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Automated External Defibrillator

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https://www.readbyqxmd.com/read/28323083/new-signs-to-encourage-the-use-of-automated-external-defibrillators-by-the-lay-public
#1
Christopher M Smith, Michael C Colquhoun, Marc Samuels, Mark Hodson, Sarah Mitchell, Judy O'Sullivan
INTRODUCTION: Public Access Defibrillation - the use of Automated External Defibrillators (AEDs) by lay bystanders before the arrival of Emergency Medical Services - is an important strategy in delivering prompt defibrillation to victims of out-of-hospital cardiac arrest and can greatly improve survival rates. Such public-access AEDs are used rarely: one barrier might be poor understanding and content of current signage to indicate their presence. The aim of this project was to develop a sign, with public consultation, that better indicated the function of an AED, and an associated poster to encourage its use...
March 18, 2017: Resuscitation
https://www.readbyqxmd.com/read/28320804/the-right-place-at-the-right-time-optimizing-automated-external-defibrillator-placement-in-the-community
#2
EDITORIAL
Michael E Field, Richard L Page
No abstract text is available yet for this article.
March 21, 2017: Circulation
https://www.readbyqxmd.com/read/28320803/ranking-businesses-and-municipal-locations-by-spatiotemporal-cardiac-arrest-risk-to-guide-public-defibrillator-placement
#3
Christopher L F Sun, Steven C Brooks, Laurie J Morrison, Timothy C Y Chan
BACKGROUND: Efforts to guide automated external defibrillator placement for out-of-hospital cardiac arrest (OHCA) treatment have focused on identifying broadly defined location categories without considering hours of operation. Broad location categories may be composed of many businesses with varying accessibility. Identifying specific locations for automated external defibrillator deployment incorporating operating hours and time of OHCA occurrence may improve automated external defibrillator accessibility...
March 21, 2017: Circulation
https://www.readbyqxmd.com/read/28318669/-impact-of-onsite-or-dispatched-automated-external-defibrillator-use-on-early-survival-after-sudden-cardiac-arrest-occurring-in-international-airports
#4
Elena Linda Garcia, Sherry Caffrey-Villari, Diomeda Ramirez, Jean-Luc Caron, Patrice Mannhart, Paul-Georges Reuter, Frederic Lapostolle, Frederic Adnet
INTRODUCTION: Out-of-hospital cardiac arrest (OHCA) is a major public health challenge. Use of automated external defibrillators (AED) by laypersons improves survival of patient's victim of OHCA. The aim of our study was to compare onsite AED vs. dispatched AED management of cardiac arrest occurring in international airports. METHODS: We conducted a retrospective, observational, comparative, study on data collected from three international airports: Paris-Charles-de-Gaulle (CDG), Chicago and Madrid-Barajas...
March 15, 2017: La Presse Médicale
https://www.readbyqxmd.com/read/28318658/sudden-death-in-athletes
#5
Domenico Corrado, Alessandro Zorzi
Competitive sports activity is associated with an increased risk of sudden cardiovascular death (SCD) in adolescents and young adults with clinically silent cardiovascular disorders. While in middle-aged/senior athletes atherosclerotic coronary artery disease accounts for the vast majority of SCDs, in young athletes the spectrum of substrates is wider and includes inherited (cardiomyopathies) and congenital (anomalous origin of coronary arteries) structural heart diseases. Inherited ion channel diseases have been implicated in SCDs occurring with an apparently normal heart at autopsy...
March 10, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/28297003/bystander-defibrillation-for-out-of-hospital-cardiac-arrest-in-public-vs-residential-locations
#6
Steen Møller Hansen, Carolina Malta Hansen, Fredrik Folke, Shahzleen Rajan, Kristian Kragholm, Linda Ejlskov, Gunnar Gislason, Lars Køber, Thomas A Gerds, Søren Hjortshøj, Freddy Lippert, Christian Torp-Pedersen, Mads Wissenberg
Importance: Bystander-delivered defibrillation (hereinafter referred to as bystander defibrillation) of patients with out-of-hospital cardiac arrests (OHCAs) remains limited despite the widespread dissemination of automated external defibrillators (AEDs). Objective: To examine calendar changes in bystander defibrillation and subsequent survival according to a public or a residential location of the cardiac arrest after nationwide initiatives in Denmark to facilitate bystander-mediated resuscitative efforts, including bystander defibrillation...
