The challenges and possibilities of public access defibrillation.

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The challenges and possibilities of public access defibrillation.

Ringh, M (author): Karolinska Institutet,Department for Medicine, Center for Resuscitation Science, Karolinska Institutet

Hollenberg, J (author): Karolinska Institutet,Department for Medicine, Center for Resuscitation Science, Karolinska Institutet

Palsgaard-Moeller, T (author): Emergency Medical Services Copenhagen, University of Copenhagen

Svensson, L (author): Karolinska Institutet,Department for Medicine, Center for Resuscitation Science, Karolinska Institutet

Rosenqvist, M (author): Karolinska Institutet,Department for Medicine, Center for Resuscitation Science, Karolinska Institutet

Lippert, F K (author): Emergency Medical Services Copenhagen, University of Copenhagen

Wissenberg, M (author): Emergency Medical Services Copenhagen, University of Copenhagen

Malta Hansen, C (author): Emergency Medical Services Copenhagen, University of Copenhagen

Claesson, A (author): Karolinska Institutet,Department for Medicine, Center for Resuscitation Science, Karolinska Institutet

Viereck, S (author): Emergency Medical Services Copenhagen, University of Copenhagen

Zijlstra, J A (author): Department of Cardiology, Heart Center, Academic Medical Center

Koster, R W (author): Department of Cardiology, Heart Center, Academic Medical Center

Herlitz, Johan, 1949- (author): Högskolan i Borås,Akademin för vård, arbetsliv och välfärd

Blom, M T (author): Department of Cardiology, Heart Center, Academic Medical Center

Kramer-Johansen, J (author): Department of Anaesthesiology Oslo University Hospital and University of Oslo

Tan, H L (author): Department of Cardiology, Heart Center, Academic Medical Center

Beesems, S G (author): Department of Cardiology, Heart Center, Academic Medical Center,

Hulleman, M (author): Department of Cardiology, Heart Center, Academic Medical Center

Olasveengen, T M (author): Department of Anaesthesiology Oslo University Hospital and University of Oslo

Folke, F (author): Emergency Medical Services Copenhagen, University of Copenhagen

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2018-02-12
2018
English.
In: Journal of Internal Medicine. - : Wiley. - 0954-6820 .- 1365-2796. ; 283:3, s. 238-256

Related links:: https://onlinelibrar...; show more...; https://urn.kb.se/re...; https://doi.org/10.1...; http://kipublication...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

Out-of-hospital cardiac arrest (OHCA) is a major health problem that affects approximately four hundred and thousand patients annually in the United States alone. It is a major challenge for the emergency medical system as decreased survival rates are directly proportional to the time delay from collapse to defibrillation. Historically, defibrillation has only been performed by physicians and in-hospital. With the development of automated external defibrillators (AEDs), rapid defibrillation by nonmedical professionals and subsequently by trained or untrained lay bystanders has become possible. Much hope has been put to the concept of Public Access Defibrillation with a massive dissemination of public available AEDs throughout most Western countries. Accordingly, current guidelines recommend that AEDs should be deployed in places with a high likelihood of OHCA. Despite these efforts, AED use is in most settings anecdotal with little effect on overall OHCA survival. The major reasons for low use of public AEDs are that most OHCAs take place outside high incidence sites of cardiac arrest and that most OHCAs take place in residential settings, currently defined as not suitable for Public Access Defibrillation. However, the use of new technology for identification and recruitment of lay bystanders and nearby AEDs to the scene of the cardiac arrest as well as new methods for strategic AED placement redefines and challenges the current concept and definitions of Public Access Defibrillation. Existing evidence of Public Access Defibrillation and knowledge gaps and future directions to improve outcomes for OHCA are discussed. In addition, a new definition of the different levels of Public Access Defibrillation is offered as well as new strategies for increasing AED use in the society.

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Anesthesiology a ...

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By the university: University of Borås; Karolinska Institutet

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The challenges and possibilities of public access defibrillation.

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