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Optimizing outcomes after out-of-hospital cardiac arrest with innovative approaches to public-access defibrillation : a scientific statement from the international liaison committee on resuscitation
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Brooks, Steven C., Clegg, Gareth R., Bray, Janet, Deakin, Charles D., Perkins, Gavin D., Ringh, Mattias, Smith, Christopher M., Link, Mark S., Merchant, Raina M., Pezo-Morales, Jaime, Parr, Michael, Morrison, Laurie J., Wang, Tzong-Luen, Koster, Rudolph W. and Ong, Marcus E. H. (2022) Optimizing outcomes after out-of-hospital cardiac arrest with innovative approaches to public-access defibrillation : a scientific statement from the international liaison committee on resuscitation. Circulation, 145 (13). e776-e801. doi:10.1161/CIR.0000000000001013 ISSN 0009-7322.
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Official URL: http://dx.doi.org/10.1161/CIR.0000000000001013
Abstract
Out-of-hospital cardiac arrest is a global public health issue experienced by ≈3.8 million people annually. Only 8% to 12% survive to hospital discharge. Early defibrillation of shockable rhythms is associated with improved survival, but ensuring timely access to defibrillators has been a significant challenge. To date, the development of public-access defibrillation programs, involving the deployment of automated external defibrillators into the public space, has been the main strategy to address this challenge. Public-access defibrillator programs have been associated with improved outcomes for out-of-hospital cardiac arrest; however, the devices are used in <3% of episodes of out-of-hospital cardiac arrest. This scientific statement was commissioned by the International Liaison Committee on Resuscitation with 3 objectives: (1) identify known barriers to public-access defibrillator use and early defibrillation, (2) discuss established and novel strategies to address those barriers, and (3) identify high-priority knowledge gaps for future research to address. The writing group undertook systematic searches of the literature to inform this statement. Innovative strategies were identified that relate to enhanced public outreach, behavior change approaches, optimization of static public-access defibrillator deployment and housing, evolved automated external defibrillator technology and functionality, improved integration of public-access defibrillation with existing emergency dispatch protocols, and exploration of novel automated external defibrillator delivery vectors. We provide evidence- and consensus-based policy suggestions to enhance public-access defibrillation and guidance for future research in this area.
| Item Type: | Journal Article | ||||||||
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||
| Journal or Publication Title: | Circulation | ||||||||
| Publisher: | American Heart Association | ||||||||
| ISSN: | 0009-7322 | ||||||||
| Official Date: | 29 March 2022 | ||||||||
| Dates: |
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| Volume: | 145 | ||||||||
| Number: | 13 | ||||||||
| Page Range: | e776-e801 | ||||||||
| DOI: | 10.1161/CIR.0000000000001013 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| Copyright Holders: | © 2022 by the American Heart Association, Inc., European Resuscitation Council, and International Liaison Committee on Resuscitation. | ||||||||
| Description: | Free access |
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| Date of first compliant deposit: | 22 August 2022 | ||||||||
| Date of first compliant Open Access: | 22 August 2022 |
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