Cargando…
Differences in Automated External Defibrillator Types in Out-of-Hospital Cardiac Arrest Treated by Police First Responders
Background: Police first responder systems also including automated external defibrillation (AED) has in the past shown considerable impact on favourable outcomes after out-of-hospital cardiac arrest (OHCA). While short hands-off times in chest compressions are known to be beneficial, various AED mo...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10219170/ https://www.ncbi.nlm.nih.gov/pubmed/37233163 http://dx.doi.org/10.3390/jcdd10050196 |
_version_ | 1785048945562484736 |
---|---|
author | Krammel, Mario Eichelter, Jakob Gatterer, Constantin Lobmeyr, Elisabeth Neymayer, Marco Grassmann, Daniel Holzer, Michael Sulzgruber, Patrick Schnaubelt, Sebastian |
author_facet | Krammel, Mario Eichelter, Jakob Gatterer, Constantin Lobmeyr, Elisabeth Neymayer, Marco Grassmann, Daniel Holzer, Michael Sulzgruber, Patrick Schnaubelt, Sebastian |
author_sort | Krammel, Mario |
collection | PubMed |
description | Background: Police first responder systems also including automated external defibrillation (AED) has in the past shown considerable impact on favourable outcomes after out-of-hospital cardiac arrest (OHCA). While short hands-off times in chest compressions are known to be beneficial, various AED models use different algorithms, inducing longer or shorter durations of crucial timeframes along basic life support (BLS). Yet, data on details of these differences, and also of their potential impact on clinical outcomes are scarce. Methods: For this retrospective observational study, patients with OHCA of presumed cardiac origin and initially shockable rhythm treated by police first responders in Vienna, Austria, between 01/2013 and 12/2021 were included. Data from the Viennese Cardiac Arrest Registry and AED files were extracted, and exact timeframes were analyzed. Results: There were no significant differences in the 350 eligible cases in demographics, return of spontaneous circulation, 30-day survival, or favourable neurological outcome between the used AED types. However, the Philips HS1 and -FrX AEDs showed immediate rhythm analysis after electrode placement (0 [0–1] s) and almost no shock loading time (0 [0–1] s), as opposed to the LP CR Plus (3 [0–4] and 6 [6–6] s, respectively) and LP 1000 (3 [2–10] and 6 [5–7] s, respectively). On the other hand, the HS1 and -FrX had longer analysis times of 12 [12–16] and 12 [11–18] s than the LP CR Plus (5 [5–6] s) and LP 1000 (6 [5–8] s). The duration from when the AED was turned on until the first defibrillation were 45 [28–61] s (Philips FrX), 59 [28–81] s (LP 1000), 59 [50–97] s (HS1), and 69 [55–85] s (LP CR Plus). Conclusion: In a retrospective analysis of OHCA-cases treated by police first responders, we could not find significant differences in clinical patient outcomes concerning the respective used AED model. However, various differences in time durations (e.g., electrode placement to rhythm analysis, analysis duration, or AED turned on until first defibrillation) along the BLS algorithm were seen. This opens up the question of AED-adaptations and tailored training methods for professional first responders. |
format | Online Article Text |
id | pubmed-10219170 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-102191702023-05-27 Differences in Automated External Defibrillator Types in Out-of-Hospital Cardiac Arrest Treated by Police First Responders Krammel, Mario Eichelter, Jakob Gatterer, Constantin Lobmeyr, Elisabeth Neymayer, Marco Grassmann, Daniel Holzer, Michael Sulzgruber, Patrick Schnaubelt, Sebastian J Cardiovasc Dev Dis Article Background: Police first responder systems also including automated external defibrillation (AED) has in the past shown considerable impact on favourable outcomes after out-of-hospital cardiac arrest (OHCA). While short hands-off times in chest compressions are known to be beneficial, various AED models use different algorithms, inducing longer or shorter durations of crucial timeframes along basic life support (BLS). Yet, data on details of these differences, and also of their potential impact on clinical outcomes are scarce. Methods: