Use of Automated External Defibrillators in US Federal Buildings

Kilaru, Austin S.; Leffer, Marc; Perkner, John; Sawyer, K; Jolley, Chandra E.; Nadkarni, Lindsay; Shofer, Frances S.; Merchant, Raina M.

doi:10.1097/jom.0000000000000042

Cited by 8 publications

(4 citation statements)

References 22 publications

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“…These strategies explored placement of AEDs in particular types of buildings, such as exercise facilities 17 , government buildings 18 and schools. 19 However, these locations may not be high risk locations for OHCAs—a study of OHCAs in Maryland found that the most frequent locations for AEDs (such as community pools and schools) had the lowest incidence of OHCAs and, conversely, the highest risk OHCA locations (such as nursing facilities and assisted living facilities) had no AEDs. 20 …”

Section: Introductionmentioning

confidence: 99%

Employment and residential characteristics in relation to automated external defibrillator locations

Griffis

Band

Ruther

et al. 2016

American Heart Journal

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Background Survival from out-of-hospital cardiac arrest (OHCA) is generally poor and varies by geography. Variability in automated external defibrillator (AED) locations may be a contributing factor. To inform optimal placement of AEDs, we investigated AED access in a major US city relative to demographic and employment characteristics. Methods and Results This was a retrospective analysis of a Philadelphia AED registry (2,559 total AEDs). The 2010 US Census and the Local Employment Dynamics (LED) database by ZIP code was used. AED access was calculated as the weighted areal percentage of each ZIP code covered by a 400 meter radius around each AED. Of 47 ZIP codes, only 9%(4) were high AED service areas. In 26%(12) of ZIP codes, less than 35% of the area was covered by AED service areas. Higher AED access ZIP codes were more likely to have a moderately populated residential area (p=0.032), higher median household income (p=0.006), and higher paying jobs (p=008). Conclusions The locations of AEDs vary across specific ZIP codes; select residential and employment characteristics explain some variation. Further work on evaluating OHCA locations, AED use and availability, and OHCA outcomes could inform AED placement policies. Optimizing the placement of AEDs through this work may help to increase survival.

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Section: Introductionmentioning

confidence: 99%

Employment and residential characteristics in relation to automated external defibrillator locations

Griffis

Band

Ruther

et al. 2016

American Heart Journal

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“…In this regard, Nielsen et al (2013) reported further evidence of the lifesaving potential of public-access defibrillation (17). Also, in a study on the use of AED in US federal buildings, the results demonstrated that placement of AEDs in public locations and use of AEDs in public locations increases to double a patient's odds of survival from cardiac arrest (18). In patients with OHCA, early defibrillation plays a key role in the success of the CPR, and the application of public-access AEDs by bystanders can help reduce the time to defibrillation for such patients (19).…”

Section: Discussionmentioning

confidence: 93%

The Barriers to the Success of Cardiopulmonary Resuscitation from the Perspectives of Emergency Medical Services Providers

2021

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Background: Cardiopulmonary resuscitation (CPR) is an integral part of prehospital emergency care. Addressing the barriers to successful CPR may help improve the quality of CPR in the future. Objectives: The present study aimed to identify the barriers to successful CPR from the perspective of EMS providers. Methods: This cross-sectional analytical study was conducted from May 2015 to Jan 2016. One hundred sixty EMS providers who were employed at EMS affiliated to Birjand University of Medical Sciences (Iran) were selected through simple random sampling. To assess barriers to the success of CPR, data were collected using a researcher-made questionnaire (60 questions) categorized in six subscales. Study data were analyzed by SPSS v.16, descriptive (frequency, mean, and standard deviation), and inferential statistics (t-test and ANOVA). Results: Among the subscales of barriers to successful CPR from the perspective of EMS providers, the EMS structure subscale was the most important (3.06 ± 0.38, out of a 0 - 4 range). In this subscale, public inaccessibility automated external defibrillator (AED) (3.59 ± 0.49) and Lack of telephone-CPR advice by the dispatcher (3.58 ± 0.55) were the most important barriers, respectively. There was a significant difference between the mean score of barriers to successful CPR and educational status, which increased in EMS providers with BS degree (P = 0.003). There was no significant difference between the mean score of barriers to successful CPR compared to the other demographic characteristics of EMS providers (P > 0.05). Conclusions: EMS providers perceived public inaccessibility AED and Lack of telephone-CPR training as the most important barriers to success CPR in prehospital emergency care. Therefore, public access to AED must be emphasized to promote immediate response and improve CPR's outcome in EMS. Moreover, telephone-CPR training by dispatchers should be recommended to help increase the success of CPR.

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“…Access to AEDs and early defibrillation is not uniform. [100][101][102][103][104][105][106] AEDs require a substantial upfront investment to acquire and install the equipment. There are also costs associated with training potential users and ongoing maintenance.…”

Section: Priority Area: Early Access Defibrillation For Ohcamentioning

confidence: 99%

The American Heart Association Emergency Cardiovascular Care 2030 Impact Goals and Call to Action to Improve Cardiac Arrest Outcomes: A Scientific Statement From the American Heart Association

Merchant,

Becker,

Brooks

et al. 2024

Circulation

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Every 10 years, the American Heart Association (AHA) Emergency Cardiovascular Care Committee establishes goals to improve survival from cardiac arrest. These goals align with broader AHA Impact Goals and support the AHA’s advocacy efforts and strategic investments in research, education, clinical care, and quality improvement programs. This scientific statement focuses on 2030 AHA emergency cardiovascular care priorities, with a specific focus on bystander cardiopulmonary resuscitation, early defibrillation, and neurologically intact survival. This scientific statement also includes aspirational goals, such as establishing cardiac arrest as a reportable disease and mandating reporting of standardized outcomes from different sources; advancing recognition of and knowledge about cardiac arrest; improving dispatch system response, availability, and access to resuscitation training in multiple settings and at multiple time points; improving availability, access, and affordability of defibrillators; providing a focus on early defibrillation, in-hospital programs, and establishing champions for debriefing and review of cardiac arrest events; and expanding measures to track outcomes beyond survival. The ability to track and report data from these broader aspirational targets will potentially require expansion of existing data sets, development of new data sets, and enhanced integration of technology to collect process and outcome data, as well as partnerships of the AHA with national, state, and local organizations. The COVID-19 (coronavirus disease 2019) pandemic, disparities in COVID-19 outcomes for historically excluded racial and ethnic groups, and the longstanding disparities in cardiac arrest treatment and outcomes for Black and Hispanic or Latino populations also contributed to an explicit focus and target on equity for the AHA Emergency Cardiovascular Care 2030 Impact Goals.

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Use of Automated External Defibrillators in US Federal Buildings

Cited by 8 publications

References 22 publications

Employment and residential characteristics in relation to automated external defibrillator locations

Employment and residential characteristics in relation to automated external defibrillator locations

The Barriers to the Success of Cardiopulmonary Resuscitation from the Perspectives of Emergency Medical Services Providers

The American Heart Association Emergency Cardiovascular Care 2030 Impact Goals and Call to Action to Improve Cardiac Arrest Outcomes: A Scientific Statement From the American Heart Association

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