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Automated External Defibrillator

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https://www.readbyqxmd.com/read/28986388/shocking-the-system-aeds-in-military-resuscitation
#1
REVIEW
Andrew M Buckley, A T Cox, P Rees
Automated external defibrillator (AED) devices have been in routine clinical use since the early 1990s to deliver life-saving shocks to appropriate patients in non-clinical environments. As expectations of survival from out-of-hospital cardiac arrest increase, and evidence incontrovertibly points to reduced timelines as the most crucial factor in achieving return of spontaneous circulation, questions regarding the availability and location of AEDs in the UK military need to be readdressed. This article explores the background of AEDs and reviews their history, life-saving potential and defines current and best practice...
October 5, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28979980/association-of-public-health-initiatives-with-outcomes-for-out-of-hospital-cardiac-arrest-at-home-and-in-public-locations
#2
Christopher B Fordyce, Carolina M Hansen, Kristian Kragholm, Matthew E Dupre, James G Jollis, Mayme L Roettig, Lance B Becker, Steen M Hansen, Tomoya T Hinohara, Claire C Corbett, Lisa Monk, R Darrell Nelson, David A Pearson, Clark Tyson, Sean van Diepen, Monique L Anderson, Bryan McNally, Christopher B Granger
Importance: Little is known about the influence of comprehensive public health initiatives according to out-of-hospital cardiac arrest (OHCA) location, particularly at home, where resuscitation efforts and outcomes have historically been poor. Objective: To describe temporal trends in bystander cardiopulmonary resuscitation (CPR) and first-responder defibrillation for OHCAs stratified by home vs public location and their association with survival and neurological outcomes...
October 4, 2017: JAMA Cardiology
https://www.readbyqxmd.com/read/28978527/dispatch-of-firefighters-and-police-officers-in-out-of-hospital-cardiac-arrest-a-nationwide-prospective-cohort-trial-using-propensity-score-analysis
#3
Ingela Hasselqvist-Ax, Per Nordberg, Johan Herlitz, Leif Svensson, Martin Jonsson, Jonny Lindqvist, Mattias Ringh, Andreas Claesson, Johan Björklund, Jan-Otto Andersson, Caroline Ericson, Pär Lindblad, Lars Engerström, Mårten Rosenqvist, Jacob Hollenberg
BACKGROUND: Dispatch of basic life support-trained first responders equipped with automated external defibrillators in addition to advanced life support-trained emergency medical services personnel in out-of-hospital cardiac arrest (OHCA) has, in some minor cohort studies, been associated with improved survival. The aim of this study was to evaluate the association between basic life support plus advanced life support response and survival in OHCA at a national level. METHODS AND RESULTS: This prospective cohort study was conducted from January 1, 2012, to December 31, 2014...
October 4, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28946920/role-of-bispectral-index-monitoring-and-burst-suppression-in-prognostication-following-out-of-hospital-cardiac-arrest-a-systematic-review-protocol
#4
Leanne Eveson, Marcela Vizcaychipi, Shashank Patil
BACKGROUND: Out-of-hospital cardiac arrest (OHCA) is associated with significant mortality or may have a poor neurological outcome. Various community-training programmes have improved practices like bystander cardiopulmonary resuscitation (CPR) and early defibrillation using automated external defibrillator (AED). Post-resuscitation care has also changed significantly in the millennium. Interventions like targeted temperature management (TTM), avoidance of hyperoxia and emergency cardiac catheterisation have given patients a chance of a better neurological outcome...
September 25, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/28939711/multistate-5-year-initiative-to-improve-care-for-out-of-hospital-cardiac-arrest-primary-results-from-the-heartrescue-project
#5
Sean van Diepen, Saket Girotra, Benjamin S Abella, Lance B Becker, Bentley J Bobrow, Paul S Chan, Carol Fahrenbruch, Christopher B Granger, James G Jollis, Bryan McNally, Lindsay White, Demetris Yannopoulos, Thomas D Rea
BACKGROUND: The HeartRescue Project is a multistate public health initiative focused on establishing statewide out-of-hospital cardiac arrest (OHCA) systems of care to improve case capture and OHCA care in the community, by emergency medical services (EMS), and at hospital level. METHODS AND RESULTS: From 2011 to 2015 in the 5 original HeartRescue states, all adults with EMS-treated OHCA due to a presumed cardiac cause were included. In an adult population of 32...
