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Automated external defibrillator

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452: 505:. "Good faith" protection under a Good Samaritan law means that a volunteer responder (not acting as a part of one's occupation) cannot be held civilly liable for the harm or death of a victim by providing improper or inadequate care, given that the harm or death was not intentional and the responder was acting within the limits of their training and in good faith. In the United States, Good Samaritan laws provide some protection for the use of AEDs by trained and untrained responders. AEDs create little liability if used correctly; NREMT-B and many state 29: 260: 311: 2102: 2114: 610: 173: 326: 391: 624: 438:
shock moving in an opposite polarity between the pads. Others may give a stepped approach to energy delivery, usually in a 200J, a second 200J, then 300J, and finally 360J shock, with any further shocks also being 360 Joules. This lower-energy waveform has proven more effective in clinical tests, as well as offering a reduced rate of complications and reduced recovery time.
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these had any impact on the survival outcome. All this recorded data can be either downloaded to a computer or printed out so that the providing organisation or responsible body is able to see the effectiveness of both CPR and defibrillation. Some AED units even provide feedback on the quality of the compressions provided by the rescuer.
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time that ranged from 52 to 144 seconds. This met the three minute goal. In some cases, the use of the AED required the continuous presence of building personnel. Future improvements include more obvious signage and public-access AEDs which do not require a staff member of the building to either retrieve or use the device.
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In a study published in 2017, researchers in Poland selected the main entrances of buildings which had AEDs, although the researchers themselves did not know the exact locations of the devices. In drills of pretend heart attack, the average time to bring the AED to the patient was 96 seconds, with a
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We got a short lesson in using an AED, which is an Automated External Defibrillator. We had the thrill of yelling, "Clear!" Unfortunately this also brought on a little anxiety when Sean mentioned if the patient were a woman with a metal underwire in her bra or with metal piercings on her torso, we'd
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Act (Heart Defibrillator Civil Liability), 2007 (Bill 171 – Subsection N)", passed in June, 2007, which protects individuals from liability for damages that may occur from their use of an AED to save someone's life at the immediate scene of an emergency unless damages are caused by gross negligence.
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and death, once cardiac arrest takes place. After approximately three to five minutes in cardiac arrest, irreversible brain/tissue damage may begin to occur. For every minute that a person in cardiac arrest goes without being successfully treated (by defibrillation), the chance of survival decreases
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When charged, the device instructs the user to ensure no one is touching the patient and then to press a button to deliver the shock; human intervention is usually required to deliver the shock to the patient in order to avoid the possibility of accidental injury to another person (which can result
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A trend that is developing is the purchase of AEDs to be used in the home, particularly by those with known existing heart conditions. The number of devices in the community has grown as prices have fallen to affordable levels. There has been some concern among medical professionals that these home
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In the late 1970s the Heart-Aid was developed as the first truly automated external defibrillator that was designed for the public. The principles of ABC assessment and a human voice relaying instructions helped bystanders respond to a sudden cardiac event while waiting for the first responders to
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An AED automatically diagnoses the heart rhythm and determines if a shock is needed. Automatic models will administer the shock without the user's command. Semi-automatic models will tell the user that a shock is needed, but the user must tell the machine to do so, usually by pressing a button. In
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depending on the model. This caused increased cardiac injury and in some cases second and third-degree burns around the shock pad sites. Newer AEDs (manufactured after late 2003) have tended to utilise biphasic algorithms which give two sequential lower-energy shocks of 120–200 joules, with each
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Many AED units have an 'event memory' which store the ECG of the patient along with details of the time the unit was activated and the number and strength of any shocks delivered. Some units also have voice recording abilities to monitor the actions taken by the personnel in order to ascertain if
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It is also important to ensure that the AED unit's batteries have not expired. The AED manufacturer will specify how often the batteries should be replaced. Each AED has a different recommended maintenance schedule outlined in the user manual. Common checkpoints on every checklist, however, also
