Automatic external defibrillators: lessons from the past, present and future.

Coronary artery disease remains the leading cause of death in the United States and most developed countries. Many of the victims die from sudden cardiac arrests, resulting from dysrhythmias-most commonly ventricular fibrillation. Since most cardiac arrests occur outside the hospital, implementing emergency services in the field will have a great impact on survival. With the development of the modern automatic external defibrillator (AED), early recognition and correction of these dysrhythmias by lay rescuers can significantly improve outcome from sudden death. This paper reviews the past, present and future development and applications of AEDs.

[1]  P. Paris EMT-defibrillation: a recipe for saving lives. , 1988, The American journal of emergency medicine.

[2]  R. Kerber,et al.  Efficacy of an automated external defibrillator in the management of out-of-hospital cardiac arrest: validation of the diagnostic algorithm and initial clinical experience in a rural environment. , 1986, Circulation.

[3]  P. Pepe,et al.  Ensuring the effectiveness of community-wide emergency cardiac care. , 1993, Annals of emergency medicine.

[4]  R O Cummins,et al.  Lay person use of automatic external defibrillation. , 1987, Annals of emergency medicine.

[5]  M. Eisenberg,et al.  SENSITIVITY, ACCURACY, AND SAFETY OF AN AUTOMATIC EXTERNAL DEFIBRILLATOR Report of a Field Evaluation , 1984, The Lancet.

[6]  A. Hallstrom,et al.  Automatic external defibrillators: clinical, training, psychological, and public health issues. , 1985, Annals of emergency medicine.

[7]  T. Pringle,et al.  An external automatic device to detect ventricular fibrillation. , 1986, European heart journal.

[8]  Cantab Ma,et al.  Emanuel Miller. M.A. Cantab., F.R.C.P., D.P.M. , 1970 .

[9]  Mich.,et al.  The effect of bystander CPR on survival of out-of-hospital cardiac arrest victims. , 1985, American heart journal.

[10]  J. Schuder,et al.  Is the effectiveness of cardiac ventricular defibrillation dependent upon polarity? , 1987, Medical instrumentation.

[11]  A. Hallstrom,et al.  Automatic External Defibrillators Used by Emergency Medical Technicians: A Controlled Clinical Trial , 1987 .

[12]  M. Copass,et al.  Improved neurologic recovery and survival after early defibrillation. , 1984, Circulation.

[13]  W. Grace,et al.  The mobile coronary care unit. , 1969, The Journal of the Medical Society of New Jersey.

[14]  D. Chamberlain,et al.  Automated external defibrillation: laboratory evaluation. , 1984, International journal of cardiology.

[15]  R. White,et al.  New perspectives on rural EMT defibrillation. , 1988, Annals of emergency medicine.

[16]  M S Eisenberg,et al.  Treatment of out-of-hospital cardiac arrests with rapid defibrillation by emergency medical technicians. , 1980, The New England journal of medicine.

[17]  S. Sermasi,et al.  Automatic external defibrillators in the hospital as well? , 1996, Resuscitation.

[18]  T. Sawada,et al.  MASS SCREENING FOR NEUROBLASTOMA IN INFANTS IN JAPAN Interim Report of a Mass Screening Study Group , 1984, The Lancet.

[19]  C. Fahrenbruch,et al.  Public locations of cardiac arrest. Implications for public access defibrillation. , 1998, Circulation.

[20]  Niskanen Ra Automated external defibrillators--experiences with their use and options for their further development. , 1997 .

[21]  M. Eisenberg,et al.  Prehospital cardiopulmonary resuscitation. Is it effective , 1985 .

[22]  A. Hallstrom,et al.  OUT-OF-HOSPITAL CARDIAC ARREST: IMPROVED SURVIVAL WITH PARAMEDIC SERVICES , 1980, The Lancet.

[23]  G. Wynne,et al.  Student nurses can defibrillate within 90 seconds , 1992 .

[24]  I. Strannegård,et al.  TRANSFER FACTOR IN SEVERE ATOPIC DISEASE , 1975, The Lancet.

[25]  A. Adgey,et al.  Ventricular defibrillation: appropriate energy levels. , 1979, Circulation.

[26]  M. Redmond,et al.  "Heartstart Scotland"--initial experience of a national scheme for out of hospital defibrillation. , 1991, BMJ.

[27]  M. Copass,et al.  Use of the automatic external defibrillator in the management of out-of-hospital cardiac arrest. , 1988, The New England journal of medicine.

[28]  J S Geddes,et al.  A mobile intensive-care unit in the management of myocardial infarction. , 1967, Lancet.

[29]  E. Glucksman,et al.  Training St John Ambulance volunteers to use an automated external defibrillator. , 1994, Resuscitation.

[30]  A. Hallstrom,et al.  Sudden cardiac death in the community , 1984 .

[31]  G. Wynne,et al.  Student nurses can defibrillate within 90 seconds. An evaluation of a training programme for third year student nurses in the use of an automatic external defibrillator. , 1994, Resuscitation.

[32]  A. Adgey,et al.  The accuracy of decision-making of a semi-automatic defibrillator during cardiac arrest. , 1992 .

[33]  Carlton B. Morgan,et al.  Low‐Energy Impedance‐Compensating Biphasic Waveforms Terminate Ventricular Fibrillation at High Rates in Victims of Out‐of‐Hospital Cardiac Arrest , 1997, Journal of cardiovascular electrophysiology.

