Use and benefits of public access defibrillation in a nation-wide network

Nielsen, Anne Møller; Folke, Fredrik; Lippert, Freddy; Rasmussen, Lars S.

doi:10.1016/j.resuscitation.2012.11.008

Cited by 64 publications

(51 citation statements)

References 26 publications

(58 reference statements)

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“…In the UK, the value of AEDs was recognised via the National Defibrillator Programme which instigated the installation of 3,000 AEDs across England including airports and shopping centres (Department of Health, 1999). Public Access Defibrillators (PADs) located onsite, rather than being transported from elsewhere, have shown better survival rates than AEDs which are largely transported by health professionals (Colquhoun et al, 2008;Eckstein, 2012;Fleischhackl et al, 2008;Nielson et al, 2013;Sanna et al, 2008).…”

Section: Sudden Cardiac Arrest (Sca)mentioning

confidence: 99%

Awareness of automated external defibrillators in the community: a local study

Baker

Loade

Crone

2015

British Journal of Cardiac Nursing

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Automated external defibrillators (AEDs) are an important part of the chain of survival and provide a valuable first response to cardiac arrest. The National Defibrillator Programme instigated the installation of AEDs across England, but there is a need for greater local evidence concerning their installation. The aim of this study was to investigate the current status of AED provision within a single district in a county located in southwest UK. A mixed-methods study was undertaken including a quantitative survey and qualitative interviews. In total, 182 surveys were completed and seven interviews were undertaken with participants representing local organisations. Less than one third of organisations had installed AEDs and people were not clear about where the nearest AED was situated. Further awareness must be raised in order to develop public knowledge and confidence concerning the location, role and use of community AEDs.

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Section: Sudden Cardiac Arrest (Sca)mentioning

confidence: 99%

Awareness of automated external defibrillators in the community: a local study

Baker

Loade

Crone

2015

British Journal of Cardiac Nursing

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“…Many studies, including a prospective, randomized trial, have shown that public access defibrillation (PAD) programs improve the rate of survival among patients with an OHCA. As a result of these findings, PAD programs have been introduced in many areas 8, 10, 11, 12, 17, 18…”

Section: Introductionmentioning

confidence: 99%

“…Long‐term survival can increase as much as 2 to 3 times if a bystander/first responder also uses an automated external defibrillator (AED) before emergency medical service (EMS) arrival 2, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16. Many studies, including a prospective, randomized trial, have shown that public access defibrillation (PAD) programs improve the rate of survival among patients with an OHCA.…”

Section: Introductionmentioning

confidence: 99%

Survival After Ventricular Fibrillation Cardiac Arrest in the Sao Paulo Metropolitan Subway System: First Successful Targeted Automated External Defibrillator (AED) Program in Latin America

Gianotto‐Oliveira

Gonzalez

Vianna

et al. 2015

JAHA

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BackgroundTargeted automated external defibrillator (AED) programs have improved survival rates among patients who have an out‐of‐hospital cardiac arrest (OHCA) in US airports, as well as European and Japanese railways. The Sao Paulo (Brazil) Metro subway carries 4.5 million people per day. A targeted AED program was begun in the Sao Paulo Metro with the objective to improve survival from cardiac arrest.Methods and ResultsA prospective, longitudinal, observational study of all cardiac arrests in the Sao Paulo Metro was performed from September 2006 through November 2012. This study focused on cardiac arrest by ventricular arrhythmias, and the primary endpoint was survival to hospital discharge with minimal neurological impairment. A total of 62 patients had an initial cardiac rhythm of ventricular fibrillation. Because no data on cardiac arrest treatment or outcomes existed before beginning this project, the first 16 months of the implementation was used as the initial experience and compared with the subsequent 5 years of full operation. Return of spontaneous circulation was not different between the initial 16 months and the subsequent 5 years (6 of 8 [75%] vs. 39 of 54 [72%]; P=0.88). However, survival to discharge was significantly different once the full program was instituted (0 of 8 vs. 23 of 54 [43%]; P=0.001).ConclusionsImplementation of a targeted AED program in the Sao Paulo Metro subway system saved lives. A short interval between arrest and defibrillation was key for good long‐term, neurologically intact survival. These results support strategic expansion of targeted AED programs in other large Latin American cities.

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“…(2,3) Public access defibrillation (PAD) programmes have been established to empower bystanders to deliver early defibrillation, but have so far produced ambivalent results. (3)(4)(5) Although the evidence to support the benefits of public access automated external defibrillators (AEDs) is strong, (3,(5)(6)(7) unfortunately these lifesaving devices are often used only in a minority of SCA cases, even in areas where they are readily available. (4,7) Education of the public is one of the crucial factors to increase awareness, willingness and knowledge to use AEDs.…”

Section: Introductionmentioning

confidence: 99%

Can tablets be used as a simulator for automated external defibrillation during cardiopulmonary resuscitation courses?

2016

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Use and benefits of public access defibrillation in a nation-wide network

Cited by 64 publications

References 26 publications

Awareness of automated external defibrillators in the community: a local study

Awareness of automated external defibrillators in the community: a local study

Survival After Ventricular Fibrillation Cardiac Arrest in the Sao Paulo Metropolitan Subway System: First Successful Targeted Automated External Defibrillator (AED) Program in Latin America

Can tablets be used as a simulator for automated external defibrillation during cardiopulmonary resuscitation courses?

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