Journal of The Korean Society of Emergency Medicine (대한응급의학회지)

The Korean Society of Emergency Medicine (대한응급의학회)
권호 표지

Does the placement of automated external defibrillators affect first responders' willingness to perform cardiopulmonary resuscitation in high-rise residential buildings?

  • Lee, Dong Eun (Department of Emergency Medicine, School of Medicine, Kyungpook National University) ;
  • Ryoo, Hyun Wook (Department of Emergency Medicine, School of Medicine, Kyungpook National University) ;
  • Ahn, Jae Yun (Department of Emergency Medicine, School of Medicine, Kyungpook National University) ;
  • Moon, Sungbae (Department of Emergency Medicine, School of Medicine, Kyungpook National University) ;
  • Kim, Jong Kun (Department of Emergency Medicine, School of Medicine, Kyungpook National University) ;
  • Kim, Yun Jeong (Department of Emergency Medicine, School of Medicine, Kyungpook National University) ;
  • Park, Jung Bae (Department of Emergency Medicine, School of Medicine, Kyungpook National University) ;
  • Kim, Jung Ho (Department of Emergency Medicine, Yeungnam University College of Medicine) ;
  • Lee, Kyung Woo (Department of Emergency Medicine, Catholic University of Daegu School of Medicine) ;
  • Jin, Sang Chan (Department of Emergency Medicine, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine)
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  • 류현욱 (경북대학교 의과대학 응급의학교실) ;
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  • Received : 2018.03.12
  • Accepted : 2018.10.10
  • Published : 2018.12.31

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Abstract

Objective: The increasing number of people living in high-rise apartments may result in a delayed response from emergency medical technicians called out for an out-of-hospital cardiac arrest, making the role of apartment managers as the first responders extremely important. This study investigated whether automated external defibrillator (AED) placement influences the willingness of apartment managers to perform cardiopulmonary resuscitation (CPR) and use an AED. Methods: A cross-sectional target population-based survey was conducted in Daegu, July 2016. Questionnaires were sent to apartment managers working in apartments with more than 500 households. The general characteristics of the respondents, status of CPR education, and knowledge about and willingness to perform CPR and use an AED were investigated. Results: Of the 1,445 respondents, 758 (52.5%) worked in apartments with AEDs, of which 77.8% and 70.8% were willing to perform CPR and use an AED, respectively, compared with 68.1% and 60.0% of respondents who worked in apartments without AEDs. After adjusting for potential confounders, AED placement was associated with the willingness to perform CPR (odds ratio [OR], 1.33; 95% confidence interval [CI], 1.04-1.71) and use an AED (OR, 1.39; 95% CI, 1.10-1.75). Prior CPR training and accurate knowledge of CPR skills were also associated with the willingness to perform CPR and use an AED. Conclusion: Placing AEDs in high-rise apartment buildings and providing refresher CPR education for maintaining CPR skills will be necessary to support apartment managers in their role as first responders.

