Strategy to Address Private Location Cardiac Arrest: A Public Safety Survey

Abstract

The results of this survey indicate that public safety personnel are willing to respond to suspected cardiac arrest during off-hours using geospatial smart technology to private locations with or without an AED.

Are there disparities in the location of automated external defibrillators in England?

“…44 These characteristics included population density, low income, low education, and high average age. Targeting residential areas has also recently been shown to be effective in increasing coverage of both in-home and public OHCAs, [44][45][46][47][48][49] and that they need to be considered priority targets for AED installation. 50 The guidelines suggest that neighbourhood characteristics should guide AED placement in residential areas but do not specify which ones are of importance.…”

Out-of-Hospital Cardiac Arrest Bystander Defibrillator Search Time and Experience With and Without Directional Assistance: A Randomized Simulation Trial in a Community Setting

“…Programs designed to alert and dispatch nearby CPR-trained laypersons via mobile phone have increased rates of bystander CPR, and similar programs are in the process of being tested for their ability to improve AED retrieval times in places with accessible AEDs. [32][33][34][35] Because many states do not require a registry of AEDs to be maintained, up to half of AEDs deployed in OHCA are unregistered. 36,37 To address this, some EMS agencies have partnered with the "PulsePoint AED" application, which uses crowdsourcing to populate its electronic map of public access AEDs, enabling users to upload pictures and confirm accessibility.…”

“…One strategy currently in development is a mobile phone application to help lay bystanders locate the closest public access AED. Programs designed to alert and dispatch nearby CPR-trained laypersons via mobile phone have increased rates of bystander CPR, and similar programs are in the process of being tested for their ability to improve AED retrieval times in places with accessible AEDs 32–35 . Because many states do not require a registry of AEDs to be maintained, up to half of AEDs deployed in OHCA are unregistered 36,37 .…”

“…Afterward, they were escorted to the test site, where the instructions were briefly repeated, and the simulation was initiated. In each test, a pair of participants matched on sex and age group (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49), or 50-65 years) accompanied a life-sized manikin (Laerdal's Resusci Anne) in a simulated OHCA event. Participants were randomized on site at the location of the staged OHCA event ("event site") to perform one of 2 roles.…”

Paradigm shift: changing public access to all-access defibrillation

“…The approach could include private in-home response, a strategy that has seen some early success in Europe. Such an all-access response in North America is largely theoretical, though survey of public safety personnel suggests initial interest and support 8. The enlistment of human responders for all-access CPR and defibrillation may even be supplemented by AED delivery via drone or other modes of delivery in a select subset of OHCA victims.…”