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Public access defibrillation

Alan M Batt, Ahmed S Al-Hajeri, Fergal H Cummins
To report the characteristics of out-of-hospital cardiac arrest patients and their outcomes in the emirates of Sharjah, Ras-al-Khaimah, Umm Al-Quwain, Fujairah, and Ajman in the United Arab Emirates (collectively known as the Northern Emirates). Methods: This is a prospective descriptive cohort study of out-of-hospital cardiac arrest incidents transported by the national ambulance crews between February 2014 and March 2015 in the Northern Emirates. Results: A total of 384 patients were enrolled in this study...
November 2016: Saudi Medical Journal
Chang Guk Yoon, Jinwoo Jeong, In Ho Kwon, Jae Hoon Lee
Out-of-hospital cardiac arrest (OHCA) is considered an important health issue worldwide, and early defibrillation is a key element for a favourable prognosis. In South Korea, public access defibrillation (PAD) programmes were initiated in 2007. However, the impact of PAD programmes on OHCA survival rates remains unclear. This study evaluated the deployment and maintenance status of public automatic external defibrillators (AED), including how frequently they were used, in Busan Metropolitan City, South Korea...
2016: SpringerPlus
H Tanaka, H Takyu, R Sagisaka, H Ueta, Toru Shirakawa, Tomoya Kinoshi, Hiroyuki Takahashi, Takashi Nakagawa, Syuji Shimazaki, M Ong Eng Hock
OBJECTIVE: To evaluate the time-independent effect of the early administration of epinephrine (EPI) on favorable neurological outcome (as CPC [cerebral performance category] 1-2) at 1 month in patients with out-of-hospital cardiac arrest. MATERIALS AND METHODS: A total of 119 639 witnessed cardiac arrest patients from 2008 to 2012 were eligible for this nationwide, prospective, population-based observational study. Patients were divided into EPI group (n = 20 420) and non-EPI group (n = 99 219)...
August 19, 2016: American Journal of Emergency Medicine
Christopher L F Sun, Derya Demirtas, Steven C Brooks, Laurie J Morrison, Timothy C Y Chan
BACKGROUND: Immediate access to an automated external defibrillator (AED) increases the chance of survival for out-of-hospital cardiac arrest (OHCA). Current deployment usually considers spatial AED access, assuming AEDs are available 24 h a day. OBJECTIVES: The goal of this study was to develop an optimization model for AED deployment, accounting for spatial and temporal accessibility, to evaluate if OHCA coverage would improve compared with deployment based on spatial accessibility alone...
August 23, 2016: Journal of the American College of Cardiology
Christopher M Smith
No abstract text is available yet for this article.
October 2016: Resuscitation
Kosuke Kiyohara, Tetsuhisa Kitamura, Tomohiko Sakai, Chika Nishiyama, Tatsuya Nishiuchi, Yasuyuki Hayashi, Tetsuya Sakamoto, Seishiro Marukawa, Taku Iwami
BACKGROUND: Actual application of public-access automated external defibrillator (AED) pads to patients with an out-of-hospital cardiac arrest (OHCA) by the public has been poorly investigated. METHODS: AED applications, prehospital characteristics, and one-month outcomes of OHCAs occurring in Osaka Prefecture from 2011 to 2012 were obtained from the Utstein Osaka Project registry. Patients with a non-traumatic OHCA occurring before emergency medical service attendance were enrolled...
September 2016: Resuscitation
Cristina Jorge-Soto, Cristian Abelairas-Gómez, Roberto Barcala-Furelos, Anxela Garrido-Viñas, Rubén Navarro-Patón, María Muiño-Piñeiro, M Pino Díaz-Pereira, Antonio Rodríguez-Núñez
AIM: Early defibrillation should achieve the highest survival rates when applied within the first minutes after the collapse. Public access defibrillation programs have increased the population awareness of the importance of defibrillation. Schoolchildren should be trained in basic life support (BLS) skills and some countries have included BLS in their school syllabus. However, little is known of the current knowledge and ability of schoolchildren to use an automated external defibrillator (AED)...
