Implementation of Community‐based Public Access Defibrillation in the PAD Trial

Abstract

Background: The Public Access Defibrillation (PAD) Trial was a randomized, controlled trial designed to measure survival to hospital discharge following out-of-hospital cardiac arrest (OOH-CA) in community facilities trained and equipped to provide PAD, compared with community facilities trained to provide cardiopulmonary resuscitation (CPR) without any capacity for defibrillation. Objectives: To report the implementation of community-based lay responder emergency response programs in 1,260 participating facilities recruited for the PAD Trial in the United States and Canada. Methods: This was a descriptive study of the characteristics of participating facilities, volunteers, and automated external defibrillator (AED) placements compiled by the PAD Trial, and a qualitative study of factors that facilitated or impeded implementation of emergency lay responder programs using focus groups of PAD Trial site coordinators. Results: The PAD Trial enrolled 1,260 community facilities (14.8% residential), with 20,400 lay volunteers (mean 6 standard deviation = 13.4 6 10.7 per facility)

Uso do desfibrilador automático externo no ambiente pré-hospitalar peruano: melhorando a resposta a emergências na América Latina

“…(7,8) That is why, in most countries of the world there is an awareness about use of public automatic external defibrillators (PAED), that has increased the survival of patients with cardiac arrest. (9) There are public facilities, residential and commercials buildings that have this equipment, 13% of working places and 11.6% of public facilities, commercial and residential buildings have used PAED d at least once in the last year. (10) To make a 10 years forecast, it is estimated that between 90 to 100% of public facilities might use the equipment at least once.…”

Research without Consent: Community Perspectives from the Community VOICES Study

“…A purposive sampling strategy was used to identify and recruit focus-group participants who were representative of the NYC PAD buildings' population with respect to age, gender, and race/ethnicity. 12,13 Because 20% of the PAD units reported a large number of Spanish speakers, two of the six focus groups were conducted in Spanish. Building staff members who had served as liaisons for the PAD Trial identified interested prospective participants; phone calls were then made by Community VOICES Study staff inviting the prospective participants to the focus groups.…”

“…Participating buildings were required to meet eligibility criteria regarding expected frequency of cardiac arrest; thus, the sites had a large number of persons more than 50 years of age. 9,12 At each location, volunteers were trained to recognize and treat cardiac arrest, and a system was implemented to summon one of these trained individuals (referred to as ''lay responders'') whenever a cardiac arrest occurred on the premises. 13 In half of the buildings, the lay responders were trained in cardiopulmonary resuscitation (CPR) only; in the other half, they were also trained to use AEDs.…”

Implementation Strategies for Improving Survival After Out-of-Hospital Cardiac Arrest in the United States

“…To improve survival after OHCA, the AHA and its affiliates have developed community programs to raise public awareness of the signs of cardiac arrest and the importance of bystander CPR. [42][43][44] However, even trained bystanders sometimes encounter intellectual and volitional barriers when it comes to performing CPR. The traditional strategy has been to train as many community members as possible.…”