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Public-access defibrillation: where do we place the AEDs?

机译：公众除颤：我们将AED放在哪里？

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BACKGROUND: Many prehospital cardiac arrests occur in public places. Even the best EMS systems have a finite response time. Therefore, it has been recommended that automated external defibrillators (AEDs) be placed in public areas for immediate access by trained members of the general public. OBJECTIVE: To determine the locations of multiple cardiac arrests in order to plan for placement of public-access AEDs. METHODS: Retrospective review of all primary cardiac arrests in calendar year 1997. Cardiac arrests in which resuscitation was not attempted (DOA), traumatic cases, pediatric cases, and those due to "other" causes were excluded. Location of the cardiac arrest was obtained from the ambulance run ticket. The EMS system is an urban, Midwestern, all-ALS, public-utility model system with fire department first responders that transports approximately 58,000 patients annually. RESULTS: There was scene response to 922 cardiac arrests. 377 DOAs and 219 nonprimary cardiac arrests were excluded. There were 326 primary cardiac arrests. Sixteen locations had more than one cardiac arrest: 11 locations had two cardiac arrests, four locations had three cardiac arrests, and one location had four cardiac arrests. The airport, an airline overhaul facility, a casino, and two hotels each had two cardiac arrests; the other locations of multiple cardiac arrests were in nursing homes. The professional sports stadiums had no cardiac arrests. CONCLUSIONS: Since very few locations had more than one cardiac arrest, it may be difficult to identify high-yield public places in which to place an AED. Nursing homes may want to consider AED availability.
机译：背景：许多院前心脏骤停发生在公共场所。即使是最好的EMS系统，其响应时间也有限。因此，建议将自动体外除颤器（AED）放置在公共区域，以供受过训练的公众立即使用。目的：确定多个心脏骤停的位置，以计划放置公共场所使用的AED。方法：回顾性分析1997日历年的所有主要心脏骤停。未进行未进行复苏（DOA）的心脏骤停，创伤性病例，儿科病例以及由于“其他”原因引起的心脏骤停。心搏停止的位置是从救护车运行票获得的。 EMS系统是具有消防部门第一响应者的城市，中西部，全ALS，公用事业模型系统，每年可运送约58,000名患者。结果：现场对922例心脏骤停有反应。排除了377个DOA和219个非原发性心脏骤停。有326例原发性心脏骤停。 16个地点的心脏骤停不止一个：11个地点的心脏骤停2个，四个地点的心脏骤停3个，一个地点的四个心脏骤停。机场，航空公司检修设施，赌场和两家酒店各有两次心脏骤停;其他多次心脏骤停的地点在疗养院。专业运动场没有心脏骤停。结论：由于极少数地方有多个心脏骤停，因此可能难以确定放置AED的高收益公共场所。疗养院可能需要考虑AED的可用性。

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