[34]  M. Copass,et al.  Factors influencing survival after out-of-hospital cardiac arrest. , 1986, Journal of the American College of Cardiology.

[35]  K. Stults,et al.  Prehospital defibrillation performed by emergency medical technicians in rural communities. , 1984, The New England journal of medicine.

[36]  R. Winkle,et al.  Mortality in patients with implanted automatic defibrillators. , 1983, Annals of internal medicine.

[37]  J J Bocka,et al.  Automatic external defibrillators. , 1989, Annals of emergency medicine.

[38]  A. Hallstrom,et al.  Use of the automatic external defibrillator in homes of survivors of out-of-hospital ventricular fibrillation. , 1989, The American journal of cardiology.

[39]  L. Cobb,et al.  Sudden cardiac death. I. A decade's experience with out-of-hospital resuscitation. , 1980, Modern concepts of cardiovascular disease.

[40]  M. Wayne,et al.  An automatic cardiac resuscitator for emergency treatment of cardiac arrest. , 1980, Medical instrumentation.

[41]  Roger D. White,et al.  Ventricular fibrillation, automatic external defibrillators, and the United States Food and Drug Administration: confrontation without comprehension. , 1995, Annals of emergency medicine.

[42]  A Hallstrom,et al.  Cardiac resuscitation in the community. Importance of rapid provision and implications for program planning. , 1979, JAMA.

[43]  R. Stewart,et al.  Out-of-hospital cardiac arrest: factors associated with survival. , 1984, Annals of emergency medicine.

[44]  D. Chamberlain,et al.  USE OF AN AUTOMATED EXTERNAL DEFIBRILLATOR-PACEMAKER BY AMBULANCE STAFF , 1982, The Lancet.

[45]  R O Cummins,et al.  From concept to standard-of-care? Review of the clinical experience with automated external defibrillators. , 1989, Annals of emergency medicine.

[46]  M. Copass,et al.  Amplitude of ventricular fibrillation waveform and outcome after cardiac arrest. , 1985, Annals of internal medicine.

[47]  A. Hallstrom,et al.  Cardiac Resuscitation in the Community , 1979 .

[48]  M. Copass,et al.  Ventricular defibrillation -- a comparative trial using 175-J and 320-J shocks. , 1982, The New England journal of medicine.

[49]  A. Hallstrom,et al.  Automatic external defibrillation: evaluations of its role in the home and in emergency medical services. , 1984, Annals of emergency medicine.

[50]  W. Weaver,et al.  Emergency medical care requirements for large public assemblies and a new strategy for managing cardiac arrest in this setting. , 1989, Annals of emergency medicine.

[51]  F. Townsend New horizons , 1943 .

[52]  J. Ornato,et al.  Improving survival from sudden cardiac arrest: the "chain of survival" concept. A statement for health professionals from the Advanced Cardiac Life Support Subcommittee and the Emergency Cardiac Care Committee, American Heart Association. , 1991, Circulation.

[53]  M. Copass,et al.  Considerations for improving survival from out-of-hospital cardiac arrest. , 1986, Annals of emergency medicine.

[54]  J P Smith,et al.  The urban paramedic's scope of practice. , 1985, JAMA.

[55]  W. Ginsburg Prepare to be shocked: the evolving standard of care in treating sudden cardiac arrest. , 1998, The American journal of emergency medicine.

[56]  R. Cummins,et al.  Training lay persons to use automatic external defibrillators: success of initial training and one-year retention of skills. , 1989, The American journal of emergency medicine.

[57]  A. Skulberg,et al.  CARDIOPULMONARY RESUSCITATION BY LAY PEOPLE , 1976, The Lancet.

[58]  Stephen T. Vincent,et al.  Influence of External Defibrillator Electrode Polarity on Cardiac Resuscitation , 1993, Pacing and clinical electrophysiology : PACE.

[59]  J F Leclercq,et al.  Ambulatory sudden cardiac death: mechanisms of production of fatal arrhythmia on the basis of data from 157 cases. , 1989, American heart journal.

[60]  J. Runge,et al.  EMT defibrillation does not increase survival from sudden cardiac death in a two-tiered urban-suburban EMS system. , 1998, Annals of emergency medicine.

[61]  J. Jakobsson,et al.  Experience with an automatic external defibrillator , 1987, Acta anaesthesiologica Scandinavica.

[62]  J P Ornato,et al.  Automatic external defibrillators for public access defibrillation: recommendations for specifying and reporting arrhythmia analysis algorithm performance, incorporating new waveforms, and enhancing safety. A statement for health professionals from the American Heart Association Task Force on Automa , 1997, Circulation.

[63]  L. Jacobs Medical, legal, and social implications of automatic external defibrillators. , 1986, Annals of emergency medicine.

[64]  A Hallstrom,et al.  Paramedic programs and out-of-hospital cardiac arrest: I. Factors associated with successful resuscitation. , 1979, American journal of public health.

[65]  T. V. Woerkom,et al.  DIFFERENCE IN NEUROTRANSMITTER METABOLISM IN FRONTOTEMPORAL-LOBE CONTUSION AND DIFFUSE CEREBRAL CONTUSION , 1977, The Lancet.

[66]  A. Hallstrom,et al.  Home placement of automatic external defibrillators among survivors of ventricular fibrillation. , 1986, Annals of emergency medicine.