Improving bystander defibrillation for out-of-hospital cardiac arrest: Capability, opportunity and motivation

      In this issue of Resuscitation Sondergaard et al. [
      • Sondergaard K.B.
      • Hansen S.M.
      • Pallisgaard J.L.
      • Gerds T.A.
      • Wissenberg M.
      • Karlsson L.
      • et al.
      Out-of-hospital cardiac arrest: probability of bystander defibrillation relative to distance to nearest automated external defibrillator.
      ] report that the likelihood of receiving bystander defibrillation decreases quickly as the distance from an out-of-hospital cardiac arrest (OHCA) to the nearest Automated External Defibrillator (AED) increases. Bystander automated external defibrillation – when performed – saves lives. The best available data from a recent systematic review and meta-analysis [
      • Holmberg M.J.
      • Vognsen M.
      • Andersen M.S.
      • Donnino M.W.
      • Andersen L.W.
      Bystander automated external defibrillator use and clinical outcomes after out-of-hospital cardiac arrest: a systematic review and meta-analysis.
      ] reports that the chances of survival (odds ratio 1.73; 95% confidence interval 1.36–2.18) and favourable neurological outcome (odds ratio 2.12; 95% CI 1.36–3.29) double when defibrillation is undertaken by a bystander.
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      References

        • Sondergaard K.B.
        • Hansen S.M.
        • Pallisgaard J.L.
        • Gerds T.A.
        • Wissenberg M.
        • Karlsson L.
        • et al.
        Out-of-hospital cardiac arrest: probability of bystander defibrillation relative to distance to nearest automated external defibrillator.
        Resuscitation. 2018; 124: 138-144
        • Holmberg M.J.
        • Vognsen M.
        • Andersen M.S.
        • Donnino M.W.
        • Andersen L.W.
        Bystander automated external defibrillator use and clinical outcomes after out-of-hospital cardiac arrest: a systematic review and meta-analysis.
        Resuscitation. 2017; 120: 77-87
        • Hawkes C.
        • Booth S.
        • Ji C.
        • Brace-McDonnell S.J.
        • Whittington A.
        • Mapstone J.
        • et al.
        Epidemiology and outcomes from out-of-hospital cardiac arrests in England.
        Resuscitation. 2017; 110: 133-140
        • Deakin C.D.
        • Shewry E.
        • Gray H.H.
        Public access defibrillation remains out of reach for most victims of out-of-hospital sudden cardiac arrest.
        Heart. 2014; 100: 619-623
        • Smith C.M.
        • Lim Choi Keung S.N.
        • Khan M.O.
        • Arvanitis T.N.
        • Fothergill R.
        • Hartley-Sharpe C.
        • et al.
        Barriers and facilitators to public access defibrillation in out-of-hospital cardiac arrest: a systematic review.
        Eur Heart J Qual Care Clin Outcomes. 2017; 3: 264-273
        • Michie S.
        • Atkins L.
        • West R.
        The Behaviour Change Wheel: A Guide To Designing Interventions.
        2nd ed. Silverback Publishing, London2014
        • Hansen C.M.
        • Wissenberg M.
        • Weeke P.
        • Ruwald M.H.
        • Lamberts M.
        • Lippert F.K.
        • et al.
        Automated external defibrillators inaccessible to more than half of nearby cardiac arrests in public locations during evening, nighttime, and weekends.
        Circulation. 2013; 128: 2224-2231
        • Chan T.C.
        • Li H.
        • Lebovic G.
        • Tang S.K.
        • Chan J.Y.
        • Cheng H.C.
        • et al.
        Identifying locations for public access defibrillators using mathematical optimization.
        Circulation. 2013; 127: 1801-1809
        • Tsai Y.-S.
        • Ko P.C.-I.
        • Huang C.-Y.
        • Wen T.-H.
        Optimizing locations for the installation of automated external defibrillators (AEDs) in urban public streets through the use of spatial and temporal weighting schemes.
