Abstract：
PURPOSE:Early and good quality cardiopulmonary resuscitation (CPR) and the use of automated external defibrillators (AEDs) improve cardiac arrest patients' survival. However, AED peri- and post-shock/analysis pauses may reduce CPR effectiveness. METHODS:The time performance of 12 different commercially available AEDs was tested in a manikin based scenario; then the AEDs recordings from the same tested models following the clinical use both in Pavia and Ticino were analyzed to evaluate the post-shock and post-analysis time. RESULTS:None of the AEDs was able to complete the analysis and to charge the capacitors in less than 10s and the mean post-shock pause was 6.7±2.4s. For non-shockable rhythms, the mean analysis time was 10.3±2s and the mean post-analysis time was 6.2±2.2s. We analyzed 154 AED records [104 by Emergency Medical Service (EMS) rescuers; 50 by lay rescuers]. EMS rescuers were faster in resuming CPR than lay rescuers [5.3s (95%CI 5-5.7) vs 8.6s (95%CI 7.3-10). CONCLUSIONS:AEDs showed different performances that may reduce CPR quality mostly for those rescuers following AED instructions. Both technological improvements and better lay rescuers training might be needed.
journal_name
Resuscitationjournal_title
Resuscitationauthors
Savastano S,Vanni V,Burkart R,Raimondi M,Canevari F,Molinari S,Baldi E,Danza AI,Caputo ML,Mauri R,Regoli F,Conte G,Benvenuti C,Auricchio Adoi
10.1016/j.resuscitation.2016.10.006subject
Has Abstractpub_date
2017-01-01 00:00:00pages
12-17eissn
0300-9572issn
1873-1570pii
S0300-9572(16)30509-3journal_volume
110pub_type
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