Dataset Information

[AED drones on the rise? : Use of drones to improve public access defibrillation].

ABSTRACT:

Background

The poor availability of automatic external defibrillators (AED) and the modest knowledge of lay persons in handling these devices has led to an insufficient spread of public access defibrillation in Germany.

Objective

This article examines whether the automated deployment of AED drones to out-of-hospital cardiac arrest can help to remedy this situation.

Methods

Narrative literature review, evaluation of statistics, analysis of relevant media reports, and discussion of key research.

Results

The present investigations are mainly located in the experimental field and demonstrate the feasibility and safety of drone use, as well as shorter times to first defibrillation, which is confirmed by initial clinical studies. Mathematical models also indicate cost-effectiveness of airborne AED delivery compared to ground dispatch. Integration into the chain of survival appears to be possible but adaptations to existing emergency medical service structures and close cooperation with regional first responder and AED schemes as well as local authorities is required to optimise patient benefit and efficiency.

Conclusion

The use of AED drones could probably contribute to improving public access defibrillation in Germany. This applies to both rural and urban regions. The technological requirements are met but flight regulations still have to be amended. In order to explore the full potential of this novel technology, further field trials are required to achieve smooth integration into existing emergency medical services.

SUBMITTER: Thies KC

PROVIDER: S-EPMC9636099 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

[AED drones on the rise? : Use of drones to improve public access defibrillation].

Thies Karl-Christian KC Jansen Gerrit G Wähnert Dirk D

Die Anaesthesiologie 20220927 11

<h4>Background</h4>The poor availability of automatic external defibrillators (AED) and the modest knowledge of lay persons in handling these devices has led to an insufficient spread of public access defibrillation in Germany.<h4>Objective</h4>This article examines whether the automated deployment of AED drones to out-of-hospital cardiac arrest can help to remedy this situation.<h4>Methods</h4>Narrative literature review, evaluation of statistics, analysis of relevant media reports, and discuss ...[more]

PMID: 36166065

Similar Datasets

Project description:BackgroundOut-of-hospital cardiac arrest (OHCA) is a global health issue, for which rapid public access defibrillation (PAD) increases survival.ObjectivesThe purpose of this study was to evaluate international legislation relating to PAD and develop legal recommendations to improve PAD in OHCA.MethodsSearches covering 5 domains (automated external defibrillator [AED] provision, funding, identification, maintenance, lay responder training) were conducted in 99 jurisdictions worldwide: United States (50) and Canada (13) analyzed at state/province level; 36 other countries analyzed at national level. Forty-nine legislation sources were searched from September 27, 2021, to May 5, 2022. Legislative data were classified: Enabling Legislation (facilitating PAD) or Disabling Legislation (hindering PAD). Based on retrieved data, recommendations for international AED laws were developed.ResultsSearches identified 419,248 legal records. Enabling Legislation regarding AED provision in public areas was present in 60% U.S. states, 8% Canadian provinces, and 22% of nations studied from the rest of world. Disabling Legislation regarding registration of AEDs, that could potentially discourage AED ownership, was found in 37 North American jurisdictions. Enabling Legislation regarding AED signage was found in 66% U.S. states and 39% of all jurisdictions worldwide. Overall, 48% of worldwide jurisdictions studied had legislative requirements for AED maintenance, including 80% of all U.S. states. Internationally, 49.5% of jurisdictions studied had Enabling Legislation mandating AED training, and 66% United States had this for schools. Only 4 jurisdictions worldwide gave implicit authorization to laypersons for AED use in emergencies.ConclusionsThere is significant variability in international legislation relating to PAD. All countries should consider Enabling Legislation that could decrease delays to PAD. Similarly, Disabling Legislation potentially hindering prompt PAD during OHCA should be withdrawn.

