| A national scheme for public access defibrillation in England and Wales: early results. | |
| | |
MedLine Citation:
|
PMID: 18562074 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Automated external defibrillators (AEDs) operated by lay persons are used in the UK in a National Defibrillator Programme promoting public access defibrillation (PAD). METHODS: Two strategies are used: (1) Static AEDs installed permanently in busy public places operated by those working nearby. (2) Mobile AEDs operated by community first responders (CFRs) who travel to the casualty. RESULTS: One thousand five hundred and thirty resuscitation attempts. With static AEDs, return of spontaneous circulation (ROSC) was achieved in 170/437 (39%) patients, hospital discharge in 113/437 (26%). With mobile AEDs, ROSC was achieved in 110/1093 (10%), hospital discharge in 32 (2.9%) (P<0.001 for both variables). More shocks were administered with static AEDS 347/437 (79%) than mobile AEDs 388/1093 (35.5%) P<0.001. Highly significant advantages existed for witnessed arrests, administration of shocks, bystander CPR before arrival of AED and short delays to start CPR and attach AED. These factors were more common with static AEDs. For CFRs, patients at home did less well than those at other locations for ROSC (P<0.001) and survival (P=.006). Patients at home were older, more arrests were unwitnessed, fewer shocks were given, delays to start CPR and attach electrodes were longer. CONCLUSIONS: PAD is a highly effective strategy for patients with sudden cardiac arrest due to ventricular fibrillation who arrest in public places where AEDs are installed. Community responders who travel with an AED are less effective, but offer some prospect of resuscitation for many patients who would otherwise receive no treatment. Both strategies merit continuing development. |
| | |
Authors:
|
M C Colquhoun; D A Chamberlain; R G Newcombe; R Harris; S Harris; K Peel; C S Davies; R Boyle |
Related Documents
:
|
7365414 - Relation between non-bicarbonate buffer value and tolerance to cellular acidosis: a com... 7893304 - Intravenous bretylium overdose. 16959754 - Hyperglycemia and outcome after myocardial infarction and cardiac surgery: so what? 1994144 - Survival from out-of-hospital cardiac arrest. a multivariate analysis. 8402754 - Prolonged activation of fibrinolytic system induced by fibrin nonselective thrombolytic... 9793504 - The risk of cerebrovascular accident in patients with asymptomatic critical carotid art... |
Publication Detail:
|
Type: Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't Date: 2008-06-17 |
Journal Detail:
|
Title: Resuscitation Volume: 78 ISSN: 0300-9572 ISO Abbreviation: Resuscitation Publication Date: 2008 Sep |
Date Detail:
|
Created Date: 2008-08-04 Completed Date: 2009-01-27 Revised Date: 2009-08-25 |
Medline Journal Info:
|
Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: Ireland |
Other Details:
|
Languages: eng Pagination: 275-80 Citation Subset: IM |
Affiliation:
|
Department of Primary Care and Public Health, (Medical Statistics), School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, United Kingdom. mcc@mcolquhoun.plus.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Cardiopulmonary Resuscitation / utilization Defibrillators / supply & distribution, utilization* England / epidemiology Female Heart Arrest / epidemiology, therapy* Humans Male Middle Aged National Health Programs* Program Evaluation Public Health Practice* Survival Rate Treatment Outcome Wales / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: An observational, prospective study exploring the use of heart rate variability as a predictor of cl...
Next Document: A manikin-based observational study on cardiopulmonary resuscitation skills at the Osaka Senri medic...