Abstract 162: Major Differences in the Intended Operation and Default Energy Setting in Automated External Defibrillators in Pediatric Cardiac Arrest
| Autor: | Cecilie Budolfsen, Dung T Nguyen, Kasper G Lauridsen, Mathilde Stærk, Anders S Schmidt, Bo Løfgren |
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| Rok vydání: | 2018 |
| Předmět: | |
| Zdroj: | Circulation. 138 |
| ISSN: | 1524-4539 0009-7322 |
| DOI: | 10.1161/circ.138.suppl_2.162 |
| Popis: | Introduction: Automated external defibrillators (AEDs) should be easy to use to improve survival from cardiac arrest. In pediatric cardiac arrest, defibrillation is recommended to be delivered with less energy compared with adults. Consequently, many AED manufacturers provide the possibility of “converting” an AED from adult to pediatric use. Aim: To study how different AEDs are intended to be operated in case of pediatric cardiac arrest and to investigate the default pediatric defibrillation energy levels. Methods: This nationwide cross-sectional study included information on all commercially available AEDs sold to laypersons in Denmark. Technical specifications and information on AED use in pediatric cardiac arrest were extracted from user manuals, data sheets, and from contact with AED distributors in Denmark. Results: Overall, 28 different AEDs were available in Denmark. Data on pediatric use were available for all 28 (100%) devices. Separate pediatric electrodes were required for 19 (68%) AEDs which were sold as an accessory. Activation of “pediatric mode” was available in 10 (36%) AEDs leading to an automatic adjustment of shock energy level thereby making the use of adult electrodes in children possible. This feature consisted of a “pediatric button” in 8 (29%) devices and 1 (4%) device required insertion of an accessory “child key”. Data on default energy levels were available for 27 (96%) of devices. Median first shock energy level was 50J (Q1; 50J, Q3; 50J) with a range from 15-50J. Median third shock energy level was 50J (Q1; 50J, Q3; 83.5J) with a range from 50-140J. Conclusion: There are major differences in the intended operation and default energy settings in automated external defibrillators used in pediatric cardiac arrest. Standardizing how AEDs should be operated in pediatric cardiac arrest may reduce the risk of human errors and improve survival. |
| Databáze: | OpenAIRE |
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