In hospital cardiac arrest: a role for automatic defibrillation

In-hospital sudden cardiac arrest protocol analysis

“…Determining the time frame of its occurrence will facilitate the studies to detect the possible pathomechanism of these incidents and develop better methods to protect patients from life-threatening cardiac arrest [13][14][15]. The time to start the basic life support is emphasised in the literature [16][17][18]. Occasional cases where resuscitation efforts were not started prior to the arrival of CPR may indicate insufficient medical staff training.…”

Improving the Outcome of In-Hospital Cardiac Arrest: The Importance of Being EARNEST

“…A preliminary study of mock VF events (n = 18) staged in various monitored units demonstrated that both staff response times and staff shock times were considerably longer than AECD times (76 ± 114 vs 8 ± 1 seconds and 169 ± 103 vs 38 ± 1 seconds, respectively; P < .0001 for both). 75 In a prospective study of AECD monitoring conducted on patients considered at risk for sustained VT/VF (n = 55) in an emergency department, the brief interval between arrhythmia onset and first defibrillation (average 33 seconds) resulted in a 94.4% defibrillation success rate. 76 The first prospective randomized controlled study examining whether AECDs provide earlier defibrillation than hospital code teams in a telemetry ward is currently ongoing.…”

European Resuscitation Council - Leitlinien für die Wiederbelebung 2005

“…Eine Studie an Übungspuppen zeigte, dass die Verwendung eines AEDs zwar die Wahrscheinlichkeit der Abgabe von drei Schocks erhöhte, die benötigte Zeit, in dem die Schocks verabreicht wurden, war jedoch länger als bei der Ver− wendung manueller Defibrillatoren [24]. Im Gegensatz dazu zeigte eine Studie mit simulierten Patienten, bei denen ein Herz− stillstand vorgetäuscht wurde, dass bei Verwendung von Moni− torableitungen von voll automatisierten Defibrillatoren die Zeit bis zur Defibrillation im Vergleich zur Verwendung manuellen Defibrillatoren kürzer war [25].…”