September 22, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28938914/impact-of-basic-life-support-training-on-the-attitudes-of-health-care-workers-toward-cardiopulmonary-resuscitation-and-defibrillation
#6
Mostafa A Abolfotouh, Manal A Alnasser, Alamin N Berhanu, Deema A Al-Turaif, Abdulrhman I Alfayez
BACKGROUND: Cardiopulmonary resuscitation (CPR) increases the probability of survival of a person with cardiac arrest. Repeating training helps staff retain knowledge in CPR and in use of automated external defibrillators (AEDs). Retention of knowledge and skills during and after training in CPR is difficult and requires systematic training with appropriate methodology. The aim of this study was to determine the effect of basic life-support (BLS) training on the attitudes of health-care providers toward initiating CPR and on use of AEDs, and to investigate the factors that influence these attitudes...
September 22, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28923243/sensitivity-and-specificity-of-two-different-automated-external-defibrillators
#7
Johan Israelsson, Burkard von Wangenheim, Kristofer Årestedt, Birgitta Semark, Kristina Schildmeijer, Jörg Carlsson
AIM: The aim was to investigate the clinical performance of two different types of automated external defibrillators (AEDs). METHODS: Three investigators reviewed 2938 rhythm analyses performed by AEDs in 240 consecutive patients (median age 72, q1-q3=62-83) who had suffered cardiac arrest between January 2011 and March 2015. Two different AEDs were used (AED A n=105, AED B n=135) in-hospital (n=91) and out-of-hospital (n=149). RESULTS: Among 194 shockable rhythms, 17 (8...
September 18, 2017: Resuscitation
https://www.readbyqxmd.com/read/28903056/quality-of-bystander-cardiopulmonary-resuscitation-during-real-life-out-of-hospital-cardiac-arrest
#8
Tore Gyllenborg, Asger Granfeldt, Freddy Lippert, Ingunn Skogstad Riddervold, Fredrik Folke
BACKGROUND: Cardiopulmonary resuscitation (CPR) can increase survival in out-of-hospital cardiac arrest (OHCA). However, little is known about bystander CPR quality in real-life OHCA. AIM: To describe bystander CPR quality based on automated external defibrillator (AED) CPR process data during OHCA and compare it with the European Resuscitation Council 2010 and 2015 Guidelines. METHODS: We included OHCA cases from the Capital Region, Denmark, (2012-2016) where a Zoll AED was used before ambulance arrival...
September 10, 2017: Resuscitation
https://www.readbyqxmd.com/read/28901546/return-of-spontaneous-circulation-and-long-term-survival-according-to-feedback-provided-by-automated-external-defibrillators
#9
M Agerskov, M B Hansen, A M Nielsen, T P Møller, M Wissenberg, L S Rasmussen
BACKGROUND: We aimed to investigate the effect of automated external defibrillator (AED) feedback mechanisms on survival in out-of-hospital cardiac arrest (OHCA) victims. In addition, we investigated converting rates in patients with shockable rhythms according to AED shock waveforms and energy levels. METHODS: We collected data on OHCA occurring between 2011 and 2014 in the Capital Region of Denmark where an AED was applied prior to ambulance arrival. Patient data were obtained from the Danish Cardiac Arrest Registry and medical records...
