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http://dx.doi.org/10.5762/KAIS.2020.21.8.325

The Effects of Slide-Covered of Slide-Covered Contemporary Charging Automated External Defibrillator on Rapidity and Convenience of Defibrillation  

Park, Si-Eun (Department of Emergency Medical Technology, Donggang University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.21, no.8, 2020 , pp. 325-333 More about this Journal
Abstract
This study compares the rapidity and subjective convenience of T-AED and SC-AED for health care providers and the general public. Subjects were randomly allocated to T-AED (n=77) and SC-AED (n=79) groups. Each group conducted defibrillation, with subsequent measurement of the rapidity of defibrillation in peri-shock pause, pre-shock pause, hesitation pause, and post-shock pause. Defibrillation and chest compression delay times for both equipment were analyzed by t-test. On conclusion of the experiment, subjects answered a questionnaire on the subjective convenience of defibrillation, as measured for confidence, convenience, and clear decision. Comparisons of subjective convenience analyzed by t-test revealed significantly shortened peri-shock pause (11.22s), pre-shock pause (11.04s), and hesitation pause (2.15s) in the SC-AED group, as compared to the T-AED group (p<0.001). However, no significant differences were observed for post-shock pause values. Comparing subjective convenience, confidence (T-AED: 7.62±1.25VAS vs. SC-AED: 7.80±0.98VAS, p=0.358) was not significant, whereas convenience (T-AED: 7.05±1.36VAS vs. SC-AED: 8.95±0.89VAS, p<0.001) and clear decision (T-AED: 6.58±1.73VAS vs. SC-AED: 9.08±0.98VAS, p=0.001) showed statistically significant differences. Our results indicate that compared to T-AED, SC-AED has significantly shortened pauses. Moreover, it is more convenient for the user, and significantly aids in clear decisions.
Keywords
Automated External Defibrillator; Healthcare Providers; First Responders; Cardiac arrest; Cardiopulmonary resuscitation;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 T. Eftestol, K. Sunde, & P. A. Steen, "Effects of Interrupting Precordial Compressions on the Calculated Probability of Defibrillation Success during Out-of-hospital Cardiac Arrest," Circulation, Vol.105, No.19, pp.2270-2273, 2002. DOI: https://doi.org/10.1161/01.CIR.0000016362.42586.FE   DOI
2 T. Yu, M. H. Weil, W. Tang, S. Sun, K., Klouche, H. Povoas, & J. Bisera, "Adverse Outcomes of Interrupted Precordial Compression during Automated Defibrillation," Circulation, Vol.106, No.3, pp.368-372, 2002. DOI: https://doi.org/10.1161/01.CIR.0000021429.22005.2E   DOI
3 C. Y. Koh, & C. H. Kim, "Comparing the Fully-automated External Defibrillator and Semi-automated External Defibrillator used by Lay-persons: A Simulation Study," Journal of The Korean Society of Emergency Medicine, Vol.24, No.4, pp.362-369, 2013.