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All manufacturers mark their electrode pads with an expiration date, and it is important to ensure that the pads are in date. The typical life expectancy of AED pads are between 18 and 30 months. This is usually marked on the outside of the pads. Some models are designed to make this date visible
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In order to make them highly visible, public access AEDs are often brightly coloured and are mounted in protective cases near the entrance of a building. When these protective cases are opened or the defibrillator is removed, some will sound a buzzer to alert nearby staff to their removal, though
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Automated external defibrillators are generally either kept where health professionals and first responders can use them (health facilities and ambulances) as well as public access units which can be found in public places including corporate and government offices, shopping centres, restaurants,
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In a study analyzing the effects of having AEDs immediately present during Chicago's Heart Start program over a two-year period, of 22 individuals, 18 were in a cardiac arrhythmia which AEDs can treat. Of these 18, 11 survived. Of these 11 patients, 6 were treated by bystanders with absolutely no
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Legislation in Australia varies by state, with separate liability issues relating to providing and using AED equipment. Each state and territory has enacted "Good Samaritan" laws that offer legal protection to a person who gives assistance in a medical emergency - the standard of care expected
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AEDs are designed to be used by laypersons who ideally should have received AED training. However, sixth-grade students have been reported to begin defibrillation within 90 seconds, as opposed to a trained operator beginning within 67 seconds. This is in contrast to more sophisticated manual and
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devices. Technical malfunctions likely contributed to more than 750 deaths in the 5-year period between 2004 and 2009, in most cases by component failures or design errors. During the same period, up to 70 types of AEDs were recalled, including recalls from every AED manufacturer in the world.
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When turned on or opened, the AED will instruct the user to connect the electrodes (pads) to the patient. Once the pads are attached, everyone should avoid touching the patient so as to avoid false readings by the unit. The pads allow the AED to examine the electrical output from the heart and
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corresponds to their training (or lack of training). In New South Wales, the Work Health and Safety Regulation (2011) requires an employer to use a risk assessment to ensure that there is adequate provision for first aid; when there is a sufficient risk it warrants providing a defibrillator.
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In January and February 2015, the FDA issued this news release: "The FDA issued a final order that will require AED manufacturers to submit premarket approval applications (PMAs), which undergo a more rigorous review than what was required to market these devices in the past. The agency's
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Kerber, Richard E; Becker, Lance B; Bourland, Joseph D; Cummins, Richard O; Hallstrom, Alfred P; Michos, Mary B; Nichol, Graham; Ornato, Joseph P; Thies, William H; White, Roger D; Zuckerman, Bram D (March 18, 1997). "Automatic External Defibrillators for Public Access Defibrillation".
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from a responder or bystander touching the patient at the time of the shock). Depending on the manufacturer and particular model, after the shock is delivered most devices will analyze the patient and either instruct CPR to be performed, or prepare to administer another shock.
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Observational studies have shown that in out of hospital cardiac arrest, public access defibrillators when used were associated with 40% median survival. When operated by non-dispatched lay first responders they have the highest likelihood of leading to survival.
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Most manufacturers recommend checking the AED before every period of duty or on a regular basis for fixed units. Some units need to be switched on in order to perform a self check; other models have a self check system built in with a visible indicator.
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most circumstances, the user cannot override a "no shock" advisory by an AED. Some AEDs may be used on children – those under 55 lbs (25 kg) in weight or under age 8. If a particular model of AED is approved for pediatric use,
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strengthened review will focus on the critical requirements needed to ensure the safety and reliability of AEDs and their necessary accessories, including batteries, pad electrodes, adapters and hardware keys for pediatric use."
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AEDs, like all defibrillators, are not designed to shock asystole ('flat line' patterns) as this will not have a positive clinical outcome. The asystolic patient only has a chance of survival if, through a combination of CPR and
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An AED is "automatic" because of the unit's ability to autonomously analyse the patient's condition. To assist this, the vast majority of units have spoken prompts, and some may also have visual displays to instruct the user.
