Targeted age, device deployment, and problems associated with pediatric defibrillation in pediatric prehospital emergency medical care settings in Japan

Autor: Noriyuki Kaku, Masahiko Nitta, Takashi Muguruma, Kohei Tsukahara, Emily Knaup, Nobuyuki Nosaka, Yuki Enomoto
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Acute Medicine & Surgery, Vol 3, Iss 4, Pp 356-359 (2016)
Druh dokumentu: article
ISSN: 2052-8817
DOI: 10.1002/ams2.194
Popis: Aim The use of automated external defibrillators was expanded to include infants according to the 2010 cardiopulmonary resuscitation guidelines in Japan. However, deployment has been slower for pediatric patients in Japan, because there are fewer appropriate pediatric patients for automated external defibrillators than adults. This study aimed to investigate the targeted age range for pediatric defibrillation and device deployment of defibrillators for pediatric patients in prehospital emergency medical care settings in Japan, and present the issues associated with automated external defibrillators. Methods We administered a web‐based survey to the fire defense headquarters in Japan regarding prehospital emergency medical care for pediatric patients in June 2013. We extracted and analyzed some parts of the data related to pediatric defibrillation. Results Eighty‐eight percent of the fire defense headquarters responded to the survey. Sixty‐two percent of the fire defense headquarters applied the expanded indication protocol for pediatric defibrillation, which included infants. Forty‐three percent of the fire defense headquarters replied that their emergency medical service personnel were using semi‐automatic defibrillators without a pediatric mode, whereas 21% of them were using automated external defibrillators that were not equipped with pediatric attenuators. Moreover, many of the semi‐automatic defibrillators are not designed for pediatric defibrillation in patients aged
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