Public Access Defibrillation- Results from the Victorian Ambulance Cardiac Arrest Registry
Public access defibrillation- Results from the Victorian Ambulance Cardiac Arrest Registry (VACAR) M Lijovic1,2, S Bernard1,2, Z Nehme1,2, T Walker1 and K Smith1,2,3, on behalf of the Victorian Ambulance Cardiac Arrest Registry Steering Committee 1Ambulance Victoria, 2Monash University, 3University of WA This presentation will address: • Burden of out-of-hospital cardiac arrest (OHCA) • Emergency medical services, public access defibrillation (PAD) programs and automated external defibrillator (AED) locations in Victoria, Australia • Victorian Ambulance Cardiac Arrest Registry (VACAR) Burden of out-of-hospital cardiac arrest • OHCA is a significant public health problem In Victoria, Australia, the annual incidence of adult OHCA attended by ambulance is 120.8 events per 100,000 population (Victorian Ambulance Cardiac Arrest Registry Annual Report 2013/14. 2014, Ambulance Victoria). • For every minute delay in response time, survival decreases by 9% (95% CI, 4-14%) Cardiac arrests of presumed cardiac aetiology, presenting in VF/VT and where resuscitation is attempted by emergency medical services (EMS) (Fridman et al. Resuscitation 2007) • Improved survival rates are possible, in spite of increasing response times, if bystanders perform CPR and defibrillate using an automated external defibrillator (AED) Public access defibrillation programs • The AHA, ERC and Australian and New Zealand Resuscitation Councils advocate defibrillation through PAD programs (Weisfeldt et al. Circulation, 1995; Australian and New Zealand Resuscitation Councils, 2011; Nolan et al. Resuscitation, 2010) AEDs in the community, particularly in locations with high incidence of arrests, to facilitate rapid defibrillation by laypersons prior to EMS arrival • Public AED programs have effectively been used in communities Survival to discharge: 31 - 69% (Hallstrom et al.
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