Abstract 118: Public Access Defibrillation in Vienna
Purpose: Sudden out-of-hospital cardiac arrest (OHCA) is one of the leading causes of death worldwide. In Vienna, roughly 1,000 people are affected every year. Survival is strongly influenced by bystander cardio pulmonary resuscitation (CPR) and early defibrillation. However, in Vienna only four percent were treated with an automated external defibrillator (AED) prior to emergency medical service (EMS) arrival in 2010 - mainly by patient transport vehicles. To increase the number of AEDs used by bystanders, a citywide public access defibrillators (PAD) program has been initiated. This project, which consists of increasing the numbers of AEDs in public locations and measures to boost public awareness, aims to result in an increase of survival after OHCA.
Methods and Results: Over the last few years 460 AEDs were installed in highly frequented public places, official buildings and public transportation stations in Vienna. The AEDs offer permanent online status report, GPS tracking and, once activated, establish a telephone connection with the emergency dispatch center automatically. Between August, 1st 2013 and April, 30th 2014 701 patients have been treated after OHCA by the emergency medical service. Of those patients 48% received bystander CPR prior to EMS arrival. Nevertheless only in three cases a PAD has been used. While one of the patients died at the place of the incident, two of them arrived at an intensive care unit. The oldest one was shocked reportedly only moments after CA and was fully awake when EMS arrived. He left the hospital without any disabilities.
Conclusion: Despite the financial and administrative efforts put into the city-wide PAD program so far, up to today there has been no significant increase in PAD use. We believe that this program is an important first step to raise the awareness of society for the importance of early bystander CPR and defibrillation. To further increase this numbers it will be necessary to fully understand society`s “fear” of AEDs, additional training programs and a critical evaluation of the AEDs locations.
Author Disclosures: E. Lobmeyr: None. M. Krammel: None. M. Winnisch: None. D. Weidenauer: None. H. Herkner: None. W. Schreiber: None. A. Nürnberger: None. P. Datler: None. M. Keferböck: None. M. Poppe: None. P. Sulzgruber: None. S. Zeiner: None. F. Sterz: None.
- © 2014 by American Heart Association, Inc.