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Automated External Defibrillator

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https://www.readbyqxmd.com/read/28215188/high-school-cardiac-emergency-response-plans-and-sudden-cardiac-death-in-the-young
#1
Michelle J White, Emefah C Loccoh, Monica M Goble, Sunkyung Yu, Folafoluwa O Odetola, Mark W Russell
: Introduction Sudden cardiac death (SCD) is responsible for 5%-10% of all deaths among children 5-19 years-of-age. The incidence of SCD in youth in Michigan (USA) and nationwide is higher in racial/ethnic minorities and in certain geographic areas. School cardiac emergency response plans (CERPs) increase survival after cardiac arrest. However, school cardiac emergency preparedness remains variable. Studying population-level factors associated with school cardiac emergency preparedness and incidence of SCD in the young may improve understanding of disparities in the incidence of SCD...
February 20, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28194680/parental-knowledge-of-cardiovascular-screening-and-prevention-of-sudden-cardiac-arrest-in-youth-athletes
#2
Madison A Wagener, Alex B Diamond, Ashley Rowatt Karpinos
Sudden cardiac arrest (SCA) is the leading cause of death in youth athletes. Survival from out- of-hospital SCA depends on prompt initiation of cardiopulmonary resuscitation (CPR) and use of an automated external defibrillator (AED). This study evaluated parental knowledge, experience, and attitudes related to cardiovascular screening, SCA, and CPR/AED use in youth athletes and made comparisons between parents who are employed in healthcare and parents who are not employed in healthcare. We conducted a cross-sectional survey to evaluate knowledge, experiences, and attitudes of 91 parents of youth athletes who attended a community-based cardiovascular screening event...
February 13, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28143588/recognition-of-out-of-hospital-cardiac-arrest-during-emergency-calls-a-systematic-review-of-observational-studies
#3
REVIEW
Søren Viereck, Thea Palsgaard Møller, Josephine Philip Rothman, Fredrik Folke, Freddy Knudsen Lippert
BACKGROUND: The medical dispatcher plays an essential role as part of the first link in the Chain of Survival, by recognising the out-of-hospital cardiac arrest (OHCA) during the emergency call, dispatching the appropriate first responder or emergency medical services response, performing dispatcher assisted cardiopulmonary resuscitation, and referring to the nearest automated external defibrillator. The objective of this systematic review was to evaluate and compare studies reporting recognition of OHCA patients during emergency calls...
February 1, 2017: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/28138421/efficacy-and-retention-of-basic-life-support-education-including-automated-external-defibrillator-usage-during-a-physical-education-period
#4
Kae Watanabe, Dalia Lopez-Colon, Jonathan J Shuster, Joseph Philip
The American Heart Association (AHA) advocates for CPR education as a requirement of secondary school curriculum. Unfortunately, many states have not adopted CPR education. Our aim was to investigate a low-cost, time effective method to educate students on Basic Life Support (BLS), including reeducation. This is a prospective, randomized study. Retention was assessed at 4 months post-initial education. Education was performed by AHA-certified providers during a 45-minute physical education class in a middle school in Florida...
March 2017: Preventive Medicine Reports
https://www.readbyqxmd.com/read/28129072/sports-related-emergency-preparedness-in-oregon-high-schools
#5
Samuel T Johnson, Marc F Norcross, Viktor E Bovbjerg, Mark A Hoffman, Eunwook Chang, Michael C Koester
BACKGROUND: Best practice recommendations for sports-related emergency preparation include implementation of venue-specific emergency action plans (EAPs), access to early defibrillation, and first responders-specifically coaches-trained in cardiopulmonary resuscitation and automated external defibrillator (AED) use. The objective was to determine whether high schools had implemented these 3 recommendations and whether schools with a certified athletic trainer (AT) were more likely to have done so...
