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Singularities of AED implementation in occupational setting and COVID-19 pandemic

In response to “Use and Coverage of Automated External Defibrillators According to Location in Out-of-Hospital Cardiac Arrest”
      Sir,
      We have read with a particular interest the paper by Sarkisian L., Mickley H., Schakow H. et al. about “Use and Coverage of Automated External Defibrillators According to Location in Out-of-Hospital Cardiac Arrest”.
      • Sarkisian L.
      • Mickley H.
      • Schakow H.
      • et al.
      Use and coverage of automated external defibrillators according to location in out-of-hospital cardiac arrest.
      This very interesting study highlighted the singularities of occupational settings. As found by the authors, there is a low incidence of cardiac arrest in the “companies/workplace” (5% of the out-of-hospital cardiac arrest) and a relative low use of AED, contrasting with the relative high percentage of registered AED (Figure 2). However, cardiac arrests at the workplace also tend to affect younger people, with better survival chain and overall survival.
      • Descatha A.
      • Dagrenat C.
      • Cassan P.
      • Jost D.
      • Loeb T.
      • Baer M.
      Cardiac arrest in the workplace and its outcome: a systematic review and meta-analysis.
      • Dagrenat C.
      • Cassan P.
      • Issard D.
      • Loeb T.
      • Baer M.
      • Descatha A.
      First aid in compagnies around the world.
      It implies that the number of years of life saved is also generally high.
      • Descatha A.
      • Baer M.
      Automated external defibrillators in the workplace.
      Furthermore, workplace settings, such as construction sites, factories or offices, comprise very different realities regarding the cause of cardiac arrest, AED implementation, and survival.
      • Palaghita A.
      • Jost D.
      • Despreaux T.
      • et al.
      Characteristics of cardiac arrest occurring in the workplace: a post hoc analysis of the Paris area fire brigade registry.
      Finally, in the context of Covid-19, workplaces have changed for many workers who are teleworking from home, especially workers with high-risk of Covid-19, who are also at high risk of cardiac arrest. Progressive return-to-work of patients with long Covid-19 is also a topic of future research for occupational practitioners.

      Funding

      Authors paid by their affiliations. AD received fees from regional fund for TEC-TOP project outside of the work, and is editor in chief of Archives des Maladies professionnelles et de l’environnement (Elsevier Masson).
      All authors have participated elaborating, discussing, writing the document and finally approved it.

      Conflict of interest

      No conflict of interest.

      References

        • Sarkisian L.
        • Mickley H.
        • Schakow H.
        • et al.
        Use and coverage of automated external defibrillators according to location in out-of-hospital cardiac arrest.
        Resuscitation. 2021; 162: 112-119https://doi.org/10.1016/j.resuscitation.2021.01.040
        • Descatha A.
        • Dagrenat C.
        • Cassan P.
        • Jost D.
        • Loeb T.
        • Baer M.
        Cardiac arrest in the workplace and its outcome: a systematic review and meta-analysis.
        Resuscitation. 2015; 96: 30-36https://doi.org/10.1016/j.resuscitation.2015.07.004
        • Dagrenat C.
        • Cassan P.
        • Issard D.
        • Loeb T.
        • Baer M.
        • Descatha A.
        First aid in compagnies around the world.
        Arch Mal Prof Environ. 2015; 76: 568-578https://doi.org/10.1016/j.admp.2015.06.010
        • Descatha A.
        • Baer M.
        Automated external defibrillators in the workplace.
        BMJ. 2008; 337: a1816
        • Palaghita A.
        • Jost D.
        • Despreaux T.
        • et al.
        Characteristics of cardiac arrest occurring in the workplace: a post hoc analysis of the Paris area fire brigade registry.
        J Occup Environ Med Am Coll Occup Environ Med. 2016; 58: 742-752https://doi.org/10.1097/JOM.0000000000000783

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