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”.
1
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.2
, 3
It implies that the number of years of life saved is also generally high.4
Furthermore, workplace settings, such as construction sites, factories or offices, comprise very different realities regarding the cause of cardiac arrest, AED implementation, and survival.5
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.- 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
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
- 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
- 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
- First aid in compagnies around the world.Arch Mal Prof Environ. 2015; 76: 568-578https://doi.org/10.1016/j.admp.2015.06.010
- Automated external defibrillators in the workplace.BMJ. 2008; 337: a1816
- 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
Article Info
Publication History
Published online: April 08, 2021
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© 2021 Elsevier B.V. All rights reserved.
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- Use and coverage of automated external defibrillators according to location in out-of-hospital cardiac arrestResuscitationVol. 162
- PreviewTo evaluate 1) the relative use of automated external defibrillators (AEDs) at different types of AED locations 2) the percentage of AEDs crossing location types during OHCA before use 3) the AED coverage distance at different types of AED locations, and 4) the 30-day-survival in different subgroups.
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- Reply to: Singularities of AED implementation in occupational setting and COVID-19 pandemicResuscitationVol. 163
- PreviewWe would like to thank Descatha et al. for their interest in our manuscript “Use and Coverage of Automated External Defibrillators According to Location in Out-of-Hospital Cardiac Arrest”.1 As you have kindly noted, cardiac arrest occurring in occupational settings tend to affect younger, healthier individuals2 with a presumed higher post-arrest life expectancy. The twenty-five out-of-hospital cardiac arrests (OHCAs) that occurred in “Companies/workplaces” in our study were likewise younger and had the second-most favorable outcome overall (17 out of 25 OHCAs alive at 30 days).
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