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determine if the patient is in a shockable rhythm (either ventricular fibrillation or ventricular tachycardia). If the device determines that a shock is warranted, it will use the battery to charge its internal
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get to scene. Many of the early innovations in the Heart-Aid model are still part of the current generation of AEDs, although some innovations, like the airway electrode have fallen from use.
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include a monthly check of the battery power by checking the green indicator light when powered on, condition and cleanliness of all cables and the unit, and check for the adequate supplies.
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for cutting through a patient's clothing to expose the chest; a small towel for wiping away any moisture on the chest, and a razor for shaving those with very hairy chests.
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this does not necessarily summon emergency services; trained AED operators should know to phone for an ambulance when sending for or using an AED. In September 2008, the
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in preparation to deliver the shock. The device system is not only safer - charging only when required, but also allows for a faster delivery of the electric current.
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and the first automatic, public-use defibrillator was produced by the Cardiac Resuscitation Company in the late 1970s. The unit was launched under the name Heart-Aid.
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users do not necessarily have appropriate training, and many advocate the more widespread use of community responders, who can be appropriately trained and managed.
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Telec W, Baszko A, Dąbrowski M, Dąbrowska A, Sip M, Puslecki M, Kłosiewicz T, Potyrała P, Jurczyk W, Maciejewski A, Zalewski R, Witt M, Ladny JR, Szarpak L (2018).
463:, an automated external defibrillator (AED) requires minimal training to be used (or even no training). That is possible because all AEDs approved for use in the 937: 501:
Automated external defibrillators are now easy enough to use that most states in the United States include the "good faith" use of an AED by any person under
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The first use of an external defibrillator on a human was in 1947 by Claude Beck. The portable version of the external defibrillator was invented in 1957 by
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found evidence that use of a defibrillator on a woman wearing an underwire bra can lead to arcing or fire but only in unusual and unlikely circumstances.
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user. Most units are designed for use by non-medical operators. Their ease of use has given rise to the notion of public access defibrillation (PAD).
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drugs, one of the shockable rhythms can be established, which makes it imperative for CPR to be carried out prior to the arrival of a defibrillator.
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U.S. Department of Labor Occupational Safety and Health Administration (2001). "Cardiac arrest a automated external defibrillators (AEDs)".
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and many other countries use an electronic voice to prompt users through each step. Many AEDs now include visual prompts in case of a
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With simple audio and visual commands, AEDs are designed to be simple to use for the layperson, and the use of AEDs is taught in many
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issued a 'universal AED sign' to be adopted throughout the world to indicate the presence of an AED, and this is shown on the right.
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by 7 percent per minute in the first three minutes, and decreases by 10 percent per minute as time advances beyond ~three minutes.
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and the surrounding area were at risk of failing, either because of low battery power or because adhesive pads had deteriorated.
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Uncorrected, these cardiac conditions (ventricular tachycardia, ventricular fibrillation, asystole) rapidly lead to irreversible
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and piercings on the torso must be removed before using the AED on someone to avoid interference. The American television show
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The first commercially available AEDs were all of a monophasic type, which gave a high-energy shock, up to 360 to 400
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In the United Kingdom there is concern that poor maintenance may make public defibrillators unreliable. The
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from effectively pumping blood. The fibrillation in the heart decreases over time, and will eventually reach
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An opened and charged AED. This model is semi-automatic, due to the presence of a manual shock button.
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through a 'window', although others will require the opening of the case to find the date stamp.
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The use of easily visible status indicator and pad expiration date on a Cardiac Science G3 AED
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for providing a barrier between patient and first aider during rescue breathing; a pair of
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In 2012, AED's (automated external defibrillators) were under scrutiny by the U.S.
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semi-automatic defibrillators used by health professionals, which can act as a
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Bækgaard, Josefine S.; Viereck, Søren; Møller, Thea Palsgaard; Ersbøl (2017).
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The portable version of the defibrillator was invented in the mid-1960s by
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White, David (21 July 2017). "Life-savers out of date". Henley Standard.
