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Public access defibrillation

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https://www.readbyqxmd.com/read/29116359/use-of-automated-external-defibrillators-for-in-hospital-cardiac-arrest-any-time-any-place
#1
A Wutzler, C Kloppe, A K Bilgard, A Mügge, C Hanefeld
BACKGROUND: Acute treatment of in-hospital cardiac arrest (IHCA) is challenging and overall survival rates are low. However, data on the use of public-access automated external defibrillators (AEDs) for IHCA remain controversial. The aim of our study was to evaluate characteristics of patients experiencing IHCA and feasibility of public-access AED use for resuscitation in a university hospital. METHODS: IHCA events outside the intensive care unit were analysed over a period of 21 months...
November 7, 2017: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://www.readbyqxmd.com/read/29044399/barriers-and-facilitators-to-public-access-defibrillation-in-out-of-hospital-cardiac-arrest-a-systematic-review
#2
Christopher M Smith, Sarah N Lim Choi Keung, Mohammed O Khan, Theodoros N Arvanitis, Rachael Fothergill, Christopher Hartley-Sharpe, Mark H Wilson, Gavin D Perkins
Public access defibrillation initiatives make automated external defibrillators available to the public. This facilitates earlier defibrillation of out-of-hospital cardiac arrest victims and could save many lives. It is currently only used for a minority of cases. The aim of this systematic review was to identify barriers and facilitators to public access defibrillation. A comprehensive literature review was undertaken defining formal search terms for a systematic review of the literature in March 2017. Studies were included if they considered reasons affecting the likelihood of public access defibrillation and presented original data...
October 1, 2017: European Heart Journal. Quality of Care & Clinical Outcomes
https://www.readbyqxmd.com/read/29032786/contribution-of-stakeholder-engagement-to-the-impact-of-a-health-technology-assessment-an-irish-case-study
#3
Máirín Ryan, Patrick S Moran, Patricia Harrington, Linda Murphy, Michelle O'Neill, Marty Whelan, Conor Teljeur
OBJECTIVES: The aim of this study was to illustrate the contribution of stakeholder engagement to the impact of health technology assessment (HTA) using an Irish HTA of a national public access defibrillation (PAD) program. BACKGROUND: In response to draft legislation that proposed a PAD program, the Minister for Health requested that Health Information and Quality Authority undertake an HTA to inform the design and implementation of a national PAD program and the necessary underpinning legislation...
October 16, 2017: International Journal of Technology Assessment in Health Care
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
#4
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...
November 2017: Resuscitation
https://www.readbyqxmd.com/read/28827131/community-socioeconomic-status-and-public-access-defibrillators-a-multilevel-analysis
#5
Sun Young Lee, Young Kyung Do, Sang Do Shin, Yong Joo Park, Young Sun Ro, Eui Jung Lee, Kyoung Won Lee, Yu Jin Lee
BACKGROUND: Although current guidelines recommend that distribution of public-access defibrillators (PADs) should take into account area-level risk of out-of-hospital cardiac arrest (OHCA), community socioeconomic status (SES) can unduly influence policy implementation in positioning PADs. Using recent, complete data from Seoul Metropolitan City, Korea, this study aims to examine whether community SES is associated with distribution of PADs, in terms of per capita count and risk-grid coverage...
November 2017: Resuscitation
https://www.readbyqxmd.com/read/28756074/-european-guidelines-on-cardiac-arrest-what-s-new
#6
Pascal Cassan
The European recommendations on cardiac arrest are based on the evidence gathered and reviewed by the International Resuscitation Liaison Committee (ILCOR) and were published in October 2015. These recommendations without representing a revolution, constitute an evolution centered on a primary goal to increase survival following cardiac arrest. This improvement in survival depends on four main factors: early identification of cardiac arrest, early access to rescue, early and quality CPR, and access to early defibrillation...
July 2017: La Presse Médicale
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
#7
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
https://www.readbyqxmd.com/read/28687709/the-effects-of-public-access-defibrillation-on-survival-after-out-of-hospital-cardiac-arrest-a-systematic-review-of-observational-studies
#8
REVIEW
Josefine S Bækgaard, Søren Viereck, Thea Palsgaard Møller, Annette Kjær Ersbøll, Freddy Lippert, Fredrik Folke
BACKGROUND: Despite recent advances, the average survival after out-of-hospital cardiac arrest (OHCA) remains <10%. Early defibrillation by an automated external defibrillator is the most important intervention for patients with OHCA, showing survival proportions >50%. Accordingly, placement of automated external defibrillators in the community as part of a public access defibrillation program (PAD) is recommended by international guidelines. However, different strategies have been proposed on how exactly to increase and make use of publicly available automated external defibrillators...
September 5, 2017: Circulation
https://www.readbyqxmd.com/read/28611095/exercise-related-out-of-hospital-cardiac-arrest-among-the-general-population-in-the-era-of-public-access-defibrillation-a-population-based-observation-in-japan
#9
Kosuke Kiyohara, Chika Nishiyama, Takeyuki Kiguchi, Tatsuya Nishiuchi, Yasuyuki Hayashi, Taku Iwami, Tetsuhisa Kitamura
BACKGROUND: Exercise can trigger sudden cardiac arrest. Early initiation of cardiopulmonary resuscitation and automated external defibrillator use by laypersons could maximize the survival rate following exercise-related out-of-hospital cardiac arrest (OHCA). METHODS AND RESULTS: OHCA data between 2005 and 2012 were obtained from a prospective population-based OHCA registry in Osaka Prefecture. Patients with OHCA of presumed cardiac origin and occurring before emergency medical service personnel arrival were included...