September 13, 2017: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/28894773/the-pattern-of-pre-hospital-medical-service-delivery-in-iran-a-cross-sectional-study
#10
Mashyaneh Haddadi, Mohammad Sarvar, Hamid Soori, Elaheh Ainy
INTRODUCTION: Pre-hospital emergency systems provide service by Franco-German and Anglo American models. This study was carried out to compare the Iranian emergency medical service (EMS) with the two models regarding timing and equipment. METHODS: In this cross sectional study, response time, scene time, and transport time to hospital as well as ambulance equipment of five hundred thousand Tehran EMS recorded missions, during one year, were compared with Franco-German and Anglo American models, trying to determine the pattern of EMS delivery in Iran...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28888810/bystander-automated-external-defibrillator-use-and-clinical-outcomes-after-out-of-hospital-cardiac-arrest-a-systematic-review-and-meta-analysis
#11
REVIEW
Mathias J Holmberg, Mikael Vognsen, Mikkel S Andersen, Michael W Donnino, Lars W Andersen
AIM: To systematically review studies comparing bystander automated external defibrillator (AED) use to no AED use in regard to clinical outcomes in out-of-hospital cardiac arrest (OHCA), and to provide a descriptive summary of studies on the cost-effectiveness of bystander AED use. METHODS: We searched Medline, Embase, the Web of Science, and the Cochrane Library for randomized trials and observational studies published before June 1, 2017. Meta-analyses were performed for patients with all rhythms, shockable rhythms, and non-shockable rhythms...
September 6, 2017: Resuscitation
https://www.readbyqxmd.com/read/28884631/takotsubo-cardiomyopathy-associated-with-paragonimiasis-westermani
#12
Ryouhei Matsuoka, Jun Muneuchi, Yusaku Nagatomo, Daisuke Shimizu, Seigo Okada, Chiaki Iida, Hiromitsu Shirouzu, Mamie Watanabe, Yasuhiko Takahashi, Haruhiko Maruyama
An 11-year-old boy collapsed during morning assembly at his junior high school. The automated external defibrillator detected ventricular fibrillation and provided shock delivery. He was successfully resuscitated and reverted to sinus rhythm. Electrocardiography showed ST-T elevation in the precordial leads. Echocardiography and angiography demonstrated akinesia of the apex and mid-wall of the left ventricle with preserved contraction of the basal segments, which suggested Takotsubo cardiomyopathy. The patient and his family had often eaten uncooked crab, and his father had a past history of infection with Paragonimiasis westermani...
September 8, 2017: Paediatrics and International Child Health
https://www.readbyqxmd.com/read/28870144/higher-survival-rates-in-exercise-related-out-of-hospital-cardiac-arrests-compared-to-non-exercise-related-a-study-from-the-swedish-register-of-cardiopulmonary-resuscitation
#13
Matilda F Torell, Anneli Strömsöe, Ellen Zagerholm, Johan Herlitz, Andreas Claesson, Leif Svensson, Mats Börjesson
Background Despite the positive effects of physical activity, the risk of sudden cardiac arrest is transiently increased during and immediately after exercise. The purpose of this study was to assess the incidence of exercise-related out-of-hospital cardiac arrest in the general population and to compare characteristics and prognosis of these cardiac arrests with non-exercise-related out-of-hospital cardiac arrests. Methods Data from all cases of treated out-of-hospital cardiac arrest outside of home reported to the Swedish Register of Cardiopulmonary Resuscitation from 2011-2015 in three counties of Sweden were investigated (population 2...
January 1, 2017: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/28774567/minnesota-heart-safe-communities-are-community-based-initiatives-increasing-pre-ambulance-cpr-and-aed-use
#14
Lori L Boland, Michelle B Formanek, Kim K Harkins, Carol L Frazee, Jonathan W Kamrud, Andrew C Stevens, Charles J Lick, Demetris Yannopoulos
AIM: Implementation research that describes how successfully resuscitation guidelines are translated into practice are lacking. We examined whether recent community-based initiatives being conducted as part of the Minnesota Heart Safe (HS) Communities program increase the delivery of CPR and use of automated external defibrillators (AED) by bystanders and first responders prior to ambulance arrival. METHODS: Non-EMS witnessed out-of-hospital cardiac arrests (OHCA) with presumed cardiac etiology treated by a single ambulance service in 2013-2015 were studied...
October 2017: Resuscitation
https://www.readbyqxmd.com/read/28740995/basic-cardiac-life-support-2016-singapore-guidelines
#15
Swee Han Lim, Fong Chi Wee, Tek Siong Chee
Basic Cardiac Life Support (BCLS) or cardiopulmonary resuscitation (CPR) refers to the skills required (without use of equipment) in the resuscitation of cardiac arrest individuals. On recognising cardiac arrest, chest compressions should be initiated. Good quality compressions are with arms extended, elbows locked, shoulders directly over the casualty's chest and heel of the palm on the lower half of the sternum. The rescuer pushes hard and fast, compressing 4-6 cm deep for adults at 100-120 compressions per minute with complete chest recoil...
