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http://dx.doi.org/10.14408/KJEMS.2016.20.1.083

Automated external defibrillator electrode pad placement by the general public and health-care providers : A manikin study  

Park, Si-Eun (Department of Emergency Medical Technology, Dongkang College University)
Publication Information
The Korean Journal of Emergency Medical Services / v.20, no.1, 2016 , pp. 83-94 More about this Journal
Abstract
Purpose: This study aimed to assess defibrillator pad positioning by the general public and healthcare providers during basic life support (BLS) renewal education (RE). Methods: A total 130 subjects performed defibrillation using an automated external defibrillator (AED) equipped with electrode pads developed by the researchers and male resuscitation manikins, in order to assess electrode pad placement (EPP) before BLS RE. Subjects included 54 Healthcare providers (HP) and 76 members of the general public (GP). Results: The apex EPP was positioned in the risk area (RA), more than 5 cm distant from the area recommended, by 63.2% of the GP (n = 48). The apex EPP was positioned in the RA by 44.4% of the HP (n = 23). The distance from the apex (GP $5.27{\pm}2.21cm$, HP $4.18{\pm}1.71cm$) was statistically significant, using Student's t-test. Conclusion: For both GP and HP, apex EPP was significantly in error. Thus, to prevent defibrillation failures, EPP education and practice for GP and HP in all BLS education programs should be improved, and incorrect Korean cardiopulmonary resuscitation guidelines and related literature should be revised and corrected.
Keywords
Defibrillation; Electrode pads; Electrode pad position; Automated external defibrillator;
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1 Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB et al. Heart disease and stroke statistics-2012 update a report from the American heart association. Circulation 2012;125(1):e2-e220. http://dx.doi.org/10.1161/CIR.0b013e31823ac046   DOI
2 Wik L, Kramer-Johansen J, Myklebust H, Sorebo H, Svensson L, Fellows B et al. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA 2005;293(3):299-304. http://dx.doi.org/10.1001/jama.293.3.299   DOI
3 Garcia LA, Kerber RE. Transthoracic defibrillation: Does electrode adhesive pad position alter transthoracic impedance? Resuscitation 1998;37(3):139-43. http://dx.doi.org/10.1016/S0300-9572(98)00050-1   DOI
4 Robertson C, Steen P, Adgey J, Bossaert L, Carli P, Chamberlain D et al. The 1998 European Resuscitation Council guidelines for adult advanced life support: A statement from the working group on advanced life support, and approved by the executive committee. Resuscitation 1998;37(2):81-90. http://dx.doi.org/10.1016/S0300-9572(98)00035-5   DOI
5 Part 6: Advanced Cardiovascular life support. Section 2: Defibrillation. Resuscitation 2000;46:109-13. http://dx.doi.org/10.1161/01.CIR.102.suppl_1.I-86   DOI
6 Heames RM, Sado DD, Charles D. Do doctors position defibrillation paddles correctly? Observational study. BMJ 2001;322(7299):1393-4. http://dx.doi.org/10.1136/bmj.322.7299.1393   DOI
7 Lakhotia M, Jain P, Sharma S, Gehlot RS, Singh M. Placement of defibrillator paddles how correct are we. Journal Indian Academy of Clinical Medicine 2003;4(3):200-4.
8 Koster RW, Baubin MA, Bossaert LL, Caballero A, Cassan P, Castren M et al. European Resuscitation Council Guidelines for Resuscitation 2010 Section 2. Adult basic life support and use of automated external defibrillators. Resuscitation 2010;81(10):1277-92. http://dx.doi.org/10.1016/j.resuscitation.2010.08.009   DOI
9 Link MS, Atkins DL, Passman RS, Halperin HR, Samson RA, White RD et al. Part 6: Electrical therapies. Automated external defibrillators, defibrillation, cardioversion, and pacing-2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. 2010;122(18 suppl 3):S706-19. http://dx.doi.org/10.1161/CIRCULATIONAHA.110.970954   DOI
10 Hazinski MF, American Heart Association. BLS for healthcare providers: Student manual. American Heart Association, 2011. 20.
11 Korean Association of Cardiopulmonary Resuscitation. Cardiopulmonary resuscitation, 2nd ed. Seoul: Goonja Publisher, 2011. 37.
12 Bobrow BJ, Clark LL, Ewy GA, Chikani VS, Arthur BB. Minimally interrupted cardiac resuscitation by emergency medical services for out-of-hospital cardiac arrest. JAMA 2008;299(10):1158-65. http://dx.doi.org/10.1001/jama.299.10.1158   DOI
13 Park SE, Shin DM. The effects of monitoring of the pressures applied on the defibrillator paddles: A manikin study. Korean J Emerg Med Ser 2012;16(3):9-18.   DOI
14 Sayre MR, Cantrell SA, White LJ, Hiestand BC, Keseg DP. Impact of the 2005 American Heart Association cardiopulmonary resuscitation and emergency cardiovascular care guidelines on out-of-hospital cardiac arrest survival. Prehospital Emergency Care 2009;13(4):469-77. http://dx.doi.org/10.1080/10903120903144965   DOI
15 Korean Association of Cardiopulmonary Resuscitation. The development of public CPR guidelines and deployment, Seoul: Incorporated Korean Association of Cardiopulmonary Resuscitation 2011;1(1):64-5.
16 Korean Association of Cardiopulmonary Resuscitation. Instructor manual of Korean advanced life support ver. 2.0. Seoul: Incorporated Korean Association of Cardiopulmonary Resuscitation 2013;2(1):15-6.
17 Pagan-Carlo LA, Spencer KT, Robertson CE, Dengler A, Birkett C, Kerber RE. Transthoracic defibrillation: Importance of avoiding electrode placement directly on the female breast. Journal of the American College of Cardiology 1996;27(2):449-52.   DOI