Keywords

References

  1. Number of acute cardiac arrest incidents [Internet]. Cheongju: Korea Centers for Disease Control and Prevention; 2015 [cited 2017 Mar 31]. Available from: http://www.cdc.go.kr/CDC/contents/CdcKrContentView.jsp?cid=66386&menuIds=HOME001-MNU1130-MNU1110-MNU2383-MNU2387.
  2. Hansen CM, Kragholm K, Granger CB, et al. The role of bystanders, first responders, and emergency medical service providers in timely defibrillation and related outcomes after out-of-hospital cardiac arrest: results from a statewide registry. Resuscitation 2015;96:303-9. https://doi.org/10.1016/j.resuscitation.2015.09.002
  3. Kitamura T, Iwami T, Kawamura T, et al. Nationwide public-access defibrillation in Japan. N Engl J Med 2010;362:994-1004. https://doi.org/10.1056/NEJMoa0906644
  4. Weisfeldt ML, Sitlani CM, Ornato JP, et al. Survival after application of automatic external defibrillators before arrival of the emergency medical system: evaluation in the resuscitation outcomes consortium population of 21 million. J Am Coll Cardiol 2010;55:1713-20. https://doi.org/10.1016/j.jacc.2009.11.077
  5. Emergency Medical Services Act [Internet]. Sejong: National Law Information Center; 2016 [cited 2017 Mar 31]. Available from: http://www.law.go.kr/lsInfoP.do?lsiSeq=188094&efYd=20161202#0000.
  6. Deakin CD, Shewry E, Gray HH. Public access defibrillation remains out of reach for most victims of out-of-hospital sudden cardiac arrest. Heart 2014;100:619-23. https://doi.org/10.1136/heartjnl-2013-305030
  7. Wissenberg M, Lippert FK, Folke F, et al. Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest. JAMA 2013;310:1377-84. https://doi.org/10.1001/jama.2013.278483
  8. Drennan IR, Strum RP, Byers A, et al. Out-of-hospital cardiac arrest in high-rise buildings: delays to patient care and effect on survival. CMAJ 2016;188:413-9. https://doi.org/10.1503/cmaj.150544
  9. Ro YS, Shin SD, Song KJ, Hong SO, Kim YT, Cho SI. Bystander cardiopulmonary resuscitation training experience and self-efficacy of age and gender group: a nationwide community survey. Am J Emerg Med 2016;34:1331-7. https://doi.org/10.1016/j.ajem.2015.12.001
  10. Mpotos N, Vekeman E, Monsieurs K, Derese A, Valcke M. Knowledge and willingness to teach cardiopulmonary resuscitation: a survey amongst 4273 teachers. Resuscitation 2013;84:496-500. https://doi.org/10.1016/j.resuscitation.2013.01.023
  11. Kanstad BK, Nilsen SA, Fredriksen K. CPR knowledge and attitude to performing bystander CPR among secondary school students in Norway. Resuscitation 2011;82:1053-9. https://doi.org/10.1016/j.resuscitation.2011.03.033
  12. Kuramoto N, Morimoto T, Kubota Y, et al. Public perception of and willingness to perform bystander CPR in Japan. Resuscitation 2008;79:475-81. https://doi.org/10.1016/j.resuscitation.2008.07.005
  13. Schober P, van Dehn FB, Bierens JJ, Loer SA, Schwarte LA. Public access defibrillation: time to access the public. Ann Emerg Med 2011;58:240-7. https://doi.org/10.1016/j.annemergmed.2010.12.016
  14. Kiyohara K, Kitamura T, Sakai T, et al. Public-access AED pad application and outcomes for out-of-hospital cardiac arrests in Osaka, Japan. Resuscitation 2016;106:70-5. https://doi.org/10.1016/j.resuscitation.2016.06.025
  15. Hallstrom AP, Ornato JP, Weisfeldt M, et al. Publicaccess defibrillation and survival after out-of-hospital cardiac arrest. N Engl J Med 2004;351:637-46. https://doi.org/10.1056/NEJMoa040566
  16. Caffrey SL, Willoughby PJ, Pepe PE, Becker LB. Public use of automated external defibrillators. N Engl J Med 2002;347:1242-7. https://doi.org/10.1056/NEJMoa020932
  17. Folke F, Lippert FK, Nielsen SL, et al. Location of cardiac arrest in a city center: strategic placement of automated external defibrillators in public locations. Circulation 2009;120:510-7. https://doi.org/10.1161/CIRCULATIONAHA.108.843755
  18. Rea T, Blackwood J, Damon S, Phelps R, Eisenberg M. A link between emergency dispatch and public access AEDs: potential implications for early defibrillation. Resuscitation 2011;82:995-8. https://doi.org/10.1016/j.resuscitation.2011.04.011
  19. Pijls RW, Nelemans PJ, Rahel BM, Gorgels AP. A text message alert system for trained volunteers improves outof-hospital cardiac arrest survival. Resuscitation 2016;105:182-7. https://doi.org/10.1016/j.resuscitation.2016.06.006
  20. Ringh M, Rosenqvist M, Hollenberg J, et al. Mobilephone dispatch of laypersons for CPR in out-of-hospital cardiac arrest. N Engl J Med 2015;372:2316-25. https://doi.org/10.1056/NEJMoa1406038
  21. Sasaki M, Ishikawa H, Kiuchi T, Sakamoto T, Marukawa S. Factors affecting layperson confidence in performing resuscitation of out-of-hospital cardiac arrest patients in Japan. Acute Med Surg 2015;2:183-9. https://doi.org/10.1002/ams2.106
  22. Son JW, Ryoo HW, Moon S, et al. Association between public cardiopulmonary resuscitation education and the willingness to perform bystander cardiopulmonary resuscitation: a metropolitan citywide survey. Clin Exp Emerg Med 2017;4:80-7. https://doi.org/10.15441/ceem.16.160
  23. Hamasu S, Morimoto T, Kuramoto N, et al. Effects of BLS training on factors associated with attitude toward CPR in college students. Resuscitation 2009;80:359-64. https://doi.org/10.1016/j.resuscitation.2008.11.023
  24. Seo HI, Park YS, Lee MJ, et al. Willingness variability of bystander cardiopulmonary resuscitation in special situation. J Korean Soc Emerg Med 2017;28:287-93.
  25. Woollard M, Whitfeild R, Smith A, et al. Skill acquisition and retention in automated external defibrillator (AED) use and CPR by lay responders: a prospective study. Resuscitation 2004;60:17-28. https://doi.org/10.1016/j.resuscitation.2003.09.006
  26. Woollard M, Whitfield R, Newcombe RG, Colquhoun M, Vetter N, Chamberlain D. Optimal refresher training intervals for AED and CPR skills: a randomised controlled trial. Resuscitation 2006;71:237-47. https://doi.org/10.1016/j.resuscitation.2006.04.005