March 2017: Sports Health
https://www.readbyqxmd.com/read/28115027/real-time-visual-feedback-during-training-improves-laypersons-cpr-quality-a-randomized-controlled-manikin-study
#6
Enrico Baldi, Stefano Cornara, Enrico Contri, Francesco Epis, Dario Fina, Beatrice Zelaschi, Cinzia Dossena, Ferdinando Fichtner, Michela Tonani, Marzia Di Maggio, Elisa Zambaiti, Alberto Somaschini
OBJECTIVE: The chances of surviving an out-of-hospital cardiac arrest depend on early and high-quality cardiopulmonary resuscitation (CPR). Our aim is to verify whether the use of feedback devices during laypersons' CPR training improves chest compression quality. METHODS: Laypersons totalling 450 participating in Basic Life Support and Automated External Defibrillation (BLS/AED) courses were randomly divided into three groups: group No Feedback (NF) attended a course without any feedback, group Short Feedback (SF) a course with 1-minute training with real-time visual feedback, and group Long Feedback (LF) a course with 10-minute training with real-time visual feedback...
January 24, 2017: CJEM
https://www.readbyqxmd.com/read/28103818/a-qualitative-study-to-identify-barriers-to-deployment-and-student-training-in-the-use-of-automated-external-defibrillators-in-schools
#7
Line Zinckernagel, Carolina Malta Hansen, Morten Hulvej Rod, Fredrik Folke, Christian Torp-Pedersen, Tine Tjørnhøj-Thomsen
BACKGROUND: Student training in use of automated external defibrillators and deployment of such defibrillators in schools is recommended to increase survival after out-of-hospital cardiac arrest. Low implementation rates have been observed, and even at schools with a defibrillator, challenges such as delayed access have been reported. The purpose of this study was to identify barriers to the implementation of defibrillator training of students and deployment of defibrillators in schools...
January 19, 2017: BMC Emergency Medicine
https://www.readbyqxmd.com/read/28063720/a-case-of-cardiac-arrest-that-occurred-on-a-high-mountain-in-which-a-favorable-outcome-was-obtained
#8
Youichi Yanagawa, Kazuhiko Omori, Ikuto Takeuchi, Kei Jitsuiki, Toshihiko Yoshizawa, Kouhei Ishikawa, Yumi Kando, Mutsumu Fukata, Hiromichi Ohsaka
A 36-year-old man started to climb Mount Fuji (3776m above sea level: ASL), from the Gotemba new fifth station (2400m ASL). He had no significant medical history, and this was his first attempt to climb such a high mountain. He began feeling chest discomfort but continued to climb. When he reached the ninth station of the mountain (3600mASL), he lost consciousness. One individual immediately provided basic life support using an automated external defibrillator (AED) that was located in the station. After electroshocks, he regained consciousness...
October 24, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28062467/basic-life-support-education-in-secondary-schools-a-cross-sectional-survey-in-london-uk
#9
Justin D Salciccioli, Dominic C Marshall, Mark Sykes, Alexander D Wood, Stephanie A Joppa, Madhurima Sinha, P Boon Lim
OBJECTIVES: Basic life support (BLS) training in schools is associated with improved outcomes from cardiac arrest. International consensus statements have recommended universal BLS training for school-aged children. The current practice of BLS training in London schools is unknown. The aim of this study was to assess current practices of BLS training in London secondary schools. SETTING, POPULATION AND OUTCOMES: A prospective audit of BLS training in London secondary schools was conducted...
January 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/27996994/-sudden-cardiac-arrest-in-italian-sports-facilities-in-2015-epidemiological-implications-of-the-so-called-balduzzi-decree
#10
Alessandro Zorzi, Angela Susana, Veronica Spadotto, Luisa Cacciavillani, Domenico Corrado
Under the Italian Law "Legge Balduzzi", which was issued after the sudden cardiac death of professional athletes Pier Mario Morosini and Vigor Bovolenta in 2012, the presence of an automated external defibrillator (AED) and personnel trained to perform cardiopulmonary resuscitation must be available in every Italian sports facility from 2016. In 2015 the national and local press reported 123 cases of sudden cardiac arrests (SCA) occurring in Italian sport facilities, corresponding to an estimated ≈0.2-0.4% of all SCA and to ≈0...
