Hostname: page-component-84c44f86f4-dpx2r Total loading time: 0 Render date: 2025-10-14T20:13:45.888Z Has data issue: false hasContentIssue false
  • English
  • Français

Out-of-Hospital Cardiac Arrest Locations ina Rural Community: Where Should We PlaceAEDs?

Published online by Cambridge University Press:  28 June 2012

Marc E. Portner ,
Marc L. Pollack ,
Steven K. Schirk  and
Melissa K. Schlenker
Get access Rights & Permissions [Opens in a new window]

Abstract

Early defibrillation improves survival for patientssuffering cardiac arrest from ventricularfibrillation (VF) or ventricular tachycardia (VT).Automated external defibrillators (AEDs) should beplaced in locations in which there is a highincidence of out-of-hospital cardiac arrest (OOHCA).The study objective was to identify high-risk, rurallocations that might benefit from AED placement. Aretrospective review of OOHCA in a rural communityduring the past 5.5 years was conducted. The OOHCAsthat occurred in non-residential areas werecategorized based on location. Nine hundred, fortyOOHCAs occurred during the study period of which 265(28.2%) happened in non-residential areas. Of these,127 (47.9%) occurred in healthcare-relatedlocations, including 104 (39.2%) in extended carefacilities. No location used in this study had morethan two OOHCAs. Most (52.1%) non-residential OOHCAsoccurred as isolated events in 146 differentlocations. Almost half of the OOHCAs that occurredin non-residential areas took place inhealthcare-related facilities suggesting thatpatients at these locations may benefit from AEDplacement. First responders with AEDs are likely tohave the greatest impact in a rural community.

Keywords

automated external defibrillators (AED)cardiaccommunityemergency medical services (EMS)first respondersout-of-hospitalrural

Information

Type
Research Article
Information
Prehospital and Disaster Medicine , Volume 19 , Issue 4 , December 2004 , pp. 352 - 355
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2004

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

1.Becker, LB, Smith, DW, Rhodes, KV: Incidence of cardiac arrest: A neglected factor in evaluating survival rates. Ann Emer Med 1993;22:86–87.CrossRefGoogle ScholarPubMed
2.Valenzuela, TD, Roe, DJ, Nichol, G, et al. :Outcomes of rapid defibrillation by security officers after cardiac arrest in casinos. New Eng J Med 2000; 343:1206–1209.CrossRefGoogle ScholarPubMed
3.Atkins, JM, Zachariah, BS: Location of cardiac arrests: Implications for Automated External Defibrillators placement. Prehosp Disast Med 1996;11:S47. Abstract.CrossRefGoogle Scholar
4.Mosesso, VN, Davis, EA, Auble, TE, et al. : Use of Automated External Defibrillators by police officers for treatment of out-of-hospital cardiac arrest. Ann Emer Med 1998;32:200–207.10.1016/S0196-0644(98)70137-4CrossRefGoogle ScholarPubMed
5.Auble, TE, Menegazzi, JJ, Paris, PM: Effect of out-of-hospital defibrillation by basic life support providers on cardiac arrest mortality: A meta-analysis. Ann Emerg Med 1995;25:642–648.CrossRefGoogle Scholar
6.Marenco, JP, Wang, PJ, Link, MS, et al. : Improving survival from sudden cardiac arrest: The role of the automated external defibrillator. JAMA 2001; 285:1193–2000.CrossRefGoogle ScholarPubMed
7.Ornato, JP, Hankins, DG: Public Access Defibrillation. Prehosp Emerg Care 1999;3:297–302.10.1080/10903129908958957CrossRefGoogle ScholarPubMed
8.Gundry, JW, Comess, KA, DeRook, FA, et al. : Comparison of naive sixthgrade children with trained professionals in the use of an automated external defibrillator. Circulation 1999;100:1703–1707.CrossRefGoogle ScholarPubMed
9.Lawson, L, March, J: Automated External Defibrillation by very young, untrained children. Prehosp Emerg Care 2002;6;295–298.CrossRefGoogle ScholarPubMed
10.Becker, L, Eisenberg, M, Fahrenbruch, C., et al. : Public locations of cardiac arrest. Implications for public access defibrillation. Circulation 1998;97: 2106–2109.CrossRefGoogle ScholarPubMed
11.Frank, RL, Rausch, MA, Menegazzi, JJ, et al. : The locations of nonresidential out-of-hospital cardiac arrests in the city of Pittsburgh over a three-year period: Implications for automated external defibrillator placement. Prehosp Emerg Care 2001;5:247–251.CrossRefGoogle Scholar
12.Fedoruk, JC, Currie, WL, Gobet, M: Locations of cardiac arrest: Affirmation for community Public Access Defibrillation (Public Access Defibrillation) Program. Prehosp Disast Med 2002;17(4):202–205.CrossRefGoogle Scholar
13.Fedoruk, JC, Paterson, D, Hlynka, M, et al. :Rapid on-site defibrillation versus community program. Prehosp Disast Med 2005;17(2):102–106.CrossRefGoogle Scholar
14.Awoke, S, Mouton, CP, Parrott, M: Outcomes of skilled cardiopulmonary resuscitation in a long-term care facility: Futile therapy? J Am Geriatr Soc 1992;40:593–595.CrossRefGoogle Scholar
15.Stapczynski, JS, Svenson, JE, Stone, CK: Population density, automated external defibrillator use, and survival in rural cardiac arrest. Acad Emer Med 1997;4:552–558.CrossRefGoogle ScholarPubMed
16.US Census Bureau 2000: Population, housing units, area and density: 2000 [data table for York County]. Available at http://www.census.gov/. Accessed 30 June 2002.Google Scholar
17.Groh, WL, Lowe, MR, Overgaard, BS, et al. : Attitudes of law enforcement officers regarding automated external defibrillators. Acad Emerg Med 2002;9: 751–753.10.1197/aemj.9.7.751CrossRefGoogle ScholarPubMed
18.Groh, WJ, Newman, MM, Beal, PE, et al. : Limited response to cardiac arrest by police equipped with automated external defibrillators: Lack of survival benefits in suburban and rural Indiana–The police as responder automated defibrillation evaluation (PARADE). Acad Emerg Med 2001;8:324–330.CrossRefGoogle ScholarPubMed
19.Lerner, EB, Billittier, AJ, Newman, MM, Groh, WJ: Automated external defibrillator (Automated External Defibrillators) utilization rates and reasons fire and police responders did not apply Automated External Defibrillatorss. Prehosp Emerg Care 2002;6:378–382.CrossRefGoogle ScholarPubMed
20.Foutz, RA, Sayre, MR: Automated external defibrillators in long-term care facilities are cost-effective. Prehosp Emerg Care 2000;4:314–317.CrossRefGoogle ScholarPubMed
21.Forrer, CS, Swor, RA, Jackson, RE, et al. Estimated cost effectiveness of a police automated external defibrillator program in a suburban community: Seven years experience. Resuscitation 2002;52:23–29.CrossRefGoogle Scholar
22.Public Access Defibrillation League: Available at http://Public Access Defibrillationl.org. Accessed 30 June 2002.Google Scholar
23.Gratton, M, Lindholm, DJ, Campbell, JP: Public-access defibrillation: Where do we place the Automated External Defibrillatorss? Prehosp Emerg Care 1999;3:303–305.CrossRefGoogle Scholar
24.Milard, W, DeMaio, VJ, Gant, PT, Yahn, S: Locations of cardiac arrest in a large urban center. Acad Emerg Med 2000;7:430–431. Abstract.Google Scholar