Public Access Defibrillation
Great emergencies and crises show us how much greater our vital resources are than we had supposed - William James
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Can Starbucks And Pizza Shops Prevent Deaths?
Early and swift intervention with an automated external defibrillator (AED) amidst sudden out-of-hospital cardiac arrest (OHCA) during bystander cardiopulmonary resuscitation (CPR) saves lives—in fact, doubles the likelihood of survival. We know this. There is data to support this. So, why is their usage so low?
The problems: cost, availability and high variability of place and time of OHCA occurrence.
Resources
SaveStation
SaveStation was founded by a group of likeminded individuals who saw the need to work together to create an easy to identify AED housing station so that the PUBLIC could quickly find any AED.
The Device That Saves Lives, But Can Be Hard to Find
If you needed an automated external defibrillator to help a victim of sudden cardiac arrest, chances are you would have trouble finding one, even if a device were located nearby. That's despite the fact that about one million AEDs—portable devices that can jump-start the heart and save lives when sudden cardiac arrest strikes—are installed in office buildings, malls, schools and sports stadiums around the U.S.
AEDs Save Lives But AEDs in Hiding Are Rendered Useless
Innovative strategies for AED deployment are being explored, including deliveries by Uber, Lyft, and cardiac drones. In addition, installation at ATM machines and integration into existing vending machines--which are climate-controlled--is a possibility.
After Petty's Death, Let's Look At Easy-To-Use Heart Defibrillators, Or AEDs
Searching for a silver lining from Petty's death, perhaps it's that we can pay needed attention to AEDs, specifically what they are and how simple they are to use. Take a look around public areas – malls, government buildings, train stations, universities, even large office buildings – and these units in wall cabinets are plainly in view, and accessible. And that accessibility is for good reason, because for every minute of delay waiting for medical help to arrive the victim's survivability decreases 7 to 10 percent.
Barriers and facilitators to public access defibrillation in out-of-hospital cardiac arrest: a systematic review
Public access defibrillation represents an efficacious means of improving OHCA survival, but its effect at a population level is greatly hampered by low usage rates. The available evidence regarding the barriers and facilitators to the deployment of PAD in OHCA is mostly of low quality and cannot directly inform changes in policy in practice.
Defib 247
It's a huge edge, sometime life-saving, to adopt a good idea early and put it into practice - Brandon Webb
Public Access Defibrillation Programs: Improving Outcomes Worldwide
The authors in this study are able to demonstrate that targeted PAD programs can be successful in a Latin American city with significant congestion and traffic concerns. Their data combined with prior studies show that targeted PAD programs can be successful throughout the world. Increased advocacy is needed establish more targeted PAD programs worldwide.
Public-Access Defibrillation and Out-of-Hospital Cardiac Arrest in Japan
In Japan, increased use of public-access defibrillation by bystanders was associated with an increase in the number of survivors with a favorable neurologic outcome after out-of-hospital ventricular-fibrillation cardiac arrest.
The Effects of Public Access Defibrillation on Survival After Out-of-Hospital Cardiac Arrest: A Systematic Review of Observational Studies
This systematic review showed a median overall survival of 40% for OHCA patients treated by PAD. Defibrillation by non-dispatched lay first responders was found to correlate with the highest impact on survival compared to EMDC-dispatched professional first responders. PAD by EMDC-dispatched lay first responders could be a promising strategy, but evidence is lacking.
The Right Place at the Right Time
One of the challenges for PAD programs has been deciding where to place AEDs to optimize access. Early efforts focused on identifying sites or location categories with high OHCA incidence rates.
The science of bringing the recently dead back to life
We're now at a point where resuscitation has quietly become a mundane reality, with millions of people certified in CPR and automatic defibrillators installed in thousands of public buildings. But how did we get here — and what does the future of resuscitation look like?
Defibrillators Can Save Lives -- When You Have One on Hand
Do you know where the nearest defibrillator is?
Defibs Save Lives
Arrhythmia Alliance provides fundraising support, in addition to information, advice and guidance to help make communities safer in the event of sudden cardiac arrest. We have worked with many community groups, clubs and individuals to help place lifesaving equipment for use in the event of an emergency.
Heart defibrillators save lives: So why are they still so hard to find?
When easy-to-use heart defibrillators came onto the market two decades ago, they were billed as a way to save the lives of tens of thousands of victims of cardiac arrest each year. But today defibrillators are still few and far between. And they often sit in back rooms or lockers, shuttered away from public view.
Here’s How To Improve Your Chances Of Surviving Cardiac Arrest
People can help by getting trained in cardiopulmonary resuscitation (CPR) and making sure that automated external defibrillators (AEDs) — which are defibrillation devices designed for bystander use — are available, Drennan said. Time is everything in a cardiac arrest.
Out-of-hospital early defibrillation successfully challenges sudden cardiac arrest: the Piacenza Progetto Vita project.
The widespread use of semiautomatic external defibrillators allows early defibrillation by non-medical volunteers and more than triples the survival rate following out-of-hospital SCA.
Public access defibrillation in Hong Kong in 2017
This article aimed to answer this question based on the best available evidence. Over the years, the clinical effectiveness of public access defibrillation in out-of-hospital cardiac arrest has been proven. Nonetheless various studies have indicated that among others, cost-effectiveness, knowledge and attitudes of the public, and incidence of ventricular fibrillation are important factors that will affect the likelihood of success of such programmes
PulsePoint: An App with Lifesaving Potential
Got cardiac arrest? There's an app for that, and it's called PulsePoint. With any luck it's coming to a town near you. And it just might save your life—or help you save someone else's.
Realistic expectations for public access defibrillation programs.
