The Minister for Health and Children established the Task
Force on Sudden Cardiac Death in the Autumn of 2004, with the
following terms of reference: Define SCD and describe its incidence and underlying causes in
Ireland. Advise on the detection and assessment of those at high risk of
SCD and their relatives. Advise on the systematic assessment of those engaged in sports
and exercise for risk of SCD
Advise on maximizing access to basic life support (BLS) and
automated external
defibrillators (AEDs) and on: appropriate levels of training in BLS and use of AEDs, and on the
maintenance of that
training. Priority individuals and priority groups for such training.
Geographic areas and functional locations of greatest need. Best practice models of ‘first responder schemes’ and ‘public
access defibrillation’, and integration of such training services.
Research Studies |
| The following are summaries of
significant articles published about the efficacy of AEDs in public
spaces. The complete articles are available through the publishers
at the links listed at the end of each summary. |
Public-Access Defibrillation
and Survival After Out-of-Hospital Cardiac Arrest
New England Journal of Medicine, ©2004 Massachusetts Medical
Society
More than 19,000 volunteer responders from nearly 1,000
community-based units participated in this nationwide study. The
results showed the effectiveness of training non-medical, volunteer
laypersons to use AEDs. Working within structured response systems,
the volunteers increased the number of survivors of out-of-hospital
cardiac arrest in public locations. For more information, go to:
http://content.nejm.org/cgi/content/abstract/351/7/637
Impact of Community-Wide Police Car Deployment of AEDs on
Survival From Out-of-Hospital Cardiac Arrest
Circulation, ©2002 American Heart Association, Inc.
This study showed that having automated external defibrillators (AEDs)
in police cars improved response times and survival from sudden
cardiac arrest. Times from 9-1-1 contact to the emergency scene were
compared for police cars with AEDs and concurrently deployed EMS,
and both were compared to historical EMS experience. Survival with
joint police AED and EMS response was compared to outcomes when EMS
was the sole responder. Police arrived first to 56 percent of the
calls. A 17.2 percent survival rate for victims with shockable
rhythms was observed with the police cars and EMS both responding,
compared to 9 percent for standard EMS before police AEDs were
implemented. For more information, go to:
http://circ.ahajournals.org/cgi/content/full/106/9/1058
Public Use of AEDs
New England Journal of Medicine, ©2002 Massachusetts Medical
Society
This study demonstrated that AEDs deployed in well-marked and
accessible public areas in airports were used effectively to aid
people who suffered cardiac arrest. Most of those using the AEDs to
treat victims had no duty to act or training in the use of AEDs. For
more information, go to:
http://content.nejm.org/cgi/content/abstract/347/16/1242
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