Resuscitation
Volume 66, Issue 2 , Pages 189-196, August 2005

Providing automated external defibrillators to urban police officers in addition to a fire department rapid defibrillation program is not effective☆☆☆

  • Michael R. Sayre

      Affiliations

    • Department of Emergency Medicine, The Ohio State University, 150 Means Hall, 1654 Upham Drive, Columbus, OH 43210, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 614 293 8811; fax: +1 614 293 3124.
    • ,
  • Janice Evans

      Affiliations

    • Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH, USA
    • ,
  • Lynn J. White

      Affiliations

    • Department of Emergency Medicine, The Ohio State University, 150 Means Hall, 1654 Upham Drive, Columbus, OH 43210, USA
    • ,
  • Timothy D. Brennan

      Affiliations

    • Department of Internal Medicine, The Ohio State University, Columbus, OH, USA

Received 6 January 2005; received in revised form 23 February 2005; accepted 23 February 2005.

Abstract 

Objective:

The aim of this study was to determine if providing automated external defibrillators (AEDs) to urban police officers would increase the proportion of patients with out-of-hospital cardiac arrest (OOH-CA) who were discharged alive from the hospital.

Methods:

This prospective, controlled study was conducted in a city with about 332,000 persons. The EMS system included paramedic ambulances and fire department based first responders equipped with defibrillators, but police officers did not respond routinely to medical emergencies. Between March 1997 and February 1999, all OOH-CAs in four police districts were identified and followed until death or hospital discharge. All 35 police cars in one police district were provided with AEDs, and all police officers in that district were trained in CPR and the use of AEDs. Police and fire first response units were dispatched simultaneously in district 3 (intervention group). Fire first response was dispatched without police in districts 2, 4, and 5 (control group).

Results:

A total of 645 OOH-CAs occurred over the 2 years. Sixty-two were outside of the study area. Two did not have accurate address information to determine the police district. Of the remaining cases, 154 (27%) occurred in the intervention district and 427 (73%) were in the control area. Survival to hospital discharge was similar; it was 11/154 (7.1%) in the intervention and 16/427 (3.8%) in the control districts (odds ratio=1.98; 95% CI 0.90–4.36). Survival to hospital discharge for witnessed OOH-CA events occurring prior to EMS arrival and found to be in ventricular fibrillation or ventricular tachycardia was 4/27 (15%) in the intervention area and 9/73 (12%) in the control area (odds ratio=1.2; 95% CI 0.4–4.4).

Conclusion:

Equipping police cars with AEDs in an urban area where the fire department-based first response system also carries defibrillators did not improve the hospital discharge survival rate for victims of OOH-CA.

Keywords: Defibrillation, Heart arrest, Police, Automated external defibrillator, Emergency medical technician, Clinical trials

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

☆ Presented in part at the American Heart Association Scientific Sessions, Atlanta, GA, November 1999 and at the National Association of EMS Physicians Annual Meeting, Dana Point, CA, January 2000.

☆☆ A Spanish translated version of the Abstract and Keywords of this article appears as Appendix at 10.1016/j.resuscitation.2005.02.006.

PII: S0300-9572(05)00128-0

doi:10.1016/j.resuscitation.2005.02.006

Resuscitation
Volume 66, Issue 2 , Pages 189-196, August 2005

Article Tools