The Automated External Defibrillator: Heterogeneity of Legislation, Mapping and Use across Europe. New Insights from the ENSURE Study

The Automated External Defibrillator: Heterogeneity of Legislation, Mapping and Use across Europe. New Insights from the ENSURE Study

Introduction: The rapid use of an automated external defibrillator (AED) is crucial for increased survival after an out-of-hospital cardiac arrest (OHCA). Many factors could play a role in limiting the chance of an AED use. We aimed to verify the situation regarding AED legislation, the AED mapping...

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Autores principales: Enrico Baldi, Niccolò B. Grieco, Giuseppe Ristagno, Hajriz Alihodžić, Valentine Canon, Alexei Birkun, Ruggero Cresta, Diana Cimpoesu, Carlo Clarens, Julian Ganter, Andrej Markota, Pierre Mols, Olympia Nikolaidou, Martin Quinn, Violetta Raffay, Fernando Rosell Ortiz, Ari Salo, Remy Stieglis, Anneli Strömsöe, Ingvild Tjelmeland, Stefan Trenkler, Jan Wnent, Jan-Thorsten Grasner, Bernd W. Böttiger, Simone Savastano
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
Materias:
out-of-hospital cardiac arrest (OHCA)
automated external defibrillator (AED) system
legislation
first responders
Medicine
R
Acceso en línea:https://doaj.org/article/3f7af69ec2b440d29b8cecf1144b9018
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spelling oai:doaj.org-article:3f7af69ec2b440d29b8cecf1144b90182021-11-11T17:38:46ZThe Automated External Defibrillator: Heterogeneity of Legislation, Mapping and Use across Europe. New Insights from the ENSURE Study10.3390/jcm102150182077-0383https://doaj.org/article/3f7af69ec2b440d29b8cecf1144b90182021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5018https://doaj.org/toc/2077-0383Introduction: The rapid use of an automated external defibrillator (AED) is crucial for increased survival after an out-of-hospital cardiac arrest (OHCA). Many factors could play a role in limiting the chance of an AED use. We aimed to verify the situation regarding AED legislation, the AED mapping system and first responders (FRs) equipped with an AED across European countries. Methods: We performed a survey across Europe entitled “European Study about AED Use by Lay Rescuers” (ENSURE), asking the national coordinators of the European Registry of Cardiac Arrest (EuReCa) program to complete it. Results: Nineteen European countries replied to the survey request for a population covering 128,297,955 inhabitants. The results revealed that every citizen can use an AED in 15 countries whereas a training certificate was required in three countries. In one country, only EMS personnel were allowed to use an AED. An AED mapping system and FRs equipped with an AED were available in only 11 countries. The AED use rate was 12–59% where AED mapping and FR systems were implemented, which was considerably higher than in other countries (0–7.9%), reflecting the difference in OHCA survival. Conclusions: Our survey highlighted a heterogeneity in AED legislation, AED mapping systems and AED use in Europe, which was reflected in different AED use and survival.Enrico BaldiNiccolò B. GriecoGiuseppe RistagnoHajriz AlihodžićValentine CanonAlexei BirkunRuggero CrestaDiana CimpoesuCarlo ClarensJulian GanterAndrej MarkotaPierre MolsOlympia NikolaidouMartin QuinnVioletta RaffayFernando Rosell OrtizAri SaloRemy StieglisAnneli StrömsöeIngvild TjelmelandStefan TrenklerJan WnentJan-Thorsten GrasnerBernd W. BöttigerSimone SavastanoMDPI AGarticleout-of-hospital cardiac arrest (OHCA)automated external defibrillator (AED) systemlegislationfirst respondersMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5018, p 5018 (2021)
institution DOAJ
collection DOAJ
language EN
topic out-of-hospital cardiac arrest (OHCA)
automated external defibrillator (AED) system
legislation
first responders
Medicine
R