Project description:ObjectivesTo analyse monthly changes in public access defibrillation (PAD) incidence and outcomes of out-of-hospital cardiac arrest (OHCA) during the 2020-2021 COVID-19 pandemic compared with those during the 2016-2019 prepandemic period with consideration of pandemic-related movement restriction.DesignRetrospective cohort study.SettingAn extended database was created by combining and reconciling the nationwide Utstein-style OHCA and the emergency medical service (EMS) transportation databases in Japan.ParticipantsWe analysed 226 182 EMS-witnessed, non-newborn and out-of-home OHCA cases in Japan.Primary and secondary outcome measuresThe primary outcomes were the PAD incidence and neurologically favourable 1-month survival rate. The secondary outcomes were bystander cardiopulmonary resuscitation (CPR) provision and dispatcher-assisted CPR attempts.ResultsThe proportion of out-of-home OHCA cases slightly decreased during the pandemic (from 33.7% to 31.9%). Although the pandemic was associated with a decreased PAD incidence, 2-year trend analyses by an interaction test showed that the PAD incidence was lower during the first nationwide declaration of a state of emergency (p<0.001) and in the pandemic's second year (p<0.01). Regardless of location, delays in basic life support (BLS) actions and EMS contact with patients were more common and the rate of PAD-induced return of spontaneous circulation was lower during the pandemic. PAD incidence reduction was significant only in locations with a recommendation of automated external defibrillator placement (p<0.001). In other locations, a pronounced delay in BLS was found during the pandemic. The neurologically favourable survival rate was reduced in parallel with the reduced PAD incidence during the pandemic (r=0.612, p=0.002).ConclusionsProlonged and repeated movement restrictions during the COVID-19 pandemic worsened the OHCA outcomes concurrently with disturbed BLS actions, including the reduced PAD incidence in out-of-home settings. Maintaining BLS training, re-arranging automated external defibrillator placement and establishing a local alert system for recruiting well-trained citizens to the scene are essential.

Project description:ImportanceYounger females with out-of-hospital cardiac arrest (OHCA) in public locations have less likelihood to receive public access defibrillation and bystander cardiopulmonary resuscitation (CPR). However, the association between age- and sex-based disparities and neurological outcomes remains underexamined.ObjectiveTo investigate the association between sex and age and the rate of receiving bystander CPR, automated external defibrillator defibrillation, and neurological outcomes in patients with OHCA.Design, setting, and participantsThis cohort study used the All-Japan Utstein Registry, a prospective, population-based, nationwide database in Japan containing data on 1 930 273 patients with OHCA between January 1, 2005, and December 31, 2020. The cohort comprised patients with OHCA of cardiac origin that was witnessed by citizens and treated by emergency medical service personnel. The data were analyzed from September 3, 2022, to May 5, 2023.ExposureSex and age.Main outcomes and measuresThe primary outcome was favorable neurological outcome at 30 days after an OHCA. Favorable neurological outcome was defined as a Cerebral Performance Category score of 1 (indicating good cerebral performance) or 2 (indicating moderate cerebral disability). The secondary outcomes were the rates of receiving public access defibrillation and bystander CPR.ResultsThe 354 409 included patients who experienced bystander-witnessed OHCA of cardiac origin had a median (IQR) age of 78 (67-86) years and 136 520 were females (38.5%). The rate of receiving public access defibrillation was higher in males than females (3.2% vs 1.5%; P < .001). Stratified by age, age- and sex-based disparities in prehospital lifesaving interventions by bystanders and in neurological outcomes were observed. Although younger females had a lower rate of receiving public access defibrillation and bystander CPR than males, younger females had a higher favorable neurological outcome compared with males of the same age (odds ratio [OR], 1.19; 95% CI, 1.08-1.31). In younger females with OHCA that was witnessed by nonfamily bystanders, receiving public access defibrillation (OR, 3.51; 95% CI, 2.34-5.27) or bystander CPR (OR, 1.62; 95% CI, 1.20-2.22) was associated with a favorable neurological outcome.Conclusions and relevanceResults of this study suggest a pattern of significant sex- and age-based differences in bystander CPR, public access defibrillation, and neurological outcomes in Japan. Improvement in neurological outcomes in patients with OHCA, especially younger females, was associated with increased use of public access defibrillation and bystander CPR.

Dataset Information

[AED drones on the rise? : Use of drones to improve public access defibrillation].

Background

Objective

Methods

Results

Conclusion

Publications

[AED drones on the rise? : Use of drones to improve public access defibrillation].

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets