期刊
ARCHIVES OF CARDIOVASCULAR DISEASES
卷 112, 期 3, 页码 217-222出版社
ELSEVIER MASSON, CORP OFF
DOI: 10.1016/j.acvd.2018.11.001
关键词
Automated external defibrillation; Sudden cardiac arrest; Outcome; Public access defibrillation
Out-of-hospital sudden cardiac arrest (OHCA) is a major public health issue, with a survival rate at hospital discharge that remains below 10% in most cities, despite huge investments in this domain. Early basic life support (BLS) and early defibrillation using automated external defibrillators (AEDs) stand as key elements for improving OHCA survival rate. Nevertheless, the use of AEDs in OHCA remains low, for a variety of reasons, including the number, accessibility and ease of locating AEDs, as well as bystanders' awareness of BLS manoeuvres and of the need to use AEDs. Several measures have been proposed to improve the rate of AED use, including optimization of AED deployment strategies as well as the use of drones to bring the AEDs to the OHCA scene and of mobile applications to locate the nearest AED. If they are to be effective, these measures should be combined with large communication campaigns on OHCA, and wide-scale education of the public in BLS and AEDs, to reduce the burden of OHCA. (C) 2018 Elsevier Masson SAS. All rights reserved.
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