European Resuscitation Council Guidelines for Resuscitation ... - CPR

18 de 0ctubre de 2010 www.elsuapdetodos.comJ.P. Nolan et al. / Resuscitation 81 (2010) 1219–1276 1227The full potential of AEDs has not yet been achieved, becausethey are used mostly in public settings, yet 60–80% of cardiacarrests occur at home. Public access defibrillation (PAD) and firstresponder AED programmes may increase the number of victimswho receive bystander CPR and early defibrillation, thus improvingsurvival from out-of-hospital SCA. 99 Recent data from nationwidestudies in Japan and the USA 33,100 showed that when an AED wasavailable, victims were defibrillated much sooner and with a betterchance of survival. Programmes that make AEDs publicly availablein residential areas have not yet been evaluated. The acquisitionof an AED for individual use at home, even for those considered athigh risk of sudden cardiac arrest, has proved not to be effective. 101www.elsuapdetodos.comFig. 1.4. AED algorithm. © 2010 ERC.showed higher survival-to-hospital discharge rates when defibrillationwas provided through an AED programme than with manualdefibrillation alone. 102,103 Despite limited evidence, AEDs shouldbe considered for the hospital setting as a way to facilitate earlydefibrillation (a goal of