Annals of Emergency Medicine
Volume 46, Issue 2 , Pages 132-141 , August 2005

Automated External Defibrillators: To What Extent Does the Algorithm Delay CPR?

Received 13 September 2004 ,Revised 22 March 2005 ,Accepted 1 April 2005.

References 

  1. Jacobs I, Callanan V, Nichol G, et al. The chain of survival. Ann Emerg Med. 2001;37:S1–S5
  2. Ewy GA. A new approach for out-of-hospital CPR: a bold step forward. Resuscitation. 2003;58:271–272
  3. Carpenter J, Rea TD, Murray JA, et al. Defibrillation waveform and post-shock rhythm in out-of-hospital ventricular fibrillation cardiac arrest. Resuscitation. 2003;59:189–196
  4. van Alem AP, Sanou BT, Koster RW. Interruption of cardiopulmonary resuscitation with the use of the automated external defibrillator in out-of-hospital cardiac arrest. Ann Emerg Med. 2003;42:449–457
  5. American Heart Association . Advanced cardiovascular life support: algorithm approach to ACLS emergencies. Circulation. 2003;102(suppl I):I136–I165
  6. Berg RA, Hilwig RW, Kern KB, et al. Automated external defibrillation versus manual defibrillation for prolonged ventricular fibrillation: lethal delays of chest compression before and after countershocks. Ann Emerg Med. 2003;42:458–467
  7. Chamberlain D, Handley AJ, Colquhoun M. Time for a change?. Resuscitation. 2003;58:237–247
  8. United States Census. Available at: http://www.census.gov. Accessed April 15, 2003.
  9. Rea TD, Eisenberg MS, Becker LJ, et al. Temporal trends in sudden cardiac arrest: a 25-year emergency medical services perspective. Circulation. 2003;107:2780–2785
  10. Gliner BE, White RD. Electrocardiographic evaluation of defibrillation shocks delivered to out-of-hospital sudden cardiac arrest patients. Resuscitation. 1999;41:133–144
  11. Rea TD, Eisenberg MS, Sinibaldi G, et al. Incidence of EMS-treated out-of-hospital cardiac arrest in the United States. Resuscitation. 2004;63:17–24
  12. Eftestol T, Sunde K, Steen K. Effects of interrupting precordial compressions on the calculated probability of defibrillation success during out-of-hospital cardiac arrest. Circulation. 2002;105:2270–2273
  13. Yu T, Weil MH, Tang W, et al. Adverse outcomes of interrupted precordial compression during automated defibrillation. Circulation. 2002;106:368–372
  14. Cobb LA, Fahrenbruch CE, Walsh TR, et al. Influence of cardiopulmonary resuscitation prior to defibrillation in patients with out-of-hospital ventricular fibrillation. JAMA. 1999;281:1182–1188
  15. Wik L, Hansen TB, Fylling F, et al. Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital ventricular fibrillation: a randomized trial. JAMA. 2003;289:1389–1395
  16. Steen S, Liao Q, Pierre L, et al. The critical importance of minimal delay between chest compressions and subsequent defibrillation: a haemodynamic explanation. Resuscitation. 2003;58:249–528
  17. Frenneaux M. Cardiopulmonary resuscitation: some physiological considerations. Resuscitation. 2003;58:259–265
  18. Weisfeldt ML, Becker LB. Resuscitation after cardiac arrest: a 3-phase time-sensitive model. JAMA. 2002;288:3035–3038
  19. Krischer JP, Fine EG, Davis JH, et al. Complications of cardiac resuscitation. Chest. 1987;92:287–291
  20. van Alem AP, Post J, Koster RW. VF recurrence: characteristics and patient outcome in out-of-hospital cardiac arrest. Resuscitation. 2003;59:181–188

 Supervising editor: Theodore R. Delbridge, MDAuthor contributions: TDR, PJK, MKC, and LAC conceived and designed the study. TDR obtained research funding. TDR and SS oversaw collection and quality control of the data. TDR analyzed the study data. TDR drafted the manuscript, and all authors contributed substantially to its revision. TDR takes responsibility for the paper as a whole.Funding and support: The study was funded in part by the Medic One Foundation (Seattle, WA) and Philips Medical Systems (Seattle, WA). Apart from some fiscal support, these agencies did not have a role in the study, including data assessment or interpretation of results.Presented at the American Heart Association Scientific Sessions, New Orleans, LA, November 7 to 10, 2005.

PII: S0196-0644(05)00406-3

doi: 10.1016/j.annemergmed.2005.04.001

Annals of Emergency Medicine
Volume 46, Issue 2 , Pages 132-141 , August 2005

Article Tools

* Image Usage & Resolution