4 J. A. Zijlstra, L. E. Bekkers, M. Hulleman, S. G. Beesems, & R. W. Koster, "Automated External Defibrillator and Operator Performance in Out-of-hospital Cardiac Arrest," Resuscitation, Vol. 118, pp.140-146, 2017. DOI: https://doi.org/10.1016/j.resuscitation.2017.05.017   DOI
5 T. D. Rea, M. Olsufka, B. Bemis, L. White, L. Yin, L. Becker, M. Copass, M. Eisenberg, & L. Cobb, "A Population-based Investigation of Public Access Defibrillation: Role of Emergency Medical Services Care," Resuscitation, Vol.81, No.2, pp.163-167, 2010. DOI: https://doi.org/10.1016/j.resuscitation.2009.10.025   DOI
6 P. R. Hinchey, J. B. Myers, R. Lewis, V. J. De Maio, E. Reyer, D. Licatese, & J. Zalkin, "Improved Out-of-hospital Cardiac Arrest Survival after the Sequential Implementation of 2005 AHA Guidelines for Compressions, Ventilations, and Induced Hypothermia: The Wake County Experience," Annuals of Emergency Medicine, Vol.56, No.4, pp.348-357, 2010. DOI: https://doi.org/10.1016/j.annemergmed.2010.01.036   DOI
7 R. E. Sell, R. Sarno, B. Lawrence, E. M. Castillo, R. Fisher, C. Brainard, J. V. Dunford, & D. P. Davis, "Minimizing Pre-and Post-defibrillation Pauses Increases the Likelihood of Return of Spontaneous Circulation(ROSC)," Resuscitation, Vol.81, No,7, pp.822-825, 2010. DOI: https://doi.org/10.1016/j.resuscitation.2010.03.013   DOI
8 S. Cheskes, R. H. Schmicker, P. R. Verbeek, D. D. Salcido, S. P. Brown, S. Brooks, J. J. Menegazzi, C. Vaillancourt, J. Powell, S. May, R. A. Berg, R. Sell, A. Idris, M. Kampp, T. Schmidt, & J. Christenson, "The Impact of Peri-shock Pause on Survival from Out-of-hospital Shockable Cardiac Arrest during the Resuscitation Outcomes Consortium PRIMED Trial," Resuscitation, Vol.85, No.3, pp.336-342, 2014. DOI: https://doi.org/10.1016/j.resuscitation.2013.10.014   DOI
9 J. Berdowski, M. T. Blom, A. Bardai, H. L. Tan, J. G. Tijssen, & R. W. Koster, "Impact of Onsite or Dispatched Automated External Defibrillator Use on Survival after Out-of-hospital Cardiac Arrest," Circulation, Vol.124, pp.2225-2232., 2011 DOI: https://doi.org/10.1161/CIRCULATIONAHA.110.015545   DOI
10 M. F. Hazinski, A. H. Idris, R. E. Kerber, A. Epstein, D. Atkins, W. Tang, & K. Lurie, "Lay Rescuer Automated External Defibrillator ("Public Access Defibrillation") Programs: Lessons Learned from an International Multicenter Trial: Advisory Statement from the American Heart Association Emergency Cardiovascular Committee; the Council on Cardiopulmonary, Perioperative, and Critical Care; and the Council on Clinical Cardiology," Circulation, Vol.111, No.24, pp.3336-3340, 2005. DOI: https://doi.org/10.1161/CIRCULATIONAHA.105.165674   DOI
11 J. Park, "The Effects of Cardiopulmonary Resuscitation and Automated External Defibrillator Education for School Teachers," The Korean Journal of Emergency Medical Services, Vol.17, No.2, pp.29-41, 2013. DOI: https://doi.org/10.14408/KJEMS.2013.17.2.029   DOI
12 F. Folke, F. K. Lippert, S. L. Nielsen, G. H. Gislason, M. L. Hansen, T. K. Schramm, R. Sorensen, E. L. FoSCol, S. S. Andersen, S. Rasmussen, L. Kober, & C. Torp-Pedersen, "Location of Cardiac Arrest in a City Center: Strategic Placement of Automated External Defibrillators in Public Locations. Circulation, Vol.120, No.6, pp.510-517, 2009. DOI: https://doi.org/10.1161/CIRCULATIONAHA.108.843755   DOI
13 Jeon, B. H. "Comparison of automated and manual modes in multimodal defibrillator with manikin model-in aspect of interrupting chest compression, and accuracy of ECG rhythm analysis." Chung Ang University. 2014.
14 S. Ha, J. Kim, S. Shin, & E. Lee, "Impact of Automatic AED with Feedback Device on the Quality of CPR under the Out-of-hospital Cardiac Arrest Situation," In Proceedings of the The Korean Society of Emergency Medicine Spring Conference, pp.272-273, 2013.
15 M. D. Miller, & D. G. Ferris, "Measurement of Subjective Phenomena in Primary Care Research: The Visual Analogue Scale." Family Practice Research Journal, Vol.13, No.1, pp.15-24, 1993.