"Shock Advised": Inappropriate Public Access Defibrillation

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Public Access Defibrillation

The single most important cause of death in the adult population of the industrialized word is sudden cardiac death (SCD) due to coronary artery disease (CAD). In a population based study the overall yearly incidence of SCD was 1 per 1000 persons aged 20 to 75 years of age. Overall 21% of deaths in men and 15% in women were sudden and unexpected. The vast majority of out of hospital deaths occu...

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Public access defibrillation: a review.

Sudden cardiac death remains a worldwide health problem. More than 1000 such deaths occur daily in the United States; most are secondary to ventricular fibrillation (VF). Unfortunately, only about 5% of victims survive. Sudden cardiac death is the most common “accidental” death in the US. A combined total of all airline, automobile, and drowning deaths would not equal the number of accidental o...

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Public access defibrillation: time to access the public.

STUDY OBJECTIVE Public accessible automated external defibrillators (AEDs) are increasingly made available in highly frequented places, allowing coincidental bystanders to defibrillate with minimal delay if necessary. Although the public, as the largest and most readily available group of potential rescuers, is assigned a key role in this concept of "public" access defibrillation, it is unknown...

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Public access defibrillation: where does it work?

Sudden cardiac arrest (SCA) is recognized as a serious public health problem, accounting for 250 000 to 300 000 deaths per year; it is now the third-leading cause of death behind cancer and nonsudden cardiovascular deaths.1,2 Immediate, well-performed cardiopulmonary resuscitation (CPR) and early defibrillation are the only out-of-hospital interventions that improve outcomes.3 The chain of surv...

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Public access defibrillation: psychological consequences in responders.

BACKGROUND Adverse psychological reactions are relatively frequent in professional ambulance crews who attend traumatic events, yet appear unusual in lay persons who attempt resuscitation of victims of out of hospital cardiac arrest. AIM To investigate the psychological profile of first responders to gain insight into possible factors that might protect them against such reactions. METHODS ...

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ژورنال

عنوان ژورنال: Circulation

سال: 2006

ISSN: 0009-7322,1524-4539

DOI: 10.1161/circulationaha.105.580829