There are few adverse events related to the public access defibrillation programs and volunteers are not harmed. Unguided placement results in devices not being used and a decline in organizational structure of the program. As most cardiac arrests occur in the home, the impact on overall survival remains low.
Regulations...State of California SB 658
Effective January 2016...removes physician oversight and training requirements, however the laws from the previous legislature were not removed, and still remain in place.
Sudden Cardiac Death in Young Athletes - Is It Stoppable?
Be prepared for the eventuality. The availability of an Automated External Defibrillator (AED) or Public Access Defibrillators (PADs) should be present at every venue that hosts stop and start sports. Recent data has shown increased survival rates up to 24% for young athletes in cardiac arrest, treated with early cardiac defibrillation.
Summary of Public Access Defibrillation Laws, United States
On average, less than 8% of people who experience an out-of-hospital cardiac arrest survive. However, death from sudden cardiac arrest is preventable if a bystander quickly retrieves and applies an automated external defibrillator (AED). Public access defibrillation (PAD) policies have been enacted to create programs that increase the public availability of these devices.
The Public Experience with Cardiac Arrest
Various interventions and initiatives have been developed to increase public engagement in response to cardiac arrests. For example, placement of AEDs in public locations, implementation of effective emergency response plans in those locations, and use of AEDs in public locations have been shown to double a patient's odds of survival from cardiac arrest...
The Shocking Truth About Defibrillators
The defibrillators in airports, malls, and offices can save your life—but too many have failed at the crucial moment.
Ambulance services don’t know where thousands of defibrilators are. Now, a new map will tackle the issue
Ordnance Survey has teamed up with the British Heart Foundation to create a map allowing 999 call handlers to provide people with the location of the nearest life-saving machine.
Trends in maintenance status and usability of public automated external defibrillators during a 5-year on-site inspection
On observing public AEDs for 5 years, we found that most AEDs had a relatively good maintenance status, with more than 97% of the AEDs operating normally. However, 15% of the AEDs were not ready for use, and invalid electrode was the most common cause of this. Further, 44% of the AEDs had less than 24-h usability, and less than 24-h accessibility was the most common cause for this.
Can Starbucks And Pizza Shops Prevent Deaths?
It would be hard to find someone not in support of increasing accessibility of AEDs, but the reality of this given their several thousand dollar price tag and need for continued maintenance deems that eventuality quite unrealistic. Therefore, strategic placement has guided most PAD programs and policy. How to do so in the most effective manner is not an exact science given the often random strike of the OHCA and the lack of uniformity of survival.
BC Public Access to Defibrillation Program
Welcome to the BC Public Access to Defibrillation (PAD) Program. To help save lives, the Heart and Stroke Foundation of British Columbia is making Automated External Defibrillators (AEDs) available in public places where there is a risk someone can suffer a cardiac arrest.
PulsePoint
PulsePoint is a 501(c)(3) non-profit foundation based in the San Francisco Bay Area. Our mission is to make it much easier for citizens who are trained in CPR to use their life saving skills to do just that…save lives! Through the use of modern, location-aware mobile devices PulsePoint is building applications that work with local public safety agencies to improve communications with citizens and empower them to help reduce the millions of annual deaths from Sudden Cardiac Arrest.
The Mikey Network
The Mikey Network is working to create public awareness and provide education about heart healthy lifestyles. We are committed to placing "MIKEYS" (public access defibrillators) in as many high-risk locations as possible so people affected by sudden cardiac arrest might have a second chance at life. Through The Mikey Network, the beat goes on. .
AED Registry
AED Registry will automatically locate the nearest AED (Automatic External Defibrillator) to your location with details and directions, and also other AEDs within a 2-mile radius. AEDs are identified with various degrees of confidence to know which AEDs are ready to save a life.
AEDs
Getting electricity to a failed heart in under 5 minutes is essential in making a significant impact on increasing survival rates. Unfortunately AED use usually occurs after the magic 5 minutes. So, what's needed?
American Heart Association
Public access to defibrillation (PAD) means making AEDs available in public and/or private places where large numbers of people gather or where people who are at high risk for heart attacks live.
Cardiac Science
Defibrillation within three minutes lifts the chance of survival from sudden cardiac arrest to 70 percent. Local EMS services typically can’t respond that quickly. That’s why every community needs to have an AED on hand — at the library, places of worship, the mall, the park — anywhere where two or more gather.
CDC
This fact sheet summarizes state law in effect... addresses the 13 PAD interventions, and describes recent temporal trends in state PAD law, such as the widespread adoption of AED placement and the requirement that students learn to use an AED before they graduate.
Crowdsav
Crowdsav is developed by the team from Health Visuals Pte Ltd, a company which develops software solutions to tackle public health problems. This project evolved from the needs of the non-profit First Aid Corps, which aims to improve survival rates from sudden cardiac arrest by simplifying saving lives.
Defib 247
Defib 247 is a global campaign aimed at increasing public awareness about how PADs (Public Access Defibrillation sites), which contain an AED (Automatic External Defibrillator) can make a difference in the survival rate of Sudden Cardiac Arrest (SCA). Our vision is to double the survival rate of SCA by 2016.
Rice University
Rice University maintains 34 Public Access Defibrillator sites (PAD sites) on campus. These sites are stocked with defibrillators, devices used in the event of a cardiac arrest. Defibrillators can analyze a person’s heart rhythm and decide whether or not to apply a shock accordingly. Our PAD sites supply Philips HeartStart FRx defibrillators and other equipment and are available for public use when necessary.
Zoll
Communities across the country are responding by implementing Public Access Defibrillation programs and enacting AED legislation, which requires automated external defibrillator purchase, access, and training for public places.

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