Automated external defibrillation/public access defibrillation

Atkins, Dianne L.; Bossaert, Leo; Hazinski, Mary Fran; Kerber, Richard E.; Mancini, Mary Beth; Ornato, Joseph P.; Peberdy, Mary Ann; Quan, Linda; Tang, Wanchun; Timerman, Sérgio; Weisfeldt, Myron L.; White, Roger D.

doi:10.1067/mem.2001.114124

Cited by 21 publications

(8 citation statements)

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“…Indeed Valenzuela et al (2000) concurred that those whose job already required them to respond to emergencies were ideal candidates to be trained to use AEDs. Atkins et al (2001) also agreed that people such as security officers and flight attendants 94 are required to take command in emergency situations and this gives them an advantage over others when it comes to using an AED.…”

Section: What Constitutes Survival?mentioning

confidence: 99%

“…It was appreciated that different groups might have different training needs. Members of certain occupations such as the emergency services or security personnel were often viewed as already possessing some of the motivation and skills required to deal with many kinds of emergency situations (Atkins, Bossaert, Hazinski et al, 2001;Valenzuela, Roe, Nichol et al, 2000).…”

Section: -…Place Is Conceptualised As More Than a Physical Setting Amentioning

confidence: 99%

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Training lay-people to use automatic external defibrillators: Are all of their needs being met?

2006

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This thesis draws upon data gathered during research undertaken with a grant from the Resuscitation Council (UK). It explores the use of Automatic External Defibrillators (AEDs) by laypeople, which is known as Public Access Defibrillation (PAD). Whilst an abundance of research has been undertaken about this phenomenon, it has predominately been conducted using quantitative methods; however the data I am using was collected using a qualitative approach. During the research, fifty-three semi-structured interviews were carried out. Most of these were with laypeople who had been trained to use AEDs, and nine involved those who delivered the training. These interviews were conducted at sites typical of those where these devices have been introduced, such as railway stations and airports. The geographical area of these locations covered the East and West Midlands, South and West Yorkshire, Lincolnshire and Essex. The aims of the research were quite broad and included exploring how to make training more realistic, how debriefing and support for those who had used an AED should be organised and how the interviewees perceived the technology inherent in the AED.This thesis reanalyses the data that was collected during that research and focuses on two themes. Firstly, some of the theories of technologies in transition are used to illustrate how AEDs were developed in a laboratory and progressed from that setting to become commonplace in public locations. The actor-network theory is adopted to argue that these technological devices exert an influence on the human actors in the networks that exist within society. Specifically, my analysis is informed by the work of Timmermans (1998; 1999; 1997) whose theories about external chest compressions I have developed and applied to AEDs. They suggest that these devices achieved universality, in part, through the influence of debates and medical protocols.One significant factor was that AEDs allowed for defibrillation to be redefined from a medical, to a first aid procedure. Eventually, using these devices was included in the protocols for first aid and this legitimised their use by laypeople. These theories are observable in the data through the interviewees" accounts of how they came to accept being trained to use AEDs. The experiences of those who had used an AED during a resuscitation attempt are provided and suggest that these are distressing and unpleasant events.Consequently, a key component of this thesis is a discussion of the necessity to provide psychological debriefing for those who have been involved in these incidents.The findings of this thesis suggest that laypeople who have used an AED usually have questions about the actions they took during the attempted resuscitation and need to address these with someone soon afterwards.

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Section: What Constitutes Survival?mentioning

confidence: 99%

Section: -…Place Is Conceptualised As More Than a Physical Setting Amentioning

confidence: 99%

Training lay-people to use automatic external defibrillators: Are all of their needs being met?

2006

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“…The AHA/ILCOR formally endorsed use of AEDs in hospitals in the 2000 ECC Guidelines [2]. That endorsement followed the recommendations of a task force on AEDs, which came despite their acknowledgment that no direct evidence existed supporting use of AEDs in hospitals [12], and also in spite of studies beginning to show decreased shock efficacy with AEDs [13]. The recommendation was followed by the adoption of AED technology by most American hospitals over the next decade and a half.…”

Section: Professional and Organizational Adoptionmentioning

confidence: 99%

Automated external defibrillators in the hospital: A case of medical reversal

Stewart

2018

The American Journal of Emergency Medicine

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Automated external defibrillators (AEDs) emerged in the 1980s as an important innovation in pre-hospital emergency cardiac care (ECC). In the years since, the American Heart Association (AHA) and the International Liaison Committee for Resuscitation (ILCOR) have promoted AED technology for use in hospitals as well, resulting in the widespread purchase and use of AED-capable defibrillators. In-hospital use of AEDs now appears to have decreased survival from cardiac arrests. This article will look at the use of AEDs in hospitals as a case of "medical reversal." Medical reversal occurs when an accepted, widely used treatment is found to be ineffective or even harmful. This article will discuss the issue of AEDs in the hospital using a conceptual framework provided by recent work on medical reversal. It will go on to consider the implications of the reversal for in-hospital resuscitation programs and emergency medicine more generally.

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“…Of the approximately 25 million competitive athletes in the United States annually, this accounts for 25 to 125 cases of SCD per year. 6,9,[14][15][16][17][18] The occurrence of high-profile deaths of elite and local athletes coupled with the success of the AED in very specific settings in the public domain (i.e., commercial aircraft, casinos, police cruisers) [19][20][21][22] has led many in the sports medicine community to pursue implementation of AED programs in the scholastic athletic arena. 2,3,[5][6][7][8][9][10][11][12][13] To date, research evidence on current SCD prevention techniques of screening athletes through preparticipation history, physical examination, and noninvasive cardiac diagnostic procedures has demonstrated a suboptimal sensitivity for detection of cardiovascular disease and SCD risk.…”

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confidence: 99%

Sudden Cardiac Death in Division I Collegiate Athletics

Coris¹,

Miller²,

Sahebzamani³

2005

Clinical Journal of Sport Medicine

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The results of this study demonstrate the need for NCAA division 1 athletic sports medicine programs to examine, and possibly expand, the traditional scope of practice of caring primarily for student athletes to include the larger community of sports participants comprised of athletes, departmental staff, and spectators. Athletic department AED programs were extremely successfully at increasing survival of SCD far above national prehospital standards, mainly in the nonathletic population. Further study is also necessary in the realm of AED placement, maintenance, and training of staff.

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Automated external defibrillation/public access defibrillation

Cited by 21 publications

References 0 publications

Training lay-people to use automatic external defibrillators: Are all of their needs being met?

Training lay-people to use automatic external defibrillators: Are all of their needs being met?

Automated external defibrillators in the hospital: A case of medical reversal

Sudden Cardiac Death in Division I Collegiate Athletics

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