Otomatik Eksternal Defibrilatör Kullanımının Yaygınlaştırılması İçin Stratejiler
Özet
Hastane dışı kardiyak arrest (HDKA), resüsitasyonda yaşanan gelişmelere rağmen tüm dünyada halen önemli bir sorundur. Kardiyopulmoner resüsitasyon (CPR) arrest süresince santral kanlanmayı korumak için mutlaka gerekli olsa da, şoklanabilir ritmler için erken defibrilasyon altın anahtardır. Otomatik eksternal defibrilatörler (OED) kullanımı geçmişe nazaran yaygınlaştırmış olsa da, cihaza ulaşımda zorluk, halka açık alanlarda cihazların bulunma zorunluluğu konusundaki yasal boşluklar, kullanıcıların eğitimsizliği ve çekincesi gibi nedenlerle bu konuda hala bazı sorunlar yaşanmaktadır. Temel yaşam desteği eğitim programlarının arttırılması, OED’ye ulaşımın kolaylaştırılması, toplumsal bilgilendirmeler yapılması ve yasal düzenlemeler yapılması kullanımı arttıracak stratejik adımlardır.
Referanslar
Gräsner JT, Herlitz J, Tjelmeland IBM, et al. European Resuscitation Council Guidelines 2021: Epidemiology of cardiac arrest in Europe. Resuscitation. 2021;161:61-79. doi:10.1016/j.resuscitation.2021.02.007
Virani SS, Alonso A, Aparicio HJ, et al. Heart Disease and Stroke Statistics-2021 Update: A Report From the American Heart Association. Circulation. 2021;143(8):e254-e743. doi:10.1161/CIR.0000000000000950
Liu X, Yuan Q, Wang G, et al. Drones delivering automated external defibrillators: A new strategy to improve the prognosis of out-of-hospital cardiac arrest. Resuscitation. 2023;182:109669. doi:10.1016/j.resuscitation.2022.12.007
Perkins GD, Handley AJ, Koster RW, et al. Adult basic life support and automated external defibrillation section Collaborators. European Resuscitation Council Guidelines for Resuscitation 2015: Section 2. Adult basic life support and automated external defibrillation. Resuscitation. 2015;95:81-99. doi: 10.1016/j.resuscitation.2015.07.015.
Olasveengen TM, Semeraro F, Ristagno G, et al. European Resuscitation Council Guidelines 2021: Basic Life Support. Resuscitation. 2021;161:98-114. doi: 10.1016/j.resuscitation.2021.02.009.
Ringh M, Hollenberg J, Palsgaard-Moeller T, et al. COSTA study group (research collaboration between Copenhagen, Oslo, STockholm, and Amsterdam). The challenges and possibilities of public access defibrillation. J Intern Med. 2018;283(3):238-256. doi: 10.1111/joim.12730.
Valenzuela TD, Roe DJ, Nichol G, et al. Outcomes of rapid defibrillation by security officers after cardiac arrest in casinos. N Engl J Med. 2000;343(17):1206-9. doi: 10.1056/NEJM200010263431701.
Page RL, Joglar JA, Kowal RC, et al. Use of automated external defibrillators by a U.S. airline. N Engl J Med. 2000;343(17):1210-6. doi: 10.1056/NEJM200010263431702.
Myerburg RJ, Fenster J, Velez M, et al. Impact of community-wide police car deployment of automated external defibrillators on survival from out-of-hospital cardiac arrest. Circulation. 2002;106(9):1058-64. doi: 10.1161/01.cir.0000028147.92190.a7.
Weisfeldt ML, Kerber RE, McGoldrick RP, et al. American Heart Association Report on the Public Access Defibrillation Conference, December 8-10, 1994. American Heart Association Taskforce on Automatic External Defibrillation. Resuscitation. 1996;32(2):127-38. doi: 10.1016/0300-9572(96)00945-8.
Mosesso VN Jr, Shapiro AH, Stein K, et al. Effects of AED device features on performance by untrained laypersons. Resuscitation. 2009;80(11):1285-9. doi: 10.1016/j.resuscitation.2009.07.016.
Savastano S, Baldi E, Compagnoni S, et al. The automated external defibrillator, an underused simple life-saving device: a review of the literature. A joint document from the Italian Resuscitation Council (IRC) and Associazione Italiana di Aritmologia e Cardiostimolazione (AIAC). J Cardiovasc Med (Hagerstown). 2020;21(10):733-739. doi: 10.2459/JCM.0000000000001047.