spellingShingle out-of-hospital cardiac arrest (OHCA)
automated external defibrillator (AED) system
legislation
first responders
Medicine
R
Enrico Baldi
Niccolò B. Grieco
Giuseppe Ristagno
Hajriz Alihodžić
Valentine Canon
Alexei Birkun
Ruggero Cresta
Diana Cimpoesu
Carlo Clarens
Julian Ganter
Andrej Markota
Pierre Mols
Olympia Nikolaidou
Martin Quinn
Violetta Raffay
Fernando Rosell Ortiz
Ari Salo
Remy Stieglis
Anneli Strömsöe
Ingvild Tjelmeland
Stefan Trenkler
Jan Wnent
Jan-Thorsten Grasner
Bernd W. Böttiger
Simone Savastano
The Automated External Defibrillator: Heterogeneity of Legislation, Mapping and Use across Europe. New Insights from the ENSURE Study
description Introduction: The rapid use of an automated external defibrillator (AED) is crucial for increased survival after an out-of-hospital cardiac arrest (OHCA). Many factors could play a role in limiting the chance of an AED use. We aimed to verify the situation regarding AED legislation, the AED mapping system and first responders (FRs) equipped with an AED across European countries. Methods: We performed a survey across Europe entitled “European Study about AED Use by Lay Rescuers” (ENSURE), asking the national coordinators of the European Registry of Cardiac Arrest (EuReCa) program to complete it. Results: Nineteen European countries replied to the survey request for a population covering 128,297,955 inhabitants. The results revealed that every citizen can use an AED in 15 countries whereas a training certificate was required in three countries. In one country, only EMS personnel were allowed to use an AED. An AED mapping system and FRs equipped with an AED were available in only 11 countries. The AED use rate was 12–59% where AED mapping and FR systems were implemented, which was considerably higher than in other countries (0–7.9%), reflecting the difference in OHCA survival. Conclusions: Our survey highlighted a heterogeneity in AED legislation, AED mapping systems and AED use in Europe, which was reflected in different AED use and survival.
format article
author Enrico Baldi
Niccolò B. Grieco
Giuseppe Ristagno
Hajriz Alihodžić
Valentine Canon
Alexei Birkun
Ruggero Cresta
Diana Cimpoesu
Carlo Clarens
Julian Ganter
Andrej Markota
Pierre Mols
Olympia Nikolaidou
Martin Quinn
Violetta Raffay
Fernando Rosell Ortiz
Ari Salo
Remy Stieglis
Anneli Strömsöe
Ingvild Tjelmeland
Stefan Trenkler
Jan Wnent
Jan-Thorsten Grasner
Bernd W. Böttiger
Simone Savastano
author_facet Enrico Baldi
Niccolò B. Grieco
Giuseppe Ristagno
Hajriz Alihodžić
Valentine Canon
Alexei Birkun
Ruggero Cresta
Diana Cimpoesu
Carlo Clarens
Julian Ganter
Andrej Markota
Pierre Mols
Olympia Nikolaidou
Martin Quinn
Violetta Raffay
Fernando Rosell Ortiz
Ari Salo
Remy Stieglis
Anneli Strömsöe
Ingvild Tjelmeland
Stefan Trenkler
Jan Wnent
Jan-Thorsten Grasner
Bernd W. Böttiger
Simone Savastano
author_sort Enrico Baldi
title The Automated External Defibrillator: Heterogeneity of Legislation, Mapping and Use across Europe. New Insights from the ENSURE Study
title_short The Automated External Defibrillator: Heterogeneity of Legislation, Mapping and Use across Europe. New Insights from the ENSURE Study
title_full The Automated External Defibrillator: Heterogeneity of Legislation, Mapping and Use across Europe. New Insights from the ENSURE Study
title_fullStr The Automated External Defibrillator: Heterogeneity of Legislation, Mapping and Use across Europe. New Insights from the ENSURE Study
title_full_unstemmed The Automated External Defibrillator: Heterogeneity of Legislation, Mapping and Use across Europe. New Insights from the ENSURE Study
title_sort automated external defibrillator: heterogeneity of legislation, mapping and use across europe. new insights from the ensure study
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/3f7af69ec2b440d29b8cecf1144b9018
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