TY - JOUR

T1 - Public access defibrillation

T2 - challenges and new solutions

AU - Folke, Fredrik

AU - Shahriari, Persia

AU - Hansen, Carolina Malta

AU - Gregers, Mads Christian Tofte

N1 - Publisher Copyright: Copyright © 2023 The Author(s).

PY - 2023

Y1 - 2023

N2 - Purpose of review: The purpose of this article is to review the current status of public access defibrillation and the various utility modalities of early defibrillation. Recent findings: Defibrillation with on-site automated external defibrillators (AEDs) has been the conventional approach for public access defibrillation. This strategy is highly effective in cardiac arrests occurring in close proximity to on-site AEDs; however, only a few cardiac arrests will be covered by this strategy. During the last decades, additional strategies for public access defibrillation have developed, including volunteer responder programmes and drone assisted AED-delivery. These programs have increased chances of early defibrillation within a greater radius, which remains an important factor for survival after out-of-hospital cardiac arrest. Summary: Recent advances in the use of public access defibrillation show great potential for optimizing early defibrillation. With new technological solutions, AEDs can be transported to the cardiac arrest location reaching OHCAs in both public and private locations. Furthermore, new technological innovations could potentially identify and automatically alert the emergency medical services in nonwitnessed OHCA previously left untreated.

AB - Purpose of review: The purpose of this article is to review the current status of public access defibrillation and the various utility modalities of early defibrillation. Recent findings: Defibrillation with on-site automated external defibrillators (AEDs) has been the conventional approach for public access defibrillation. This strategy is highly effective in cardiac arrests occurring in close proximity to on-site AEDs; however, only a few cardiac arrests will be covered by this strategy. During the last decades, additional strategies for public access defibrillation have developed, including volunteer responder programmes and drone assisted AED-delivery. These programs have increased chances of early defibrillation within a greater radius, which remains an important factor for survival after out-of-hospital cardiac arrest. Summary: Recent advances in the use of public access defibrillation show great potential for optimizing early defibrillation. With new technological solutions, AEDs can be transported to the cardiac arrest location reaching OHCAs in both public and private locations. Furthermore, new technological innovations could potentially identify and automatically alert the emergency medical services in nonwitnessed OHCA previously left untreated.

KW - drone-assisted automated external defibrillator delivery

KW - mobile automated external defibrillators

KW - public access defibrillation

KW - volunteer responder programmes

KW - wearables for detecting out-of-hospital cardiac arrests

U2 - 10.1097/MCC.0000000000001051

DO - 10.1097/MCC.0000000000001051

M3 - Review

C2 - 37093002

AN - SCOPUS:85158886246

VL - 29

SP - 168

EP - 174

JO - Current Opinion in Critical Care

JF - Current Opinion in Critical Care

SN - 1070-5295

IS - 3

ER -