Automated External Defibrillator Geolocalization with a Mobile Application, Verbal Assistance or No Assistance: A Pilot Randomized Simulation (AED G-MAP)

Briard, Joel Neves; Grou-Boileau, Frédéric; Bashtaly, Alaa El; Spenard, Catherine; Champlain, François de; Homier, Valérie

doi:10.1080/10903127.2018.1511017

Cited by 23 publications

(14 citation statements)

References 29 publications

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“…A recent simulation study found that verbal direction to the nearest public access AED was more effective than either no directional assistance or assistance via an AED geolocation mobile application. 11 Current barriers to this strategy include lack of systematically registered and maintained AEDs and integration with 9-1-1 dispatch systems. As highlighted by the findings in this study, strategies to direct bystanders to the closest AED will also need to take into consideration potential access barriers, such as roads, stairs, locked doors, and AED signage, which is not currently regulated or systematic.…”

Section: Discussionmentioning

confidence: 99%

Out-of-Hospital Cardiac Arrest Bystander Defibrillator Search Time and Experience With and Without Directional Assistance: A Randomized Simulation Trial in a Community Setting

Johnson

Cunningham²,

Zègre‐Hemsey³

et al. 2021

Sim Healthcare

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Introduction: Probability of survival after out-of-hospital cardiac arrest (OHCA) doubles when a bystander initiates cardiopulmonary resuscitation and uses an automated external defibrillator (AED) rapidly. National, state, and community efforts have increased placement of AEDs in public spaces; however, bystander AED use remains less than 2% in the United States. Little is known about the effect of giving bystanders directional assistance to the closest public access AED. Methods: We conducted 35 OHCA simulations using a life-sized manikin with participants aged 18 through 65 years who searched for public access AEDs in 5 zones on a university campus. Zones varied by challenges to pedestrian AED acquisition and number of fixed AEDs. Participants completed 2 searches-first unassisted and then with verbal direction to the closest AED-and we compared AED delivery times. We conducted pretest and posttest surveys. Results: In all 5 zones, the median time from simulated OHCA onset to AED delivery was lower when the bystander received directional assistance. Time savings (minutes:seconds) varied by zone, ranging from a median of 0:53 (P = 0.14) to 3:42 (P = 0.02). Only 3 participants immediately located the closest AED without directional assistance; more than half reported difficulty locating an AED. Conclusions: These findings may inform strategies to ensure that AEDs are consistently marked and placed in visible, accessible locations. Continued emphasis on developing strategies to improve lay bystanders' ability to locate and use AEDs may improve AED retrieval times and OHCA outcomes.

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Section: Discussionmentioning

confidence: 99%

Out-of-Hospital Cardiac Arrest Bystander Defibrillator Search Time and Experience With and Without Directional Assistance: A Randomized Simulation Trial in a Community Setting

Johnson

Cunningham²,

Zègre‐Hemsey³

et al. 2021

Sim Healthcare

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Section: Innovative Approaches To Public-access Defibrillationmentioning

confidence: 97%

“…In a simulation study from Quebec, Canada, researchers found that a passive AED mapping app improved time to AED retrieval compared with having no guidance at all but was not as effective as verbal instructions from an emergency call taker. 173 In another simulation study from Japan, a passive AED mapping app did not improve time to AED retrieval. 174 Other, more sophisticated systems are able to link networks of community volunteers with local emergency dispatch centers to facilitate AED retrieval, bystander CPR, and AED use.…”

Section: Clinical Statements and Guidelinesmentioning

confidence: 97%

Optimizing Outcomes After Out-of-Hospital Cardiac Arrest With Innovative Approaches to Public-Access Defibrillation: A Scientific Statement From the International Liaison Committee on Resuscitation

Brooks¹,

Clegg²,

Bray³

et al. 2022

Circulation

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Out-of-hospital cardiac arrest is a global public health issue experienced by ≈3.8 million people annually. Only 8% to 12% survive to hospital discharge. Early defibrillation of shockable rhythms is associated with improved survival, but ensuring timely access to defibrillators has been a significant challenge. To date, the development of public-access defibrillation programs, involving the deployment of automated external defibrillators into the public space, has been the main strategy to address this challenge. Public-access defibrillator programs have been associated with improved outcomes for out-of-hospital cardiac arrest; however, the devices are used in <3% of episodes of out-of-hospital cardiac arrest. This scientific statement was commissioned by the International Liaison Committee on Resuscitation with 3 objectives: (1) identify known barriers to public-access defibrillator use and early defibrillation, (2) discuss established and novel strategies to address those barriers, and (3) identify high-priority knowledge gaps for future research to address. The writing group undertook systematic searches of the literature to inform this statement. Innovative strategies were identified that relate to enhanced public outreach, behavior change approaches, optimization of static public-access defibrillator deployment and housing, evolved automated external defibrillator technology and functionality, improved integration of public-access defibrillation with existing emergency dispatch protocols, and exploration of novel automated external defibrillator delivery vectors. We provide evidence- and consensus-based policy suggestions to enhance public-access defibrillation and guidance for future research in this area.

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“…Mobile devices have the potential to increase this by assisting with the retrieval and use of AEDs. Multiple apps have been created to locate AEDs in the vicinity of the user, although with mixed results in simulations 190‐192 . Barriers include the accuracy of AED location databases, size of the user base, app interface, and the availability of multiple apps instead of a single validated regional, national, or international standard.…”

Section: Mhealth Applications For Arrhythmiasmentioning

confidence: 99%

2021 ISHNE/HRS/EHRA/APHRS collaborative statement on mHealth in Arrhythmia Management: Digital Medical Tools for Heart Rhythm Professionals

Varma

Cygankiewicz

Turakhia

et al. 2021

Journal of Arrhythmia

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This collaborative statement from the International Society for Holter and Noninvasive Electrocardiology/Heart Rhythm Society/European Heart Rhythm Association/Asia Pacific Heart Rhythm Society describes the current status of mobile health (“mHealth”) technologies in arrhythmia management. The range of digital medical tools and heart rhythm disorders that they may be applied to and clinical decisions that may be enabled are discussed. The facilitation of comorbidity and lifestyle management (increasingly recognized to play a role in heart rhythm disorders) and patient self‐management are novel aspects of mHealth. The promises of predictive analytics but also operational challenges in embedding mHealth into routine clinical care are explored.

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Automated External Defibrillator Geolocalization with a Mobile Application, Verbal Assistance or No Assistance: A Pilot Randomized Simulation (AED G-MAP)

Cited by 23 publications

References 29 publications

Out-of-Hospital Cardiac Arrest Bystander Defibrillator Search Time and Experience With and Without Directional Assistance: A Randomized Simulation Trial in a Community Setting

Out-of-Hospital Cardiac Arrest Bystander Defibrillator Search Time and Experience With and Without Directional Assistance: A Randomized Simulation Trial in a Community Setting

Optimizing Outcomes After Out-of-Hospital Cardiac Arrest With Innovative Approaches to Public-Access Defibrillation: A Scientific Statement From the International Liaison Committee on Resuscitation

2021 ISHNE/HRS/EHRA/APHRS collaborative statement on mHealth in Arrhythmia Management: Digital Medical Tools for Heart Rhythm Professionals

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