Delivery Time of Automated External Defibrillators at Apartment Houses

Authors

  • Tai-Hwan Uhm Professor, Department of Emergency Medical Services, Eulji University, 553, Sanseongdaero, Seongnam, 13135, Republic of Korea Author
  • Jee-Hee Kim Professor, Department of Emergency Medical Services, Kangwon National University, 346, Hwangjori, Samcheok, 25949, Republic of Korea Author

DOI:

https://doi.org/10.61841/7qdasw10

Keywords:

Arrests occurred at home, Public access defibrillation, Management proposal, Regression equation, Automated external defibrillator

Abstract

Background/Objectives: This study aimed to present installation criteria and a management proposal for public access defibrillation by investigating the current status of automated external defibrillators positioned in apartment housing complexes.

Methods/Statistical analysis: A correlation was expected between the distance to the installed unit and the number of housing units and AEDs. Regression analysis was conducted to identify the correlations. Delivery time was determined by converting the physical distance measured by a software application (app) to the pace of a briskly walking adult. Movement time between the different levels of the apartment building was determined using a standard-speed elevator.

Findings: Regression analysis revealed an intercept of 274.190 and slope of 0.106, each of which was statistically significant (p < 0.001). The regression equation was determined to be Y=274.190+0.106X. The number of housing units was equal to 274.190+0.106×180(seconds)=293, indicating that one AED for every 293 units should be the installation criterion required to enable an AED delivery of less than three minutes.

Improvements/Applications: The findings of this study may be used in efforts to produce installation criteria for other public multi-use locations.

 

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References

[1] Kim KW, Moon HJ, Choi HJ, Cho JS, Kim SJ, Chung WJ, et al. 2015 Report on smart medical direction program for emergency medical technicians. Seoul, Korea: National Emergency Medical Center Press; 2015. Korean.

[2] Uhm TH, Kim JH. Survival to admission after out-of-hospital cardiac arrest in Seoul, South Korea.

OAEM. 2014;6:63-8. DOI:https://doi.org/10.2147/OAEM.S68758

[3] Ahn KO, Shin SD, Suh GJ, Cha CW, Song KJ, Kim JS, et al. Epidemiology and outcomes from non- traumatic out-of-hospital cardiac arrest in Korea: a nationwide observational study. Resuscitation 2010;81:974-81. DOI:https://doi.org/10.1016/j.resuscitation.2010.02.029

[4] Kim KW, Moon HJ, Choi HJ, Cho JS, Kim SJ, Chung WJ, et al. 2015 Report on smart medical direction program for emergency medical technicians. Seoul, Korea: National Emergency Medical Center Press; 2015.

[5] Larsen MP, Eisenberg MS, Cummins RO, Hallstrom AP. Predicting survival from out-of-hospital cardiac arrest; a graphic model. Ann Emerg Med. 1993;22:1652-8. DOI:https://doi.org/10.1016/s0196-

0644(05)81302-2

[6] Weisfeldt ML, Kerber RE, McGoldrick RP, Moss AJ, Nichol G, Ornato JP, et al. Public access defibrillation. A statement for healthcare professionals from the American Heart Association Task Force on Automatic External Defibrillation. Circulation. 1995;92:2763.

DOI:https://doi.org/10.1161/01.cir.92.9.2763

[7] Caffrey SL, Willoughby PJ, Pepe PE, Becker LB. Public use of automated external defibrillators. N Engl J Med. 2002;347:1242-7. DOI:https://doi.org/10.1056/nejmoa020932

[8] Valenzuela TD, Bjerke HS, Clark LL, Hardman R, Spaite DW, Nichol G. Rapid defibrillation by nontraditional responders: the Casino Project. Acad Emerg Med. 1998;5:414-5.

[9] Valenzuela TD, Roe DJ, Nichol G, Clark LL, Spaite DW, Hardman RG. Outcomes of rapid defibrillation by security officers after cardiac arrest in casinos. N Engl J Med. 2000;343:1206-9.

DOI:https://doi.org/10.1056/nejm200010263431701

[10] The Public Access Defibrillation Trial Investigators. Public-access defibrillation and survival after out- of-hospital cardiac arrest. N Engl J Med. 2004;351:637-46. DOI:https://doi.org/10.1056/nejmoa040566

[11] Weisfeldt ML, Sitlani CM, Ornato JP, Rea T, Aufderheide TP, Davis D, 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.

DOI:https://doi.org/10.1016/j.jacc.2009.11.077

[12] Kitamura T, Iwami T, Kawamura T, Nagao K, Tanaka H, Hiraide A. Nationwide public-access defibrillation in Japan. N Engl J Med. 2010;362:994-1004. DOI:https://doi.org/10.1056/nejmoa0906644

[13] National Emergency Medical Center. 2016 Statistics Annual Report. Available at: http://www.e- gen.or.kr/nemc/statistics_annual_report.do, 2018.

[14] Jung JH. A survey on installation, management, and usability of automated external defibrillators- Focused on apartments with over 500 households in Chungnam. Korean J Emerg Med Ser 2017;21:73-

84. DOI:https://doi.org/10.14408/KJEMS.2017.21.3.073

[15] Wikipedia. Available at: https://en.wikipedia.org/wiki/Walking, 2018.

[16] Wikipedia. Available

at:https://ko.wikipedia.org/wiki/%EC%97%98%EB%A6%AC%EB%B2%A0%EC%9D%B4%ED%84

%B0, 2018.

[17] Uhm TH, Kim JH. Affecting delivery time of public access defibrillator at apartment houses. Indian Journal of Public Health Research & Development. 2018;9(9):126-32. DOI:https://doi.org/10.5958/0976-5506.2018.01054.9

[18] Descatha A, Dagrenat C, Cassan P, Jost D, Loeb T, Baer M, et al. Cardiac arrest in the workplace and its outcome: a systematic review and meta-analysis. Resuscitation. 2015 Nov;96:30-6. DOI: https://doi.org/10.1016/j.resuscitation.2015.07.004

[19] Bardy GH, Lee KL, Mark DB, Poole JE, Toff WD, Tonkin AM, et al. Home use of automated external defibrillators for sudden cardiac arrest. N Engl J Med. 2008;358:1793-804. DOI:https://doi.org/10.1056/NEJMoa0801651

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Published

30.09.2020

How to Cite

Uhm, T.-H., & Kim, J.-H. (2020). Delivery Time of Automated External Defibrillators at Apartment Houses. International Journal of Psychosocial Rehabilitation, 24(7), 1896-1904. https://doi.org/10.61841/7qdasw10