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Implementation of automated external defibrillators on merchant ships.
MedLine Citation:
PMID:  21722233     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Background. In contrast to cruise ships, ferries and merchant ships are rarely equipped with automated external defibrillators (AEDs). Germany is the first flag state worldwide that legally requires to carry AEDs on seagoing merchant vessels by September 2012 at the latest. Objectives. The aim of this study was to investigate the effect of training ship officers in the handling of AEDs and to explore their perceptions concerning the user-friendliness of currently available defibrillators. Methods. Using four different AEDs, 130 nautical officers performed a total of 400 resuscitation drills. One group (n = 60) used only one device before and after resuscitation training; the other group (n = 70) used all four AEDs in comparison after training. The officers' performances were timed and they were asked by questionnaire about the user-friendliness of each AED. Results. Without resuscitation training, 81.7% of the first mentioned group delivered an effective defibrillation shock. After a 7-hour resuscitation training with special regard to defibrillation, all ship officers (n = 130) used the AED correctly. Among all AEDs, the mean time until start of analysis decreased from 72.4 seconds before to 60.4 seconds after resuscitation training (Wilcoxon test; p < 0.001). The results of the questionnaire and the differences in time to first shock indicated a different user-friendliness of the AEDs. The voice prompts and the screen messages of all AEDs were well understood by all participants. In the second mentioned group, 57.1% regarded feedback information related to depths and frequency of thorax compression as helpful. Conclusions. Nautical officers are able to use AEDs in a timely and effective way with proper training. However, to take advantage of all wanted features of the device (monitoring and resuscitation), the ship management has to observe practical questions of storage, maintenance, signing, training, data management, and transmission. Thus, implementation of the regulations requires proper instructions for the maritime industry by responsible bodies.
Authors:
Marcus Oldenburg; Xaver Baur; Clara Schlaich
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Publication Detail:
Type:  Journal Article     Date:  2011-06-15
Journal Detail:
Title:  Journal of travel medicine     Volume:  18     ISSN:  1708-8305     ISO Abbreviation:  J Travel Med     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-07-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9434456     Medline TA:  J Travel Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  233-8     Citation Subset:  IM    
Copyright Information:
© 2011 International Society of Travel Medicine.
Affiliation:
Department of Maritime Medicine, Hamburg Port Health Centre, Institute for Occupational and Maritime Medicine (ZfAM), University of Hamburg, Hamburg State Department for Social Affairs, Family, Health and Consumer Protection, Hamburg, Germany.
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