September 2016: Resuscitation
Bo-Cheng Lin, Chao-Wen Chen, Chien-Chou Chen, Chiao-Ling Kuo, I-Chun Fan, Chi-Kung Ho, I-Chuan Liu, Ta-Chien Chan
BACKGROUND: The occurrence of out-of-hospital cardiac arrest (OHCA) is a critical life-threatening event which frequently warrants early defibrillation with an automated external defibrillator (AED). The optimization of allocating a limited number of AEDs in various types of communities is challenging. We aimed to propose a two-stage modeling framework including spatial accessibility evaluation and priority ranking to identify the highest gaps between demand and supply for allocating AEDs...
2016: International Journal of Health Geographics
Kosuke Kiyohara, Chika Nishiyama, Sumito Hayashida, Tasuku Matsuyama, Toshihiro Hatakeyama, Tomonari Shimamoto, Junichi Izawa, Tomoko Fujii, Yusuke Katayama, Taku Iwami, Tetsuhisa Kitamura
BACKGROUND: Characteristics and outcomes of emergency patients with bath-related sudden cardiac arrest in prehospital settings have not been sufficiently investigated. METHODS AND RESULTS: From a prospective population-based registry, which covers all out-of-hospital cardiac arrests (OHCAs) in Osaka City, a total of 642 patients who had a bath-related OHCA from 2012 to 2014 were enrolled in the analyses. The characteristics and outcomes of OHCA were compared by three locations of arrest: home baths (n=512), public baths (n=102), and baths in other public institutions (n=28)...
June 24, 2016: Circulation Journal: Official Journal of the Japanese Circulation Society
Renhao Desmond Mao, Marcus Eng Hock Ong
BACKGROUND: Worldwide, out-of-hospital cardiac arrest (OHCA) remains a serious problem. Public access defibrillation (PAD) has been shown to be effective in improving survival in OHCA with good neurological outcome. SOURCES OF DATA: Original articles, reviews and national/international guidelines. AREAS OF AGREEMENT: Limitations to how much we can improve ambulance response times mean that the public have an essential role to play in OHCA survival...
June 2016: British Medical Bulletin
Paul Poirier, Sanjay Sharma, Andrew Pipe
Sudden cardiac death (SCD) in a young seemingly healthy athlete is a tragic and often highly publicized event. Preparticipation screening aims to identify those affected by cardiovascular diseases who may be at higher risk of SCD during sports participation. There are conflicting recommendations from the American Heart Association and the European Society of Cardiology regarding screening electrocardiograms (ECGs) before participation in sports. The use of an ECG as a screening strategy has been questioned, with a large number of abnormal test results observed in athletes resulting from the electrocardiographic changes that occur in a highly trained individual overlapping with findings suggestive of a pathologic condition...
April 2016: Canadian Journal of Cardiology
Alessandro Capucci, Daniela Aschieri, Federico Guerra, Valentina Pelizzoni, Stefano Nani, Giovanni Quinto Villani, Gust H Bardy
BACKGROUND: Speed is the cornerstone of rescue for out-of-hospital cardiac arrest. As a consequence, community participation programs have been initiated to decrease response times. Even in the very best of these programs, however, short-term survival rates hover around 10% and long-term survival rates are half that. In most locales, survival is far worse. In Piacenza, Italy, responders have been trained for more than a decade to use publicly available automated external defibrillators (AEDs) and eschew the performance of cardiopulmonary resuscitation (CPR)...
February 2016: American Heart Journal
S Ballesteros-Peña, I Fernández-Aedo, I Pérez-Urdiales, Z García-Azpiazu, S Unanue-Arza
AIM: To explore the training, ability and attitudes towards cardiopulmonary resuscitation and the use of automatic defibrillators among the population of the Basque Country (Spain). DESIGN: A face-to-face survey. SCOPE: Capital cities of the Basque Country. PARTICIPANTS: A total of 605 people between 15-64 years of age were randomly selected. MAIN VARIABLES OF INTEREST: Information about the knowledge, perceptions and self-perceived ability to identify and assist cardiopulmonary arrest was requested...
March 2016: Medicina Intensiva
Cinzia Valzania, Aleksandra Torbica, Rosanna Tarricone, Francisco Leyva, Giuseppe Boriani
BACKGROUND: In recent years, indications for cardiac implantable electrical devices (CIEDs) have broadened; however, budget constraints can significantly impact patient access to these life-saving health technologies. OBJECTIVE: To perform a systematic literature review on the implant rates of pacemakers, cardioverter-defibrillators, and cardiac resynchronization therapy devices in Europe over the last decade to provide insight into the possible reasons for differences across regions or countries...
