Archive - Jan 27, 2011

Archive - Jan 27, 2011

Another Argument for more Public Access AED's

Cardiac Arrest in Homes vs.

Study: AED Placement in Public Settings More Beneficial than in Homes

The frequency of shockable heart rhythms (ventricular fibrillation or pulseless ventricular tachycardia) as the initial recorded rhythm is lower among patients with witnessed cardiac arrests in the home than among those with witnessed arrests in a public setting, according to a study by the Research Outcomes Consortium recently published in the New England Journal of Medicine.

The frequency of shockable arrhythmias was higher for bystander-witnessed cardiac arrests in a public location (60%), particularly those in which an AED was applied by a bystander in a public location (79%). Therefore, as might be expected, the rate of survival to hospital discharge was significantly higher when an AED was applied by a bystander after a cardiac arrest in a public location (34%, vs. 12% for arrests at home; adjusted model P=0.04).

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