Survival of people with out-of-hospital cardiac arrest is not improved by equipping first responders with an automated external defibrillator

2004 ◽  
Vol 8 (3) ◽  
pp. 139-141 ◽  
Author(s):  
Judith Finn ◽  
Ian Jacobs
Keyword(s):  
Cardiac Arrest ◽  
First Responders ◽  
Automated External Defibrillator ◽  
Hospital Cardiac Arrest ◽  
External Defibrillator

scholarly journals Impact of Onsite or Dispatched Automated External Defibrillator Use on Survival After Out-of-Hospital Cardiac Arrest

Circulation ◽  
2011 ◽  
Vol 124 (20) ◽  
pp. 2225-2232 ◽  
Author(s):  
Jocelyn Berdowski ◽  
Marieke T. Blom ◽  
Abdennasser Bardai ◽  
Hanno L. Tan ◽  
Jan G.P. Tijssen ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Automated External Defibrillator ◽  
Hospital Cardiac Arrest ◽  
External Defibrillator

Abstract 01: Dispatching Lay Rescuers Through a Smartphone Application is Associated With Increased Bystander Defibrillation in Out-of-Hospital Cardiac Arrest

Circulation ◽  
2018 ◽  
Vol 138 (Suppl_2) ◽  
Author(s):  
Linn Andelius ◽  
Carolina Malta Hansen ◽  
Freddy Lippert ◽  
Lena Karlsson ◽  
Christian Torp-Pedersen ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Smartphone Application ◽  
Automated External Defibrillator ◽  
Early Defibrillation ◽  
Emergency Medical Dispatch ◽  
Capital Region ◽  
Electronic Survey ◽  
Emergency Medical ◽  
Hospital Cardiac Arrest ◽  
External Defibrillator

Introduction: Survival after out-of-hospital cardiac arrest (OHCA) is dependent on early defibrillation. To increase bystander defibrillation in OHCAs, a first-responder program dispatching lay rescuers (Heart Runners) through a smartphone application (Heart Runner-app) was implemented in the Capital Region of Denmark. We investigated the proportion of Heart Runners arriving prior to the Emergency Medical Services (EMS) and rates of bystander defibrillation. Methods: The Capital Region of Denmark comprises 1.8 mil. inhabitants and 19,048 Heart Runners were registered. In cases of suspected OHCA, the Heart Runner-app was activated by the Emergency Medical Dispatch Center. Up to 20 Heart Runners < 1.8 km from the OHCA were dispatched to either start cardiopulmonary resuscitation (CPR) or to retrieve and use a publicly accessible automated external defibrillator (AED). Through an electronic survey, Heart Runners reported if they arrived before EMS and if they applied an AED. OHCAs where at least one Heart Runner arrived before EMS were compared with OHCAs where EMS arrived first. All OHCAs from September 2017 to May 2018, where Heart Runners had been dispatched, were included. Results: Of 399 EMS treated OHCAs, 78% (n=313/399) had a matching survey. A Heart Runner arrived before EMS in 47% (n=147/313) of the cases, and applied an AED in 41% (n=61/147) of these cases. Rate of bystander defibrillation was 2.5-fold higher compared to cases where the EMS arrived first (Table 1). Conclusions: By activation of the Heart Runner-app, Heart Runners arrived prior to EMS in nearly half of all the OHCA cases. Bystander defibrillation rate was significantly higher when Heart Runners arrived prior to EMS.

scholarly journals Changes in automated external defibrillator use and survival after out-of-hospital cardiac arrest in the Nijmegen area

2018 ◽  
Vol 26 (12) ◽  
pp. 600-605 ◽  
Author(s):  
J. Nas ◽  
J. Thannhauser ◽  
J. J. Herrmann ◽  
K. van der Wulp ◽  
P. M. van Grunsven ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Automated External Defibrillator ◽  
Hospital Cardiac Arrest ◽  
External Defibrillator

scholarly journals What Do Adolescents Learn from a 50 Minute Cardiopulmonary Resuscitation/Automated External Defibrillator Education in a Rural Area: A Pre-Post Design

2019 ◽  
Vol 16 (6) ◽  
pp. 1053
Author(s):  
Ming-Fen Tsai ◽  
Li-Hsiang Wang ◽  
Ming-Shyan Lin ◽  
Mei-Yen Chen
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Education Program ◽  
Individual Performance ◽  
Automated External Defibrillator ◽  
Quasi Experimental ◽  
Rescue Time ◽  
The Impact ◽  
Hospital Cardiac Arrest ◽  
External Defibrillator

Background: Literature indicates that patients who receive cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) from bystanders have a greater chance of surviving out-of-hospital cardiac arrest (OHCA). A few evaluative studies involving CPR/AED education programs for rural adolescents have been initiated. This study aimed to examine the impact of a 50 min education program that combined CPR with AED training in two rural campuses. Methods: A quasi-experimental pre-post design was used. The 50 min CPR/AED training and individual performance using a Resusci Anne manikin was implemented with seventh grade students between August and December 2018. Results: A total of 336 participants were included in this study. The findings indicated that the 50 min CPR/AED education program significantly improved participant knowledge of emergency responses (p < 0.001), correct actions at home (p < 0.01) and outside (p < 0.001) during an emergency, and willingness to perform CPR if necessary (p < 0.001). Many participants described that “I felt more confident to perform CPR/AED,” and that “It reduces my anxiety and saves the valuable rescue time.” Conclusions: The brief education program significantly improved the immediate knowledge of cardiac emergency in participants and empowered them to act as first responders when they witnessed someone experiencing a cardiac arrest. Further studies should consider the study design and explore the effectiveness of such brief programs.

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