emergency Medical Service (EMS), high-quality bystander resuscitation, and prompt Automatic External Defibrillator (AED) use. Accelerating technological progress supports faster AED retrieval and use, but there are barriers in real-life OHCA situations. The study assesses 6th-year medical students' ability to locate AEDs using smartphones, revealing challenges and proposing solutions. 2. Material & Methods The study was conducted in 2022-2023 at the Medical University of Lodz, Poland. Respondents completed a survey on AED knowledge and characteristics, followed by a task to find the nearest AED using their own smartphones. As common sources did not list the University AEDs, respondents were instructed to locate the nearest AED outside the research site. 3. Results A total of 300 6th-year medical students took part in the study. Only 3.3% had an AED locating app. Only 32% of students claimed to know where the AED nearest to their home is. All 300 had received AED training, and almost half had been witness to a resuscitation. Out of the 291 medical students who completed the AED location task, the median time to locate the nearest AED was 58 seconds. Most participants (86.6%) found the AED within 100 seconds, and over half (53%) did so in under 1 minute. 4. Conclusions National registration of AEDs should be mandatory. A unified source of all AEDs mapped should be created or added to existing ones. With a median of under one minute, searching for AED by a bystander should be considered as a point in the chain of survival.

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Section: Discussionmentioning

confidence: 99%

Automatic External Defibrillator (AED) Location – seconds that save lifes

Timler,

Jaskiewicz,

Kempa

et al. 2024

Preprint

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show abstract

“…Linkage between dispatch and AED location mapping, activation of community first responders and linking them to AEDs, lack of mobile AEDs and lack of an overall AED strategy are commonly observed barriers. 46 …”

Section: Barriers To Translationmentioning

confidence: 99%

Wolf creek XVII part 4: Amplifying lay-rescuer response

Dainty,

Yng Ng,

Pin Pek

et al. 2024

Resuscitation Plus

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“…Knowing the protocol to follow in situations of this type, as well as basic resuscitation manoeuvres (cardiopulmonary resuscitation, CPR), 30 and even the use of public access to automated external defibrillators (AEDs) can help save lives and reduce the impact of possible injuries in these malignant and highly lethal events. 31 In some countries, placement of AEDs in public places such as sports centres/fields, 32 schools, 33 town halls and crowded public squares, 34 to reach the greatest possible number of the population in an event of this type. For this reason, it is crucial to continue with these training and prevention campaigns against SCD in our society.…”

Section: Sudden Cardiac Deathmentioning

confidence: 99%

A narrative review of inherited arrhythmogenic syndromes in young population: role of genetic diagnosis in exercise recommendations

Sarquella-Brugada,

Martínez-Barrios,

Cesar

et al. 2024

BMJ Open Sport Exerc Med

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Sudden cardiac death is a rare but socially devastating event, especially if occurs in young people. Usually, this unexpected lethal event occurs during or just after exercise. One of the leading causes of sudden cardiac death is inherited arrhythmogenic syndromes, a group of genetic entities characterised by incomplete penetrance and variable expressivity. Exercise can be the trigger for malignant arrhythmias and even syncope in population with a genetic predisposition, being sudden cardiac death as the first symptom. Due to genetic origin, family members must be clinically assessed and genetically analysed after diagnosis or suspected diagnosis of a cardiac channelopathy. Early identification and adoption of personalised preventive measures is crucial to reduce risk of arrhythmias and avoid new lethal episodes. Despite exercise being recommended by the global population due to its beneficial effects on health, particular recommendations for these patients should be adopted considering the sport practised, level of demand, age, gender, arrhythmogenic syndrome diagnosed but also genetic diagnosis. Our review focuses on the role of genetic background in sudden cardiac death during exercise in child and young population.

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Public access defibrillation: challenges and new solutions

Cited by 10 publications

References 49 publications

Automatic External Defibrillator (AED) Location – seconds that save lifes

Automatic External Defibrillator (AED) Location – seconds that save lifes

Wolf creek XVII part 4: Amplifying lay-rescuer response

A narrative review of inherited arrhythmogenic syndromes in young population: role of genetic diagnosis in exercise recommendations

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