January 2016: Health Policy
Santiago O Valdes
No abstract text is available yet for this article.
October 2015: Journal of the American Heart Association
Annelies De Wulf, Adam R Aluisio, Dana Muhlfelder, Christina Bloem
INTRODUCTION: The North East Department is a resource-limited region of Haiti. Health care is provided by hospitals and community clinics, with no formal Emergency Medical System and undefined emergency services. As a paucity of information exists on available emergency services in the North East Department of Haiti, the objective of this study was to assess systematically the existing emergency care resources in the region. METHODS: This cross-sectional observational study was carried out at all Ministry of Public Health and Population (MSPP)-affiliated hospitals in the North East Department and all clinics within the Fort Liberté district...
December 2015: Prehospital and Disaster Medicine
Marianne Agerskov, Anne Møller Nielsen, Carolina Malta Hansen, Marco Bo Hansen, Freddy Knudsen Lippert, Mads Wissenberg, Fredrik Folke, Lars Simon Rasmussen
BACKGROUND: In Copenhagen, a volunteer-based Automated External Defibrillator (AED) network provides a unique opportunity to assess AED use. We aimed to determine the proportion of Out-of-Hospital Cardiac Arrest (OHCA) where an AED was applied before arrival of the ambulance, and the proportion of OHCA-cases where an accessible AED was located within 100 m. In addition, we assessed 30-day survival. METHODS: Using data from the Mobile Emergency Care Unit and the Danish Cardiac Arrest Registry, we identified 521 patients with OHCA between October 1, 2011 and September 31, 2013 in Copenhagen, Denmark...
November 2015: Resuscitation
Marcus Eng Hock Ong, Sang Do Shin, Nurun Nisa Amatullah De Souza, Hideharu Tanaka, Tatsuya Nishiuchi, Kyoung Jun Song, Patrick Chow-In Ko, Benjamin Sieu-Hon Leong, Nalinas Khunkhlai, Ghulam Yasin Naroo, Abdul Karim Sarah, Yih Yng Ng, Wen Yun Li, Matthew Huei-Ming Ma
BACKGROUND: The Pan Asian Resuscitation Outcomes Study (PAROS) Clinical Research Network (CRN) was established in collaboration with emergency medical services (EMS) agencies and academic centers in Japan, Singapore, South Korea, Malaysia, Taiwan, Thailand, and UAE-Dubai and aims to report out-of-hospital cardiac arrests (OHCA) and provide a better understanding of OHCA trends in Asia. METHODS AND RESULTS: This is a prospective, international, multi-center cohort study of OHCA across the Asia-Pacific...
November 2015: Resuscitation
Shinji Nakahara, Jun Tomio, Masao Ichikawa, Fumiaki Nakamura, Masamichi Nishida, Hideto Takahashi, Naoto Morimura, Tetsuya Sakamoto
IMPORTANCE: Neurologically intact survival after out-of-hospital cardiac arrest (OHCA) has been increasing in Japan. However, associations between increased prehospital care, including bystander interventions and increases in survival, have not been well estimated. OBJECTIVE: To estimate the associations between bystander interventions and changes in neurologically intact survival among patients with OHCA in Japan. DESIGN, SETTING, AND PARTICIPANTS: Retrospective descriptive study using data from Japan's nationwide OHCA registry, which started in January 2005...
July 21, 2015: JAMA: the Journal of the American Medical Association
Michael P Müller, Cynthia Poenicke, Maxi Kurth, Torsten Richter, Thea Koch, Carolin Eisold, Adrian Pfältzer, Axel R Heller
BACKGROUND: Basic life support (BLS) guidelines focus on chest compressions with a minimal no-flow fraction (NFF), early defibrillation, and a short perishock pause. By using an automated external defibrillator (AED) lay persons are guided through the process of attaching electrodes and initiating defibrillation. It is unclear, however, to what extent the voice instructions given by the AED might influence the quality of initial resuscitation. METHODS: Using a patient simulator, 8 different commercially available AEDs were evaluated within two different BLS scenarios (ventricular fibrillation vs...
2015: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
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