June 13, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28576894/use-of-a-geographic-information-system-to-identify-differences-in-automated-external-defibrillator-installation-in-urban-areas-with-similar-incidence-of-public-out-of-hospital-cardiac-arrest-a-retrospective-registry-based-study
#10
David Fredman, Jan Haas, Yifang Ban, Martin Jonsson, Leif Svensson, Therese Djarv, Jacob Hollenberg, Per Nordberg, Mattias Ringh, Andreas Claesson
OBJECTIVES: Early defibrillation in out-of-hospital cardiac arrest (OHCA) is of importance to improve survival. In many countries the number of automated external defibrillators (AEDs) is increasing, but the use is low. Guidelines suggest that AEDs should be installed in densely populated areas and in locations with many visitors. Attempts have been made to identify optimal AED locations based on the incidence of OHCA using geographical information systems (GIS), but often on small datasets and the studies are seldom reproduced...
June 2, 2017: BMJ Open
https://www.readbyqxmd.com/read/28552657/out-of-hospital-cardiac-arrests-during-exercise-among-urban-inhabitants-in-japan-insights-from-a-population-based-registry-of-osaka-city
#11
Kosuke Kiyohara, Junya Sado, Tasuku Matsuyama, Chika Nishiyama, Daisuke Kobayashi, Takeyuki Kiguchi, Sumito Hayashida, Yuri Kitamura, Tomotaka Sobue, Ken Nakata, Taku Iwami, Tetsuhisa Kitamura
BACKGROUND: The patient characteristics, pre-hospital interventions, and outcomes of out-of-hospital cardiac arrests (OHCA) occurring during exercise, have not been sufficiently investigated among the general population. METHODS: OHCA data from 2009 to 2015 were obtained from the population-based OHCA registry in Osaka City, Japan. Patients who suffered OHCA, which occurred during exercise before the arrival of emergency medical service personnel, were included...
August 2017: Resuscitation
https://www.readbyqxmd.com/read/28526668/north-american-public-opinion-survey-on-the-acceptability-of-crowdsourcing-basic-life-support-for-out-of-hospital-cardiac-arrest-with-the-pulsepoint-mobile-phone-app
#12
Katie N Dainty, Haris Vaid, Steven C Brooks
BACKGROUND: The PulsePoint Respond app is a novel system that can be implemented in emergency dispatch centers to crowdsource basic life support (BLS) for patients with cardiac arrest and facilitate bystander cardiopulmonary resuscitation (CPR) and automated external defibrillator use while first responders are en route. OBJECTIVE: The aim of this study was to conduct a North American survey to evaluate the public perception of the above-mentioned strategy, including acceptability and willingness to respond to alerts...
May 17, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/28522305/the-girona-territori-cardioprotegit-project-performance-evaluation-of-public-defibrillators
#13
Pablo Loma-Osorio, Maria Nuñez, Jaime Aboal, Daniel Bosch, Pau Batlle, Ester Ruiz de Morales, Rafael Ramos, Josep Brugada, Hisao Onaga, Alex Morales, Josep Olivet, Ramon Brugada
INTRODUCTION AND OBJECTIVES: In recent years, public access defibrillation programs have exponentially increased the availability of automatic external defibrillators (AED) in public spaces but there are no data on their performance in our setting. We conducted a descriptive analysis of the performance of AED since the launch of a public defibrillation program in our region. METHODS: A retrospective analysis was conducted of electrocardiographic tracings and the performance of AED in a public defibrillation program from June 2011 to June 2015 in the province of Girona, Spain...
May 15, 2017: Revista Española de Cardiología
https://www.readbyqxmd.com/read/28487253/the-drone-ambulance-a-uas-golden-bullet-or-just-a-blank
#14
P Van de Voorde, S Gautama, A Momont, C M Ionescu, P De Paepe, N Fraeyman
Defibrillation within the first minutes after sudden cardiac arrest can save many quality-adjusted life years. Yet, despite enormous investments, 'healthcare' is still unable to provide this for the majority of patients. Emergency Medical Services often have a too long mean response time and many issues surround Public Access Defibrillation programs. In this article we argument that AED-equipped drones could be the 'magic bullet'. They are easily deployed and fast, and have a relatively low operational cost...
July 2017: Resuscitation
https://www.readbyqxmd.com/read/28402986/no-small-matter-pediatric-resuscitation
#15
Taylor McCormick, Kevin McVaney, Paul E Pepe
PURPOSE OF REVIEW: To present advancements in pediatric cardiac arrest research, highlighting articles most relevant to clinical practice published since the latest international guidelines for cardiopulmonary resuscitation (CPR). RECENT FINDINGS: Clinical trials examining targeted temperature management in children support avoidance of hyperthermia for both pediatric in-hospital cardiac arrest (PIHCA) and out-of-hospital cardiac arrest (POHCA), but no statistically significant outcome differences were confirmed comparing 33 and 36 °C in the limited populations studied...
June 2017: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/28323083/new-signs-to-encourage-the-use-of-automated-external-defibrillators-by-the-lay-public
#16
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...
May 2017: Resuscitation
https://www.readbyqxmd.com/read/28320803/ranking-businesses-and-municipal-locations-by-spatiotemporal-cardiac-arrest-risk-to-guide-public-defibrillator-placement
#17
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
#18
COMPARATIVE STUDY
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 2017: La Presse Médicale
https://www.readbyqxmd.com/read/28254836/optimizing-a-drone-network-to-deliver-automated-external-defibrillators
#19
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, 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 out-of-hospital cardiac arrest 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...
June 20, 2017: Circulation
https://www.readbyqxmd.com/read/28253470/public-access-defibrillation-emerging-importance-of-automated-external-defibrillators-as-a-diagnostic-clinical-tool
#20
Andrew D Mulligan, Omar Al-Mukhtar, Michael Wong
No abstract text is available yet for this article.
March 6, 2017: Medical Journal of Australia
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