![]() Increase the availability and use of AEDs.32, 33 As of 2010, all 50 states and the District of Columbia had enacted one or more laws to: In 2006, the AHA recommended states adopt legislative approaches to support community lay rescuer PAD programs. Improve neurological outcomes for patients 4, 30, 31.Increase rates of return of spontaneous circulation 29, 30.The placement of AEDs at public locations where cardiac arrest is likely to occur (schools, 4, 18–24 casinos, federal buildings, airports, fitness centers, churches, and workplaces 4, 2) has been found to: Conduct quality improvement to improve system response 7,12–1 7. ![]() Disseminate AEDs for rapid access by lay bystanders.11Įxpansive evidence supports the efficacy of structured PAD programs that: To increase OHCA survival rates, public access defibrillation (PAD) programs can use interventions that ensure AEDs are immediately accessible when needed. 6–9 A 2018 study reported AED use at 10.8% in public settings before emergency medical services (EMS) arrive. 4, 5Ĭardiopulmonary resuscitation (CPR) and use of an automated external defibrillator (AED) within minutes of OHCA can dramatically raise survival rates but are not commonly used or available. 3 An estimated 70% to 90% of people experiencing OHCA die before reaching the hospital. More than 356,000 out-of-hospital cardiac arrests (OHCAs) are reported annually in the United States. This fact sheet summarizes state law in effect on June 30, 2017, addresses the 13 PAD interventions, and describes recent temporal trends in state PAD law, such as the widespread adoption of AED placement and the requirement that students learn to use an AED before they graduate.įor a summary of the PAD program interventions addressed in state law, see PAD Interventions by Evidence Rating below. The other six interventions, not explicitly addressed in the report, include related legal provisions states used to regulate their PAD programs. Seven of these interventions have a best or promising evidence base, as described in the 2017 What Evidence Supports State Laws to Enhance Public Access Defibrillation? A Policy Evidence Assessment Report. 2 Interested stakeholders can use this information to help scale up PAD program interventions through an evidence-informed state law. The fact sheet describes 13 types of PAD program interventions codified in state law that support comprehensive PAD programs. Limited civil liability or qualified immunity 1.Routine maintenance and testing of AEDs.Emergency medical services (EMS) coordination.Targeted automated external defibrillator (AED) site placement.The recommended attributes of a comprehensive PAD program include: This State Law Fact Sheet describes the landscape of state laws that address the attributes of a comprehensive public access defibrillation (PAD) program recommended by the American Heart Association (AHA) and other national organizations.
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