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Family Physician
Family Physician, Doctor (MD)
Category: Health
Satisfied Customers: 12566
Experience:  Emergency Medicine and Family Practice for over 26 years
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Are there any studies demonstrating the benefit of automatic

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Are there any studies demonstrating the benefit of automatic defibrillators? For example, in airports.
I've been a Family Physician for over 35 years and can't imagine their benefit. Most of the patients we coded in the hospital never left the hospital alive..........they went into V Fib......shocked....pumped with various meds........shocked again and so forth and then they died. These were professionals with all necessary meds at their side. How can a inexperienced layman with just a defibrillator do anyone any good?
Kind of like mounting scalpels with #15 blade for layman to save person with acute appendicitis.
Submitted: 11 months ago.
Category: Health
Expert:  Family Physician replied 11 months ago.


Yes - there are some studies showing benefit of AED us by bystanders, however as you have suggested, the costs of providing those AEDs in places where individuals are likely to have a cardiac arrest seem high for the number of saves.
http://www.ncbi.nlm.nih.gov/pubmed/23159825

http://www.ncbi.nlm.nih.gov/pubmed/20394876

http://www.ncbi.nlm.nih.gov/pubmed/20305555

http://www.ncbi.nlm.nih.gov/pubmed/20237345

http://www.ncbi.nlm.nih.gov/pubmed/19026855

The one thing to consider is the different epidemiology of out-of-hospital cardiac arrests and those that occur in hospital. In hospital arrests are often seen in patients who have other serious medical conditions not in otherwise "healthy" individuals who may have a higher incidence of primary V-fib.
Family Physician, Doctor (MD)
Category: Health
Satisfied Customers: 12566
Experience: Emergency Medicine and Family Practice for over 26 years
Family Physician and 5 other Health Specialists are ready to help you
Expert:  Karel1 replied 11 months ago.

Also try these sites.

 

http://www.aedbrands.com/resource-center/education/aed-response-is-a-race-

against-time/

 

 

http://www.usfa.fema.gov/pdf/efop/efo36413.pdf

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