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HeartSine AED CPR Advisor detects Compressions depth and rate feedback
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public transport, and any other location where people may congregate.
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automated external defibrillator or automatic electronic defibrillator
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National Conference of State Legislatures. Retrieved on 2013-03-18.
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reported on 21 July 2017 that more than half the defibrillators in
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American Red Cross: Learn About Automated External Defibrillators
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In addition to Good Samaritan laws, Ontario, Canada also has the "
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Caffrey SL, Willoughby PJ, Pepe PE, Becker LB (October 2002).
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all that is required is the use of more appropriate pads
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Laws on Cardiac Arrest and Defibrillators, 2013 update.
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surgically implanted inside the body of a patient).
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Retrieved 2017-07-15. 963:"ILCOR presents a universal AED sign" 770:from the original on 19 November 2008 353:Typically, an AED kit will contain a 1974:Asian Society for Emergency Medicine 1041:CPR/AED for the Professional Rescuer 789:CPR/AED for the Professional Rescuer 446: 126:, and is able to treat them through 2059:Advanced Life Support in Obstetrics 1964:Royal College of Emergency Medicine 1314:Health System Improvement Act, 2007 665: 13: 860:from the original on 29 April 2009 16:Portable electronic medical device 14: 2378: 1639: 1489:10.1161/CIRCULATIONAHA.107.187677 1222:10.1161/CIRCULATIONAHA.117.029067 1016:Barnaby, Barnaby J (2005-05-03). 998:from the original on 13 June 2007 827:from the original on 23 June 2011 803:OSHA Publication No. TIB 01-12-17 300: 184:Conditions that the device treats 124:pulseless ventricular tachycardia 2218:Automated external defibrillator 2112: 2101: 2100: 1756:International emergency medicine 1646:Sudden Cardiac Arrest Foundation 1470:Shurlock, B (18 December 2007). 718:from the original on 3 July 2007 622: 608: 496: 455:Usual placement of pads on chest 22:Automated external defibrillator 2113: 2053:Pediatric Advanced Life Support 1766:Pre-hospital emergency medicine 1624: 1569: 1545: 1504: 1463: 1438: 1427: 1409: 1391: 1369: 1344: 1319: 1307: 1296: 1257: 1245: 1196: 1181: 1156: 1145: 1120: 1096: 1074: 1050: 1034: 1009: 992:"Heartstart Home Defibrillator" 984: 955: 930: 889: 592: 314:An AED at a railway station in 272:if the heart rate is too slow ( 2041:Acute Care of at-Risk Newborns 2035:Neonatal Resuscitation Program 1081:Northwest Health; Safety Inc. 967:European Resuscitation Council 875: 846:de Vries, Lloyd (2006-03-22). 839: 809: 794: 781: 756: 704: 534: 297:previous training in AED use. 167: 1: 2197:Cardiopulmonary resuscitation 2159: 2023:Advanced cardiac life support 2006:Cardiopulmonary resuscitation 1511:Evans, Alun (April 2, 2005). 658: 648:Advanced cardiac life support 638:Cardiopulmonary resuscitation 406:of the victim (as opposed to 147:cardiopulmonary resuscitation 2305:Emergency medical technician 2047:Pediatric basic life support 2029:Advanced trauma life support 2012:Mouth-to-mouth resuscitation 1761:Pediatric emergency medicine 1164:"AED Plus Biphasic Waveform" 940:. 2010-02-10. 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Index

Philips HS1 Defibrillator (AED), open, charged and ready for use.
Acronym
Synonyms
Specialty
Cardiology
Frank Pantridge
Manual defibrillator
edit on Wikidata
cardiac
arrhythmias
ventricular fibrillation
pulseless ventricular tachycardia
defibrillation
first aid
certified first responder
basic life support
cardiopulmonary resuscitation
Frank Pantridge
Belfast
Northern Ireland

chain of survival
defibrillator
arrhythmias
cardiac arrest
Ventricular tachycardia
Ventricular fibrillation
cardiac arrhythmia
ventricle
asystole

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