        Appl Geogr. 2012; 35: 394-404
        • Rea T.
        • Blackwood J.
        • Damon S.
        • Phelps R.
        • Eisenberg M.
        A link between emergency dispatch and public access AEDs: potential implications for early defibrillation.
        Resuscitation. 2011; 82: 995-998
        • Ringh M.
        • Jonsson M.
        • Nordberg P.
        • Fredman D.
        • Hasselqvist-Ax I.
        • Håkansson F.
        • et al.
        Survival after public access defibrillation in stockholm, Sweden—a striking success.
        Resuscitation. 2015; 91: 1-7
        • Fredman D.
        • Svensson L.
        • Ban Y.
        • Jonsson M.
        • Hollenberg J.
        • Nordberg P.
        • et al.
        Expanding the first link in the chain of survival—experiences from dispatcher referral of callers to AED locations.
        Resuscitation. 2016; 107: 129-134
        • Agerskov M.
        • Nielsen A.M.
        • Hansen C.M.
        • Hansen M.B.
        • Lippert F.K.
        • Wissenberg M.
        • et al.
        Public Access Defibrillation: great benefit and potential but infrequently used.
        Resuscitation. 2015; 96: 53-58
        • Perkins G.D.
        • Travers A.H.
        • Berg R.A.
        • Castrén M.
        • Considine J.
        • Escalante R.
        • et al.
        Part 3: adult basic life support and automated external defibrillation: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations.
        Resuscitation. 2015; 95: e43-69
        • Kleinman M.E.
        • Perkins G.D.
        • Bhanji F.
        • Billi J.E.
        • Bray J.
        • Callaway C.W.
        • et al.
        Knowledge gaps in resuscitation science identified during and after the 2015 international liaison committee on resuscitation evidence evaluation process: a consensus statement.
        Resuscitation. 2018; (in press)
        • Smith C.M.
        • Wilson M.H.
        • Ghorbangholi A.
        • Hartley-Sharpe C.
        • Gwinnutt C.
        • Dicker B.
        • et al.
        The use of trained volunteers in the response to out-of-hospital cardiac arrest – the GoodSAM experience.
        Resuscitation. 2017; 121: 123-126
        • Brooks S.C.
        • Simmons G.
        • Worthington H.
        • Bobrow B.J.
        • Morrison L.J.
        The pulsepoint respond mobile device application to crowdsource basic life support for patients with out-of-hospital cardiac arrest: challenges for optimal implementation.
        Resuscitation. 2016; 98: 20-26
        • Henriksen F.L.
        • Schakow H.
        • Larsen M.L.
        The FirstAED global positioning system organizes a first responder team with distinct roles and ensures the possibility for early cardiopulmonary resuscitation and defibrillation [abstract].
        Resuscitation. 2015; 96: 11
        • Yeung J.
        • Okamoto D.
        • Soar J.
        • Perkins G.D.
        AED training and its impact on skill acquisition, retention and performance—a systematic review of alternative training methods.
        Resuscitation. 2011; 82: 657-664
        • Semeraro F.
        • Wingen S.
        • Schroeder D.C.
        • Ecker H.
        • Scapigliati A.
        • Ristagno G.
        • et al.
        Kids save lives implementation in Europe: a survey through the ERC research NET.
        Resuscitation. 2016; 107: e7-e9
        • Böttiger B.W.
        • Bossaert L.L.
        • Castrén M.
        • Cimpoesu D.
        • Georgiou M.
        • Greif R.
        • et al.
        Kids save lives – ERC position statement on school children education in CPR.: Hands that help – training children is training for life.
        Resuscitation. 2016; 105: A1-3
        • Smith C.M.
        • Colquhoun M.C.
        • Samuels M.
        • Hodson M.
        • Mitchell S.
        • O'Sullivan J.
        New signs to encourage the use of Automated External Defibrillators by the lay public.
        Resuscitation. 2017; 114: 100-105