During out-of-hospital cardiac arrest (OHCA) every minute counts; survival drops by
7-10% for every minute without bystander intervention.
1
Early CPR and defibrillation, preferably before Emergency Medical Systems (EMS) arrival,
can vastly improve the chances of survival.
2
If a person with OHCA is defibrillated within 3 minutes of collapse, survival can
be as high as 70%.
3
These observations have led to the establishment of public access defibrillation
(PAD) programs in both rural and urban areas across the globe. Despite their widespread
placement, public access AEDs are only used prior to EMS arrival in 2%–5% of cardiac
arrests.
4
The reasons for this are not entirely clear, but the 3 primary factors likely are:
low availability, poor accessibility and a lack of bystander knowledge and confidence.
4
,
5
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to ResuscitationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Predicting survival from out-of-hospital cardiac arrest: a graphic model.Ann Emerg Med. 1993; 22: 1652-1658
- Early CPR in out-of-hospital cardiac arrest.N Engl J Med. 2015; 373: 1573-1574
- Outcomes of rapid defibrillation by security officers after cardiac arrest in casinos.N Engl J Med. 2000; 343: 1206-1209
- 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
- Public knowledge and confidence in the use of public access defibrillation.Heart. 2015; 101: 967-971
- Can you get there from here? An analysis of walkability among PulsePoint CPR alert dispatches.Resuscitation. 2020; 148: 135-139
- A text message alert system for trained volunteers improves out-of-hospital cardiac arrest survival.Resuscitation. 2016; 105: 182-187
- Local lay rescuers with AEDs, alerted by text messages, contribute to early defibrillation in a Dutch out-of-hospital cardiac arrest dispatch system.Resuscitation. 2014; 85: 1444-1449
- Mobile-phone dispatch of laypersons for CPR in out-of-hospital cardiac arrest.N Engl J Med. 2015; 372: 2316-2325
- A brisk walk - real-life travelling speed of lay responders in out-of-hospital cardiac arrest.Resuscitation. 2020; 151: 197-204
- Saving lives with public access defibrillation: A deadly game of hide and seek.Resuscitation. 2018; 128: 93-96
- Can mass education and a television campaign change the attitudes towards cardiopulmonary resuscitation in a rural community?.Scand J Trauma Resusc Emerg Med. 2013; 21: 39
- Marketing defibrillation training programs and bystander intervention support.Health Mark Q. 2009; 26: 87-97
- A summary of public access defibrillation laws, United States, 2010.Prev Chronic Dis. 2012; 9: E71
- A crowdsourcing innovation challenge to locate and map automated external defibrillators.Circ Cardiovasc Qual Outcomes. 2013; 6: 229-236
- Underutilisation of public access defibrillation is related to retrieval distance and time-dependent availability.Heart. 2018; 104: 1339-1343
- Overcoming spatial and temporal barriers to public access defibrillators via optimization.J Am Coll Cardiol. 2016; 68: 836-845
Article info
Publication history
Published online: April 28, 2020
Identification
Copyright
© 2020 Elsevier B.V. All rights reserved.