Hatakeyama T, Nishiyama C, Shimamoto T, et el. A Smartphone Application to Reduce the Time to Automated External Defibrillator Delivery After a Witnessed Out-of-Hospital Cardiac Arrest: A Randomized Simulation-Based Study. Simul Healthc. 2018;13(6):387-393. doi: 10.1097/SIH.0000000000000305.
Liu X, Yuan Q, Wang G, et al. Drones delivering automated external defibrillators: A new strategy to improve the prognosis of out-of-hospital cardiac arrest. Resuscitation. 2023 Jan;182:109669. doi: 10.1016/j.resuscitation.2022.12.007
Referanslar
Gräsner JT, Herlitz J, Tjelmeland IBM, et al. European Resuscitation Council Guidelines 2021: Epidemiology of cardiac arrest in Europe. Resuscitation. 2021;161:61-79. doi:10.1016/j.resuscitation.2021.02.007
Virani SS, Alonso A, Aparicio HJ, et al. Heart Disease and Stroke Statistics-2021 Update: A Report From the American Heart Association. Circulation. 2021;143(8):e254-e743. doi:10.1161/CIR.0000000000000950
Liu X, Yuan Q, Wang G, et al. Drones delivering automated external defibrillators: A new strategy to improve the prognosis of out-of-hospital cardiac arrest. Resuscitation. 2023;182:109669. doi:10.1016/j.resuscitation.2022.12.007
Perkins GD, Handley AJ, Koster RW, et al. Adult basic life support and automated external defibrillation section Collaborators. European Resuscitation Council Guidelines for Resuscitation 2015: Section 2. Adult basic life support and automated external defibrillation. Resuscitation. 2015;95:81-99. doi: 10.1016/j.resuscitation.2015.07.015.
Olasveengen TM, Semeraro F, Ristagno G, et al. European Resuscitation Council Guidelines 2021: Basic Life Support. Resuscitation. 2021;161:98-114. doi: 10.1016/j.resuscitation.2021.02.009.
Ringh M, Hollenberg J, Palsgaard-Moeller T, et al. COSTA study group (research collaboration between Copenhagen, Oslo, STockholm, and Amsterdam). The challenges and possibilities of public access defibrillation. J Intern Med. 2018;283(3):238-256. doi: 10.1111/joim.12730.
Valenzuela TD, Roe DJ, Nichol G, et al. Outcomes of rapid defibrillation by security officers after cardiac arrest in casinos. N Engl J Med. 2000;343(17):1206-9. doi: 10.1056/NEJM200010263431701.
Page RL, Joglar JA, Kowal RC, et al. Use of automated external defibrillators by a U.S. airline. N Engl J Med. 2000;343(17):1210-6. doi: 10.1056/NEJM200010263431702.
Myerburg RJ, Fenster J, Velez M, et al. Impact of community-wide police car deployment of automated external defibrillators on survival from out-of-hospital cardiac arrest. Circulation. 2002;106(9):1058-64. doi: 10.1161/01.cir.0000028147.92190.a7.
Weisfeldt ML, Kerber RE, McGoldrick RP, et al. American Heart Association Report on the Public Access Defibrillation Conference, December 8-10, 1994. American Heart Association Taskforce on Automatic External Defibrillation. Resuscitation. 1996;32(2):127-38. doi: 10.1016/0300-9572(96)00945-8.
Mosesso VN Jr, Shapiro AH, Stein K, et al. Effects of AED device features on performance by untrained laypersons. Resuscitation. 2009;80(11):1285-9. doi: 10.1016/j.resuscitation.2009.07.016.
Savastano S, Baldi E, Compagnoni S, et al. The automated external defibrillator, an underused simple life-saving device: a review of the literature. A joint document from the Italian Resuscitation Council (IRC) and Associazione Italiana di Aritmologia e Cardiostimolazione (AIAC). J Cardiovasc Med (Hagerstown). 2020;21(10):733-739. doi: 10.2459/JCM.0000000000001047.
Hatakeyama T, Nishiyama C, Shimamoto T, et el. A Smartphone Application to Reduce the Time to Automated External Defibrillator Delivery After a Witnessed Out-of-Hospital Cardiac Arrest: A Randomized Simulation-Based Study. Simul Healthc. 2018;13(6):387-393. doi: 10.1097/SIH.0000000000000305.
Liu X, Yuan Q, Wang G, et al. Drones delivering automated external defibrillators: A new strategy to improve the prognosis of out-of-hospital cardiac arrest. Resuscitation. 2023 Jan;182:109669. doi: 10.1016/j.resuscitation.2022.12.007
