Author:
Ovidiu Popa Tudor,Corlade-Andrei Mihaela,Nedelea Paul,Manolescu Emilian,Hauta Alexandra,Cimpoesu Diana
Abstract
The use of Automatic External Defibrillators (AED) present in public access defibrillation programs (PAD) in cardiopulmonary resuscitation (CPR) is a challenge in the effective treatment of cardiac arrest, especially for adult patients. It is already known that the majority of adult cases of out-of-hospital cardiac arrest arise from ventricular fibrillation (VF). The most important factor in determining survival from VF is the time from collapse to defibrillation. If laypersons are trained to perform Basic Life Support (BLS) and to attempt defibrillation using an automatic external defibrillator before the emergency medical services arrive, the survival rate of an out-of-hospital cardiac arrest can be increased. In many countries, the number of public access AEDs has increased but implementation of AED use and CPR performed by public bystanders has not been sufficiently frequent. In fact, only a minority of individuals demonstrate sufficient knowledge and willingness to operate an AED, suggesting that the public is not yet sufficiently prepared. It is also very important to support the permanent campaign of training as many laypersons, starting from school, to properly use such defibrillators in public places. Considering these facts, PAD is an effective way and may be a cost-effective way to improve outcomes in cardiac arrest.
Reference7 articles.
1. Perkins GD, Olasveengen TM, Maconochie I, Soar J, Wyllie J, Greif R, et al. European resuscitation council guidelines for resuscitation: 2017 update. Resuscitation. 2018;123:43-50
2. Exel W, Peran D, Jiménez FC. Advanced Life Support: Provider Manual. Emile Vanderveldelaan, Belgium: European Resuscitation Council vzw; 2021
3. Liddle R, Davies CS, Colquhoun M, Handley AJ. The automated external defibrillator. BMJ. 2003;327(7425):1216
4. Soar J, Böttiger BW, Carli P, Couper K, Deakin CD, Djärv T, et al. European resuscitation council guidelines 2021: Adult advanced life support. Resuscitation. 2021;161:115-151
5. Soar J, Nolan JP, Böttiger BW, Perkins GD, Lott C, Carli P, et al. European resuscitation council guidelines for resuscitation 2015: Section 3. Adult advanced life support. Resuscitation. 2015;95:100-147