Cardiff University | Prifysgol Caerdydd ORCA
Online Research @ Cardiff 
Welsh

A national scheme for public access defibrillation in England and Wales: Early results

Colquhoun, Michael C., Chamberlain, D. A., Newcombe, Robert Gordon, Harris, R., Harris, S., Peel, K., Davies, C. S. and Boyle, R. 2008. A national scheme for public access defibrillation in England and Wales: Early results. Resuscitation 78 (3) , pp. 275-280. 10.1016/j.resuscitation.2008.03.226

Full text not available from this repository.

Abstract

Background Automated external defibrillators (AEDs) operated by lay persons are used in the UK in a National Defibrillator Programme promoting public access defibrillation (PAD). Methods Two strategies are used: (1) Static AEDs installed permanently in busy public places operated by those working nearby. (2) Mobile AEDs operated by community first responders (CFRs) who travel to the casualty. Results One thousand five hundred and thirty resuscitation attempts. With static AEDs, return of spontaneous circulation (ROSC) was achieved in 170/437 (39%) patients, hospital discharge in 113/437 (26%). With mobile AEDs, ROSC was achieved in 110/1093 (10%), hospital discharge in 32 (2.9%) (P < 0.001 for both variables). More shocks were administered with static AEDS 347/437 (79%) than mobile AEDs 388/1093 (35.5%) P < 0.001. Highly significant advantages existed for witnessed arrests, administration of shocks, bystander CPR before arrival of AED and short delays to start CPR and attach AED. These factors were more common with static AEDs. For CFRs, patients at home did less well than those at other locations for ROSC (P < 0.001) and survival (P = .006). Patients at home were older, more arrests were unwitnessed, fewer shocks were given, delays to start CPR and attach electrodes were longer. Conclusions PAD is a highly effective strategy for patients with sudden cardiac arrest due to ventricular fibrillation who arrest in public places where AEDs are installed. Community responders who travel with an AED are less effective, but offer some prospect of resuscitation for many patients who would otherwise receive no treatment. Both strategies merit continuing development.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Uncontrolled Keywords: Defibrillation; Public access defibrillation; Automated external defibrillator
ISSN: 0300-9572
Last Modified: 15 Nov 2013 09:33
URI: http://orca.cf.ac.uk/id/eprint/25406

Citation Data

Cited 45 times in Google Scholar. View in Google Scholar

Cited 24 times in Scopus. View in Scopus. Powered By Scopus® Data

Cited 17 times in Web of Science. View in Web of Science.

Actions (repository staff only)

Edit Item Edit Item