25 37 38 39 40 41 42 43 44 45 46 Many adults in VF can survive neurologically intact even if defibrillation is performed as late as 6 to 10 minutes after sudden cardiac arrest, particularly if CPR is provided. 35 AEDs widely used by the public and distributed throughout the community significantly advance the concept proposed more than 2 decades ago: the community should become the “ultimate coronary care unit.” 36Įarly defibrillation is critical to survival from cardiac arrest for several reasons: (1) the most frequent initial rhythm in witnessed sudden cardiac arrest is VF (2) the most effective treatment for VF is electrical defibrillation (3) the probability of successful defibrillation diminishes rapidly over time and (4) VF tends to convert to asystole within a few minutes. With the inclusion of AED use as a BLS skill, BLS now encompasses the first 3 links in the Chain of Survival (early access, early CPR, and early defibrillation).
15 16 23 24 27 28 29 AEDs are also used by healthcare professionals in ambulances, hospitals, dental clinics, and physicians’ offices. 15 16 17 18 19 20 21 22 23 24 AEDs are located in airports, airplanes, casinos, high-rise office buildings, housing complexes, recreational facilities, shopping malls, golf courses, and numerous other public locations.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 26 Flight attendants, security personnel, sports marshals, police officers, firefighters, lifeguards, family members, and many other trained laypersons have used AEDs successfully. 25ĪEDs are sophisticated, computerized devices that are reliable and simple to operate, enabling lay rescuers with minimal training to administer this lifesaving interven-tion. 17 18 19 20 21 22 23 24 These rates are twice those previously reported for the most effective EMS systems. Extraordinary survival rates-as high as 49%-have been reported in PAD programs. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 PAD provides the opportunity to defibrillate victims of cardiac arrest within a few minutes, even at sites remote from traditional EMS responders. 1 2 3 4 5 6 7 8 9 10 11 Time to defibrillation is the most important determinant of survival from cardiac arrest. Public access defibrillation, which places AEDs in the hands of trained laypersons, has the potential to be the single greatest advance in the treatment of VF cardiac arrest since the development of CPR. Use of AEDs in infants and children <8 years of age is not recommended (Class Indeterminate).īiphasic waveform defibrillation with shocks ≤200 J is safe and has equivalent or higher efficacy for termination of ventricular fibrillation (VF) compared with higher-energy escalating monophasic-waveform shocks (Class IIa). The goal of early defibrillation by first responders is a collapse-to-shock interval, when appropriate, of 25 kg body weight) is a Class IIb recommendation. Early defibrillation capability, which is defined as having appropriate equipment and trained first responders, should be available throughout hospitals and affiliated outpatient facilities (Class IIa).ī. Healthcare providers with a duty to perform CPR should be trained, equipped, and authorized to perform defibrillation (Class IIa).įor in-hospital defibrillation: a.
Customer Service and Ordering Informationįollowing are the major guidelines changes related to use of automated external defibrillators (AEDs) in basic life support:Įarly defibrillation (shock delivery within 5 minutes of EMS call receipt) is a high-priority goal.Stroke: Vascular and Interventional Neurology.Journal of the American Heart Association (JAHA).Circ: Cardiovascular Quality & Outcomes.Arteriosclerosis, Thrombosis, and Vascular Biology (ATVB).
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