November 2016: Giornale Italiano di Cardiologia
https://www.readbyqxmd.com/read/27990645/evaluation-of-a-unique-defibrillation-unit-with-dual-vector-biphasic-waveform-capabilities-towards-a-miniaturized-defibrillator
#11
Hideo Okamura, Christopher V Desimone, Ammar M Killu, Emily J Gilles, Jason Tri, Roshini Asirvatham, Dejae J Ladewig, Scott H Suddendorf, Joanne M Powers, Christina M Wood-Wentz, Peter D Gray, Douglas M Raymond, Shelley J Savage, Walter T Savage, Charles J Bruce, Samuel J Asirvatham, Paul A Friedman
BACKGROUND: Automated external defibrillators can provide life-saving therapies to treat ventricular fibrillation. We developed a prototype unit that can deliver a unique shock waveform produced by four independent capacitors that is delivered through two shock vectors, with the rationale of providing more robust shock pathways during emergent defibrillation. We describe the initial testing and feasibility of this unique defibrillation unit, features of which may enable downsizing of current defibrillator devices...
December 19, 2016: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/27957491/teaching-life-saving-manoeuvres-in-primary-school
#12
Sara Calicchia, Giovanna Cangiano, Silvia Capanna, Mariangela De Rosa, Bruno Papaleo
Introduction. In the event of sudden cardiac arrest (SCA) early intervention provided by a layperson can be life-saving. Teaching first aid in primary school may increase the lifelong ability and motivation of young people to take action in an emergency. Objective. The aim of this article is to report a training experience on BLSD (Basic Life Support and Defibrillation) designed for a group of pupils in an Italian primary school, with assessment of its effectiveness at a distance. Methods. The assessment was carried out using a multiple choice questionnaire on a sample of 130 pupils aged 11-12, 62 trained in BLSD and 68 as a control group...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27927264/factors-influencing-the-intentions-of-nurses-and-respiratory-therapists-to-use-automated-external-defibrillators-during-in-hospital-cardiac-arrest-a-qualitative-interview-study
#13
Jessica Andrews, Christian Vaillancourt, Jan Jensen, Ann Kasaboski, Manya Charette, Catherine M Clement, Jamie C Brehaut, Martin H Osmond, George A Wells, Ian G Stiell, Jeremy Grimshaw
OBJECTIVES: Nurses and respiratory therapists are seldom allowed to use automated external defibrillators (AED) during in-hospital cardiac arrest. This can result in significant time delays before defibrillation occurs and lower survival for cardiac arrest victims. We sought to identify barriers and facilitators to AED use by nurses and respiratory therapists. METHODS: We conducted semi-structured qualitative interviews with a purposeful sample of nurses and respiratory therapists...
December 8, 2016: CJEM
https://www.readbyqxmd.com/read/27899017/public-access-defibrillation-and-outcomes-after-pediatric-out-of-hospital-cardiac-arrest
#14
Tatsuma Fukuda, Naoko Ohashi-Fukuda, Hiroaki Kobayashi, Masataka Gunshin, Toshiki Sera, Yutaka Kondo, Naoki Yahagi
BACKGROUND: Use of automated external defibrillators (AEDs) has been recommended for pediatric out-of-hospital cardiac arrest (OHCA). However, there are no conclusive studies that elucidated the effectiveness of public-access defibrillation (PAD) in children. METHODS: This was a nationwide, population-based, propensity score-matched study of pediatric OHCA in Japan from 2011 to 2012, based on data from the All-Japan Utstein Registry. We included pediatric OHCA patients (aged 1-17 years) who received bystander cardiopulmonary resuscitation...
February 2017: Resuscitation
https://www.readbyqxmd.com/read/27858504/rise-and-shock-optimal-defibrillator-placement-in-a-high-rise-building
#15
Timothy C Y Chan
OBJECTIVE: Out-of-hospital cardiac arrests (OHCA) in high-rise buildings experience lower survival and longer delays until paramedic arrival. Use of publicly accessible automated external defibrillators (AED) can improve survival, but "vertical" placement has not been studied. We aim to determine whether elevator-based or lobby-based AED placement results in shorter vertical distance travelled ("response distance") to OHCAs in a high-rise building. METHODS: We developed a model of a single-elevator, n-floor high-rise building...
