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Titolo:
Public access defibrillation: a shocking idea?
Autore:
Woollard, M;
Indirizzi:
Univ Wales Coll Med, Lansdowne Hosp, Welsh Ambulance Serv NHS Trust, Prehosp Emergency Res Unit, Cardiff CF1 8UL, S Glam, Wales Univ Wales Coll Med Cardiff S Glam Wales CF1 8UL f CF1 8UL, S Glam, Wales
Titolo Testata:
JOURNAL OF PUBLIC HEALTH MEDICINE
fascicolo: 2, volume: 23, anno: 2001,
pagine: 98 - 102
SICI:
0957-4832(200106)23:2<98:PADASI>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
HOSPITAL CARDIAC-ARREST; AUTOMATED EXTERNAL DEFIBRILLATOR; EMERGENCY MEDICAL-SERVICES; CARDIOPULMONARY-RESUSCITATION; RAPID DEFIBRILLATION; VENTRICULAR-FIBRILLATION; AMBULANCE STAFF; SURVIVAL; EXPERIENCE; COMMUNITY;
Keywords:
public; defibrillation; AED; lay responder; cardiac arrest;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
49
Recensione:
Indirizzi per estratti:
Indirizzo: Woollard, M Univ Wales Coll Med, Lansdowne Hosp, Welsh Ambulance Serv NHS Trust, Prehosp Emergency Res Unit, Sanatorium Rd, Cardiff CF1 8UL, S Glam, Wales Univ Wales Coll Med Sanatorium Rd Cardiff S Glam Wales CF1 8UL
Citazione:
M. Woollard, "Public access defibrillation: a shocking idea?", J PUBL H M, 23(2), 2001, pp. 98-102

Abstract

Currently, survival from out-of-hospital cardiac arrest in the United Kingdom is poor. Ambulance response standards require that an ambulance reach 75 per cent of cardiac arrests within 8 min. But a short time to defibrillation from the onset of collapse is a key predictor of outcome from out-of-hospital cardiac arrest. The Department of Health has recently implemented a lay responder defibrillation programme, with the aim of shortening this time interval for victims in public places. This initiative utilizes automatedexternal defibrillators (AEDs). which provide written and recorded voice prompts to minimize training requirements and errors in use. Lay responder AED programmes with very short response times have reported survival to discharge rates of up to 53 per cent for patients presenting in ventricular fibrillation (VF). This compares well with the results of a meta-analysis thatreported a survival rate of only 6.4 per cent for traditional defibrillator-equipped ambulance systems. The annual incidence of out-of-hospital cardiac arrest in England is 123 per 100 000 population. Approximately half of these present in VF, and could benefit from an AED programme. But only 16 per cent of cardiac arrests occur in a public place. It has been calculated that there are approximately 5000 instances of VF in public places each yearin England. If half of these patients can be reached and administered a first shock within 4 min of their collapse, an additional 400 victims may survive each year. Given the current investment by the DoH of pound2 million, this suggests a cost per life saved of approximately pound 505 over a 10 year period.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 03:32:55