For this retrospective observational study, patients with OHCA of presumed cardiac origin and initially shockable rhythm treated by police first responders in Vienna, Austria, between 01/2013 and 12/2021 were included. Data from the Viennese Cardiac Arrest Registry and AED files were extracted, and exact timeframes were analyzed. Results: There were no significant differences in the 350 eligible cases in demographics, return of spontaneous circulation, 30-day survival, or favourable neurological outcome between the used AED types. However, the Philips HS1 and -FrX AEDs showed immediate rhythm analysis after electrode placement (0 [0–1] s) and almost no shock loading time (0 [0–1] s), as opposed to the LP CR Plus (3 [0–4] and 6 [6–6] s, respectively) and LP 1000 (3 [2–10] and 6 [5–7] s, respectively). On the other hand, the HS1 and -FrX had longer analysis times of 12 [12–16] and 12 [11–18] s than the LP CR Plus (5 [5–6] s) and LP 1000 (6 [5–8] s). The duration from when the AED was turned on until the first defibrillation were 45 [28–61] s (Philips FrX), 59 [28–81] s (LP 1000), 59 [50–97] s (HS1), and 69 [55–85] s (LP CR Plus). Conclusion: In a retrospective analysis of OHCA-cases treated by police first responders, we could not find significant differences in clinical patient outcomes concerning the respective used AED model. However, various differences in time durations (e.g., electrode placement to rhythm analysis, analysis duration, or AED turned on until first defibrillation) along the BLS algorithm were seen. This opens up the question of AED-adaptations and tailored training methods for professional first responders. MDPI 2023-04-27 /pmc/articles/PMC10219170/ /pubmed/37233163 http://dx.doi.org/10.3390/jcdd10050196 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Krammel, Mario Eichelter, Jakob Gatterer, Constantin Lobmeyr, Elisabeth Neymayer, Marco Grassmann, Daniel Holzer, Michael Sulzgruber, Patrick Schnaubelt, Sebastian Differences in Automated External Defibrillator Types in Out-of-Hospital Cardiac Arrest Treated by Police First Responders |
title | Differences in Automated External Defibrillator Types in Out-of-Hospital Cardiac Arrest Treated by Police First Responders |
title_full | Differences in Automated External Defibrillator Types in Out-of-Hospital Cardiac Arrest Treated by Police First Responders |
title_fullStr | Differences in Automated External Defibrillator Types in Out-of-Hospital Cardiac Arrest Treated by Police First Responders |
title_full_unstemmed | Differences in Automated External Defibrillator Types in Out-of-Hospital Cardiac Arrest Treated by Police First Responders |
title_short | Differences in Automated External Defibrillator Types in Out-of-Hospital Cardiac Arrest Treated by Police First Responders |
title_sort | differences in automated external defibrillator types in out-of-hospital cardiac arrest treated by police first responders |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10219170/ https://www.ncbi.nlm.nih.gov/pubmed/37233163 http://dx.doi.org/10.3390/jcdd10050196 |
work_keys_str_mv | AT krammelmario differencesinautomatedexternaldefibrillatortypesinoutofhospitalcardiacarresttreatedbypolicefirstresponders AT eichelterjakob differencesinautomatedexternaldefibrillatortypesinoutofhospitalcardiacarresttreatedbypolicefirstresponders AT gattererconstantin differencesinautomatedexternaldefibrillatortypesinoutofhospitalcardiacarresttreatedbypolicefirstresponders AT lobmeyrelisabeth differencesinautomatedexternaldefibrillatortypesinoutofhospitalcardiacarresttreatedbypolicefirstresponders AT neymayermarco differencesinautomatedexternaldefibrillatortypesinoutofhospitalcardiacarresttreatedbypolicefirstresponders AT grassmanndaniel differencesinautomatedexternaldefibrillatortypesinoutofhospitalcardiacarresttreatedbypolicefirstresponders AT holzermichael differencesinautomatedexternaldefibrillatortypesinoutofhospitalcardiacarresttreatedbypolicefirstresponders AT sulzgruberpatrick differencesinautomatedexternaldefibrillatortypesinoutofhospitalcardiacarresttreatedbypolicefirstresponders AT schnaubeltsebastian differencesinautomatedexternaldefibrillatortypesinoutofhospitalcardiacarresttreatedbypolicefirstresponders |