Different defibrillation strategies in survivors after out-of-hospital cardiac arrest

Zijlstra, Jolande A.; Koster, Rudolph W.; Blom, Marieke T.; Lippert, Freddy; Svensson, Leif; Herlitz, Johan; Kramer‐Johansen, Jo; Ringh, Mattias; Rosenqvist, Mårten; Møller, Thea Palsgaard; Tan, Hanno L.; Beesems, Stefanie G.; Hulleman, Michiel; Claesson, Andreas; Folke, Fredrik; Olasveengen, Theresa M.; Wissenberg, Mads; Hansen, Carolina Malta; Viereck, Søren; Hollenberg, Jacob

doi:10.1136/heartjnl-2017-312622

Cited by 23 publications

(14 citation statements)

References 29 publications

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“…On the other hand, this observation is consistent with a recent view of the COSTA (Copenhagen, Oslo, Stockholm, and Amsterdam) study group. 20 In the presence of a 3-tier EMS made up of an LFR network, professional first responders and ambulances, the LFRs shall be immediately directed toward the OHCA site, even more so if the OHCA occurs in residential or rural areas, because the dispatched professional first responders will provide an AED shortly after. Because the vast majority of our LFRs uses a vehicle to reach the OHCA site, one may consider providing each certified LFR with a dimensionally smaller AED than current AEDs, which can be carried on a bicycle, motorcycle or private car.…”

Section: Discussionmentioning

confidence: 99%

Real-life time and distance covered by lay first responders alerted by means of smartphone-application: Implications for early initiation of cardiopulmonary resuscitation and access to automatic external defibrillators

Auricchio

Gianquintieri

Burkart³

et al. 2019

Resuscitation

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Aim of the Study: To investigate the distance covered by lay first responders (LFR) alerted for an out-of-hospital cardiac arrest (OHCA), evaluate the time elapsed between mission acceptance and arrival at the OHCA site, as well as the distance between the LFRs to the closest automatic external defibrillator (AED). Methods: The LFR route, thus time, distance information, and the average speed of each responder were estimated. The same methodology was used to calculate the distance between the closest AED and the LFRs, as well as the distance between the AED and OHCA site.

show abstract

Section: Discussionmentioning

confidence: 99%

Real-life time and distance covered by lay first responders alerted by means of smartphone-application: Implications for early initiation of cardiopulmonary resuscitation and access to automatic external defibrillators

Auricchio

Gianquintieri

Burkart³

et al. 2019

Resuscitation

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show abstract

“…Other articles in this issue include a study of different defibrillation strategies in survivors after out-of-hospital cardiac arrest5 which emphasises the recent trend of improved survival associated with the increased use of both onsite and first responder automated external defibrillators (AEDs). The Education in Heart article provides an update on the use of triple antithrombotic therapy after acute coronary syndromes or percutaneous coronary intervention in patients on chronic oral anticoagulation 6.…”

mentioning

confidence: 99%

Marital status and cardiovascular disease risk

Otto

2018

Heart

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“…Consequently, some authors are now calling for a paradigm shift from public, to all-access defibrillation [ 43 ]. This could be achieved by the expansion of AED networks in residential areas, accompanied by the development of systems of local lay responders [ 31 , 40 , 41 , 44 , 45 ].…”

Section: Discussionmentioning

confidence: 99%

How to improve automated external defibrillator placement for out-of-hospital cardiac arrests: A case study

2021

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Introduction In out-of-hospital cardiac arrests (OHCAs), the use of an automatic external defibrillator (AED) by a bystander remains low, as AEDs may be misplaced with respect to the locations of OHCAs. As the distribution of historical OHCAs is potentially predictive of future OHCA locations, the purpose of this study is to assess AED positioning with regard to past locations of OHCAs, in order to improve the efficiency of public access defibrillation programs. Methods This is a retrospective observational study from 2014 to 2018. The locations of historical OHCAs and AEDs were loaded into a geodata processing tool. Median distances between AEDs were collected, as well as the number and rates of OHCAs covered (distance of <100 meters from the nearest AED). Areas with high densities of uncovered OHCAs (hotspots) were identified in order to propose the placement of additional AEDs. Areas over-covered by AEDs (overlays) were also identified in order to propose the relocation of overlapping AEDs. Results There were 2,971 OHCA, 79.3% of which occurred at home, and 633 AEDs included in the study. The global coverage rate was 7.5%. OHCAs occurring at home had a coverage rate of 4.5%. Forty hotspots were identified, requiring the same number of additional AEDs. The addition of these would increase the coverage from 7.5% to 17.6%. Regarding AED overlays, 17 AEDs were found to be relocatable without reducing the AED coverage of historical OHCAs. Discussion This study confirms that geodata tools can assess AED locations and increase the efficiency of their placement. Historical hotspots and AED overlays should be considered, with the aim of efficiently relocating or adding AEDs. At-home OHCAs should become a priority target for future public access defibrillation programs as they represent the majority of OHCAs but have the lowest AED coverage rates.

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Different defibrillation strategies in survivors after out-of-hospital cardiac arrest

Cited by 23 publications

References 29 publications

Real-life time and distance covered by lay first responders alerted by means of smartphone-application: Implications for early initiation of cardiopulmonary resuscitation and access to automatic external defibrillators

Real-life time and distance covered by lay first responders alerted by means of smartphone-application: Implications for early initiation of cardiopulmonary resuscitation and access to automatic external defibrillators

Marital status and cardiovascular disease risk

How to improve automated external defibrillator placement for out-of-hospital cardiac arrests: A case study

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