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Simulation and educ...
Simulation and education National coverage of out-of-hospital cardiac arrests using automated external defibrillator-equipped drones-A geographical information system analysis
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- Schierbeck, S. (author)
- Karolinska Institutet
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- Nord, A. (author)
- Karolinska Institutet
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- Svensson, L. (author)
- Karolinska Institutet
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- Rawshani, Aidin, 1991 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
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- Hollenberg, J. (author)
- Karolinska Institutet
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- Ringh, M. (author)
- Karolinska Institutet
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Forsberg, S. (author)
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- Nordberg, P. (author)
- Karolinska Institutet
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Hilding, F. (author)
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- Claesson, A. (author)
- Karolinska Institutet
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(creator_code:org_t)
- Elsevier BV, 2021
- 2021
- English.
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In: Resuscitation. - : Elsevier BV. - 0300-9572 .- 1873-1570. ; 163, s. 136-145
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http://www.resuscita...
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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Abstract
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- Background: Early defibrillation is essential for increasing the chance of survival in out-of-hospital-cardiac-arrest (OHCA). Automated external defibrillator (AED)-equipped drones have a substantial potential to shorten times to defibrillation in OHCA patients. However, optimal locations for drone deployment are unknown. Our aims were to find areas of high incidence of OHCA on a national level for placement of AED-drones, and to quantify the number of drones needed to reach 50, 80, 90 and 100% of the target population within eight minutes. Methods: This is a retrospective observational study of OHCAs reported to the Swedish Registry for Cardiopulmonary Resuscitation between 2010-2018. Spatial analyses of optimal drone placement were performed using geographical information system (GIS)-analyses covering high-incidence areas (>100 OHCAs in 2010-2018) and response times. Results: 39,246 OHCAs were included. To reach all OHCAs in high-incidence areas with AEDs delivered by drone or ambulance within eight minutes, 61 drone systems would be needed, resulting in overall OHCA coverage of 58.2%, and median timesaving of 05:01 (min:sec) [IQR 03:22-06:19]. To reach 50% of the historically reported OHCAs in <8 min, 21 drone systems would be needed; for 80%, 366; for 90%, 784, and for 100%, 2408. Conclusions: At a national level, GIS-analyses can identify high incidence areas of OHCA and serve as tools to quantify the need of AED-equipped drones. Use of only a small number of drone systems can increase national coverage of OHCA substantially. Prospective real-life studies are needed to evaluate theoretically optimized suggestions for drone placement.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Keyword
- GIS
- AED
- OHCA
- Drone
- UAV
- survival
- program
- resuscitation
- bystander
- europe
- General & Internal Medicine
- Emergency Medicine
Publication and Content Type
- ref (subject category)
- art (subject category)
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To the university's database
- By the author/editor
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Schierbeck, S.
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Nord, A.
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Svensson, L.
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Rawshani, Aidin, ...
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Hollenberg, J.
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Ringh, M.
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show more...
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Forsberg, S.
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Nordberg, P.
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Hilding, F.
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Claesson, A.
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
- Articles in the publication
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Resuscitation
- By the university
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University of Gothenburg
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Karolinska Institutet