March 15, 2017: JAMA Cardiology
https://www.readbyqxmd.com/read/28292745/cardiopulmonary-resuscitation-training-in-schools-following-8%C3%A2-years-of-mandating-legislation-in-denmark-a-nationwide-survey
#7
Carolina Malta Hansen, Line Zinckernagel, Annette Kjær Ersbøll, Tine Tjørnhøj-Thomsen, Mads Wissenberg, Freddy Knudsen Lippert, Peter Weeke, Gunnar Hilmar Gislason, Lars Køber, Christian Torp-Pedersen, Fredrik Folke
BACKGROUND: School cardiopulmonary resuscitation (CPR) training has become mandatory in many countries, but whether legislation has translated into implementation of CPR training is largely unknown. We assessed CPR training of students following 8 years of legislative mandates in Denmark. METHODS AND RESULTS: A nationwide cross-sectional survey of Danish school leadership (n=1240) and ninth-grade homeroom teachers (n=1381) was carried out for school year 2013-2014...
March 14, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28288975/lay-bystanders-perspectives-on-what-facilitates-cardiopulmonary-resuscitation-and-use-of-automated-external-defibrillators-in-real-cardiac-arrests
#8
Carolina Malta Hansen, Simone Mørk Rosenkranz, Fredrik Folke, Line Zinckernagel, Tine Tjørnhøj-Thomsen, Christian Torp-Pedersen, Kathrine B Sondergaard, Graham Nichol, Morten Hulvej Rod
BACKGROUND: Many patients who suffer an out-of-hospital cardiac arrest will fail to receive bystander intervention (cardiopulmonary resuscitation [CPR] or defibrillation) despite widespread CPR training and the dissemination of automated external defibrillators (AEDs). We sought to investigate what factors encourage lay bystanders to initiate CPR and AED use in a cohort of bystanders previously trained in CPR techniques who were present at an out-of-hospital cardiac arrest. METHODS AND RESULTS: One-hundred and twenty-eight semistructured qualitative interviews with CPR-trained lay bystanders to consecutive out-of-hospital cardiac arrest, where an AED was present were conducted (from January 2012 to April 2015, in Denmark)...
March 13, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28259482/accuracy-of-postresuscitation-team-debriefings-in-a-pediatric-emergency-department
#9
Paul C Mullan, Niall H Cochrane, James M Chamberlain, Randall S Burd, Fawn D Brown, Lauren E Zinns, Kristen M Crandall, Karen J O'Connell
STUDY OBJECTIVE: Guideline committees recommend postresuscitation debriefings to improve performance. "Hot" postresuscitation debriefings occur immediately after the event and rely on team recall. We assessed the ability of resuscitation teams to recall their performance in team-based, hot debriefings in a pediatric emergency department (ED), using video review as the criterion standard. We hypothesized that debriefing accuracy will improve during the course of the study. METHODS: Resuscitation physician and nurse leaders cofacilitated debriefings after ED resuscitations involving cardiopulmonary resuscitation (CPR) or intubation...
March 1, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28254836/optimizing-a-drone-network-to-deliver-automated-external-defibrillators
#10
Justin J Boutilier, Steven C Brooks, Alyf Janmohamed, Adam Byers, Jason E Buick, Cathy Zhan, Angela P Schoellig, Sheldon Cheskes, Laurie J Morrison, Timothy C Y Chan
Background -Public access defibrillation programs can improve survival after out-of-hospital cardiac arrest (OHCA), but automated external defibrillators (AEDs) are rarely available for bystander use at the scene. Drones are an emerging technology that can deliver an AED to the scene of an OHCA for bystander use. We hypothesize that a drone network designed with the aid of a mathematical model combining both optimization and queuing can reduce the time to AED arrival. Methods -We applied our model to 53,702 OHCAs that occurred in the eight regions of the Toronto Regional RescuNET between January 1st 2006 and December 31st 2014...
March 2, 2017: Circulation
https://www.readbyqxmd.com/read/28253470/public-access-defibrillation-emerging-importance-of-automated-external-defibrillators-as-a-diagnostic-clinical-tool
#11
Andrew D Mulligan, Omar Al-Mukhtar, Michael Wong
No abstract text is available yet for this article.
March 6, 2017: Medical Journal of Australia
https://www.readbyqxmd.com/read/28238537/defibrillation-before-ems-arrival-in-western-sweden
#12
A Claesson, J Herlitz, L Svensson, L Ottosson, L Bergfeldt, J Engdahl, C Ericson, P Sandén, C Axelsson, A Bremer
BACKGROUND: Bystanders play a vital role in public access defibrillation (PAD) in out-of-hospital cardiac arrest (OHCA). Dual dispatch of first responders (FR) alongside emergency medical services (EMS) can reduce time to first defibrillation. The aim of this study was to describe the use of automated external defibrillators (AEDs) in OHCAs before EMS arrival. METHODS: All OHCA cases with a shockable rhythm in which an AED was used prior to the arrival of EMS between 2008 and 2015 in western Sweden were eligible for inclusion...
February 16, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28215188/high-school-cardiac-emergency-response-plans-and-sudden-cardiac-death-in-the-young
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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