July 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28729162/effect-of-3basic-life-support-training-programs-in-future-primary-school-teachers-a-quasi-experimental-design
#16
R Navarro-Patón, M Freire-Tellado, S Basanta-Camiño, R Barcala-Furelos, V Arufe-Giraldez, J E Rodriguez-Fernández
AIM: To evaluate the learning of basic life support (BLS) measures on the part of laypersons after 3different teaching programs. DESIGN: A quasi-experimental before-after study involving a non-probabilistic sample without a control group was carried out. SCOPE: Primary school teacher students from the University of Santiago (Spain). PARTICIPANTS: A total of 124 students (68.8% women and 31.2% men) aged 20-39 years (M=22...
July 17, 2017: Medicina Intensiva
https://www.readbyqxmd.com/read/28723789/measuring-the-impact-of-emergency-medical-services-ems-on-out-of-hospital-cardiac-arrest-survival-in-a-developing-country-a-key-metric-for-ems-systems-performance
#17
Mazen El Sayed, Reem Al Assad, Yasmin Abi Aad, Nour Gharios, Marwan M Refaat, Hani Tamim
Out-of-hospital cardiac arrest (OHCA) can be used to evaluate the overall performance of the emergency medical services' (EMS) system. This study assessed the impact of EMS on OHCA survival rates in a setting where the prehospital system is underdeveloped.A retrospective chart review was carried out over a 5-year period of all adult OHCA patients admitted to the emergency department (ED) of a tertiary care center in Lebanon.A total of 271 patients with OHCA (179 [66.1%] men, mean age of 69.9 [standard deviation = 15...
July 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28717777/association-between-public-cardiopulmonary-resuscitation-education-and-the-willingness-to-perform-bystander-cardiopulmonary-resuscitation-a-metropolitan-citywide-survey
#18
Jeong Woo Son, Hyun Wook Ryoo, Sungbae Moon, Jong-Yeon Kim, Jae Yun Ahn, Jeong Bae Park, Kang Suk Seo, Jong Kun Kim, Yun Jeong Kim
OBJECTIVE: Bystander cardiopulmonary resuscitation (CPR) is an important factor associated with improved survival rates and neurologic prognoses in cases of out-of-hospital cardiac arrest. We assessed how factors related to CPR education including timing of education, period from the most recent education session, and content, affected CPR willingness. METHODS: In February 2012, trained interviewers conducted an interview survey of 1,000 Daegu citizens through an organized questionnaire...
June 2017: Clinical and Experimental Emergency Medicine
https://www.readbyqxmd.com/read/28707291/pre-hospital-cardiac-arrest-treated-successfully-with-automated-external-defibrillator
#19
Andrzej Cacko, Marcin Michalak, Eulalia Welk, Grzegorz Opolski, Marcin Grabowski
No abstract text is available yet for this article.
2017: Kardiologia Polska
https://www.readbyqxmd.com/read/28689047/major-regional-differences-in-automated-external-defibrillator-placement-and-basic-life-support-training-in-france-further-needs-for-coordinated-implementation
#20
Nicole Karam, Kumar Narayanan, Wulfran Bougouin, Nordine Benameur, Frankie Beganton, Daniel Jost, Lionel Lamhaut, Marie-Cécile Perier, Alain Cariou, David S Celermajer, Eloi Marijon, Xavier Jouven
BACKGROUND: Public Access Defibrillation (PAD) programs have emerged since mid-1990s with the aim of improving survival from Out-of-Hospital Cardiac Arrest (OHCA). The extent to which their implementation in the community differs among different areas has not been evaluated. METHODS: We carried out a 5-year prospective national evaluation of PAD programs in 51 French districts (29.3 million inhabitants), through the cumulative density of Automated External Defibrillator (AEDs) and the proportion of persons educated in Basic Life Support (BLS)...
September 2017: Resuscitation
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