BACKGROUND: In Stockholm, a first responder system and a Public Access Defibrillation (PAD) program has been implemented. Additionally, the number of "unregulated" public Automated External Defibrillators (AEDs) sold "over-the-counter" has increased. The aim of this study was to evaluate the impact on survival from different defibrillation strategies in cases of out-of-hospital cardiac arrest (OHCA) available for PAD. DESIGN: Retrospective study of all OHCAs in Stockholm, 2006-2012. Witnessed OHCAs occurring outside home with cardiac origin and ventricular fibrillation were considered subjects for PAD. The sites within the PAD program increased from 60 to 135 while the number of unregulated AEDs outside the PAD program increased from 178 to 5016. Of 6532 OHCAs, 7% (n = 474) were defined as subjects for PAD. Of these, 69% (n = 326) were defibrillated by the EMS, 11% (n = 53) by first responders and 16% (n =7 4) by public AEDs. Survival to one month was 31% (n = 101) for cases defibrillated by the EMS, 42% (n = 22) when defibrillated by first responders and 70% (n = 52) when defibrillated by a public AED. The AEDs within the PAD program constituted 2.6% of all public AEDs and were used in 28% (n = 21) of cases when a public AED was used. CONCLUSIONS: In OHCAs available for PAD, 70% of patients survived if a public AED was used. Both the structured AED program as well as the spread of unregulated AEDs was associated with very high survival rates, but the structured approach was more efficient in relation to the number of AEDs used.
BACKGROUND: In Stockholm, a first responder system and a Public Access Defibrillation (PAD) program has been implemented. Additionally, the number of "unregulated" public Automated External Defibrillators (AEDs) sold "over-the-counter" has increased. The aim of this study was to evaluate the impact on survival from different defibrillation strategies in cases of out-of-hospital cardiac arrest (OHCA) available for PAD. DESIGN: Retrospective study of all OHCAs in Stockholm, 2006-2012. Witnessed OHCAs occurring outside home with cardiac origin and ventricular fibrillation were considered subjects for PAD. The sites within the PAD program increased from 60 to 135 while the number of unregulated AEDs outside the PAD program increased from 178 to 5016. Of 6532 OHCAs, 7% (n = 474) were defined as subjects for PAD. Of these, 69% (n = 326) were defibrillated by the EMS, 11% (n = 53) by first responders and 16% (n =7 4) by public AEDs. Survival to one month was 31% (n = 101) for cases defibrillated by the EMS, 42% (n = 22) when defibrillated by first responders and 70% (n = 52) when defibrillated by a public AED. The AEDs within the PAD program constituted 2.6% of all public AEDs and were used in 28% (n = 21) of cases when a public AED was used. CONCLUSIONS: In OHCAs available for PAD, 70% of patients survived if a public AED was used. Both the structured AED program as well as the spread of unregulated AEDs was associated with very high survival rates, but the structured approach was more efficient in relation to the number of AEDs used.
Authors: Steen Møller Hansen; Carolina Malta Hansen; Fredrik Folke; Shahzleen Rajan; Kristian Kragholm; Linda Ejlskov; Gunnar Gislason; Lars Køber; Thomas A Gerds; Søren Hjortshøj; Freddy Lippert; Christian Torp-Pedersen; Mads Wissenberg Journal: JAMA Cardiol Date: 2017-05-01 Impact factor: 14.676
Authors: Heather M Griffis; Roger A Band; Matthew Ruther; Michael Harhay; David A Asch; John C Hershey; Shawndra Hill; Lindsay Nadkarni; Austin Kilaru; Charles C Branas; Frances Shofer; Graham Nichol; Lance B Becker; Raina M Merchant Journal: Am Heart J Date: 2015-10-28 Impact factor: 4.749
Authors: Ross A Pollack; Siobhan P Brown; Thomas Rea; Tom Aufderheide; David Barbic; Jason E Buick; Jim Christenson; Ahamed H Idris; Jamie Jasti; Michael Kampp; Peter Kudenchuk; Susanne May; Marc Muhr; Graham Nichol; Joseph P Ornato; George Sopko; Christian Vaillancourt; Laurie Morrison; Myron Weisfeldt Journal: Circulation Date: 2018-02-26 Impact factor: 29.690
Authors: Theresa M Olasveengen; Mary E Mancini; Gavin D Perkins; Suzanne Avis; Steven Brooks; Maaret Castrén; Sung Phil Chung; Julie Considine; Keith Couper; Raffo Escalante; Tetsuo Hatanaka; Kevin K C Hung; Peter Kudenchuk; Swee Han Lim; Chika Nishiyama; Giuseppe Ristagno; Federico Semeraro; Christopher M Smith; Michael A Smyth; Christian Vaillancourt; Jerry P Nolan; Mary Fran Hazinski; Peter T Morley Journal: Resuscitation Date: 2020-10-21 Impact factor: 5.262