banner ad
Experts Logo

articles

Public Access Defibrillation

By: Gerald Dworkin
Tel: (207) 967-8614
Email Mr. Dworkin


View Profile on Experts.com.


A Statement for Healthcare Professionals From the American Heart Association Task Force on Automatic External Defibrillation

In October 1993 the American Heart Association appointed the Task Force on Automatic External Defibrillation. The task force was charged with conducting a conference on automatic external defibrillation, evaluating research needed for broader community use of automatic external defibrillators, and overseeing evaluation of the feasibility and desirability of their use by healthcare professionals and the lay public.

In December 1994 a conference on public access defibrillation was held in Washington, DC. More than 300 persons attended, representing science, industry, the healthcare professions, law, and the federal government. During the meeting the participants reached a consensus on the general proposition of greater public access to defibrillation and the need for broad-based clinical research, public and professional education, and legislative reform. Following the conference, members of the task force, with input from others in the field of emergency cardiac care, wrote this statement, which was approved by the AHA Board of Directors in June 1995.

Early bystander cardiopulmonary resuscitation (CPR) and rapid defibrillation are the two major contributors to survival of adult victims of sudden cardiac arrest. The AHA supports efforts to provide prompt defibrillation to victims of cardiac arrest. Automatic external defibrillation is one of the most promising methods for achieving rapid defibrillation. In public access defibrillation, the technology of defibrillation and training in its use are accessible to the community. The AHA believes that this is the next step in strengthening the chain of survival. Public access defibrillation will involve considerable societal change and will succeed only through the strong efforts of the AHA and others with a commitment to improving emergency cardiac care.

Public access defibrillation will include:

  • Performance of defibrillation by laypersons at home and by firefighters, police, security personnel, and non-physician care providers in the community.
  • Exploration of the use of bystander-initiated automatic external defibrillation in rural communities and congested urban areas where resuscitation strategies have had little success.

The AHA can also play a major role by:

  • Increasing public awareness that defibrillation improves the rate of survival from an often fatal condition that each day affects 1000 Americans.
  • Ensuring that objective, current research data are used to guide implementation of these changes in performance and teaching of CPR.
  • Working with medical manufacturers, legislators, and governmental agencies to promote safety and efficacy, reduce cost, and update training requirements to facilitate implementation of public access defibrillation. Broader use of automatic external defibrillators should also lead to readiness tests and features that deter both misuse and misapplications.

Meaningful change will occur only with the broad public support that has traditionally characterized the AHA's efforts in the fight against heart disease and stroke.


Gerald Dworkin, is a professional aquatics safety and water rescue consultant for Lifesaving Resources Inc. and is responsible for aquatics safety, lifeguard, water rescue, and ice rescue training curricula and programs. He also consults as an expert in drowning and aquatic injury litigation. He is a graduate from the University of Bridgeport in Connecticut, and has over 30 years professional experience in the fire, EMS, and water rescue sector. He is currently a firefighter/EMT for the Harrisville (NH) Fire and Rescue Department.

©Copyright - All Rights Reserved

DO NOT REPRODUCE WITHOUT WRITTEN PERMISSION BY AUTHOR.

Related articles

expert_placeholder

9/16/2014· Aquatics Safety

Cold Calls: Ice Rescues Pose Unique Challenges For Responders

By: Gerald Dworkin

The following incidents and places, as well as the circumstances surrounding them, are fictional. On the Scene Dispatch at 16:04 hrs: KGT-597 to Rescue 15, respond to Bakersville Pond off Cemetery Island for a report of a dog through the ice, approximately 100 yards from shore.

expert_placeholder

10/28/2014· Aquatics Safety

Aquatics Safety: In the Rhythm of Saving Lives

By: Gerald Dworkin

On July 13, 2004, a 55-year-old man collapsed in the Medina (Ohio) Aquatic and Fitness Center. The aquatic manager for the city, Darlene Donkin, responded and assessed him to be in cardiac arrest. Although Donkin was a CPR instructor and taught more than 100 classes on the subject, she had never actually performed it in a life-and-death situation prior to this incident.

expert_placeholder

8/7/2014· Aquatics Safety

Hands-Only CPR Simplifies Saving Lives for Bystanders

By: Gerald Dworkin

DALLAS, April 1 - Chest compressions alone, or Hands-Only Cardiopulmonary Resuscitation (CPR), can save lives and can be used to help an adult who suddenly collapses, according to a new American Heart Association scientific statement.

;
Experts.com-No broker Movie Ad
Unicourt Logo Button

Follow us

linkedin logo youtube logo rss feed logo