November 18, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27852456/implementing-cardiopulmonary-resuscitation-training-programs-in-high-schools-iowa-s-experience
#16
Derek B Hoyme, Dianne L Atkins
OBJECTIVE: To understand perceived barriers to providing cardiopulmonary resuscitation (CPR) education, implementation processes, and practices in high schools. STUDY DESIGN: Iowa has required CPR as a graduation requirement since 2011 as an unfunded mandate. A cross-sectional study was performed through multiple choice surveys sent to Iowa high schools to collect data about school demographics, details of CPR programs, cost, logistics, and barriers to implementation, as well as automated external defibrillator training and availability...
February 2017: Journal of Pediatrics
https://www.readbyqxmd.com/read/27787361/community-involvement-in-out-of-hospital-cardiac-arrest-a-cross-sectional-study-assessing-cardiopulmonary-resuscitation-awareness-and-barriers-among-the-lebanese-youth
#17
Ali Shams, Mohamad Raad, Nour Chams, Sana Chams, Rana Bachir, Mazen J El Sayed
Out of hospital cardiac arrest (OHCA) is a leading cause of death worldwide. Developing countries including Lebanon report low survival rates and poor neurologic outcomes in affected victims. Community involvement through early recognition and bystander cardiopulmonary resuscitation (CPR) can improve OHCA survival.This study assesses knowledge and attitude of university students in Lebanon and identifies potential barriers and facilitators to learning and performing CPR.A cross-sectional survey was administered to university students...
October 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27783922/public-access-defibrillation-and-out-of-hospital-cardiac-arrest-in-japan
#18
Tetsuhisa Kitamura, Kosuke Kiyohara, Tomohiko Sakai, Tasuku Matsuyama, Toshihiro Hatakeyama, Tomonari Shimamoto, Junichi Izawa, Tomoko Fujii, Chika Nishiyama, Takashi Kawamura, Taku Iwami
Background Early defibrillation plays a key role in improving survival in patients with out-of-hospital cardiac arrests due to ventricular fibrillation (ventricular-fibrillation cardiac arrests), and the use of publicly accessible automated external defibrillators (AEDs) can help to reduce the time to defibrillation for such patients. However, the effect of dissemination of public-access AEDs for ventricular-fibrillation cardiac arrest at the population level has not been extensively investigated. Methods From a nationwide, prospective, population-based registry of patients with out-of-hospital cardiac arrest in Japan, we identified patients from 2005 through 2013 with bystander-witnessed ventricular-fibrillation arrests of presumed cardiac origin in whom resuscitation was attempted...
October 27, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27780740/comparative-performance-assessment-of-commercially-available-automatic-external-defibrillators-a-simulation-and-real-life-measurement-study-of-hands-off-time
#19
Simone Savastano, Vincenzo Vanni, Roman Burkart, Maurizio Raimondi, Fabrizio Canevari, Simone Molinari, Enrico Baldi, Aurora I Danza, Maria Luce Caputo, Romano Mauri, Francois Regoli, Giulio Conte, Claudio Benvenuti, Angelo Auricchio
PURPOSE: Early and good quality cardiopulmonary resuscitation (CPR) and the use of automated external defibrillators (AEDs) improve cardiac arrest patients' survival. However, AED peri- and post-shock/analysis pauses may reduce CPR effectiveness. METHODS: The time performance of 12 different commercially available AEDs was tested in a manikin based scenario; then the AEDs recordings from the same tested models following the clinical use both in Pavia and Ticino were analyzed to evaluate the post-shock and post-analysis time...
January 2017: Resuscitation
https://www.readbyqxmd.com/read/27773493/assessment-of-knowledge-and-skills-in-using-an-automated-external-defibrillator-aed-by-university-students-a-quasi-experimental-research
#20
S Basanta Camiño, R Navarro Patón, M Freire Tellado, R Barcala Furelos, M P Pavón Prieto, M Fernández López, M A Neira Pájaro
AIM: To evaluate layperson (university student) ability to use an automated external defibrillator (AED). DESIGN: A repeated measures quasi-experimental study with non-probabilistic sampling and a control group was carried out. SCOPE: Teacher training degree students at the University of Santiago de Compostela (Spain). PARTICIPANTS: The sample consisted of 129 subjects (69% women and 31% men), between 19-47 years of age (mean 23...
October 20, 2016: Medicina Intensiva
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