Abstract 134: Pitfall of Installing AEDs for Public Access Defibrillation in the Tokyo Metropolitan Area
Background: In Japan, 447,818 AED(s) were on market by 2012. Public Access Defibrillator (PAD) highly accepts for public in Japan, therefore issue is utilization rate is not high enough of AED installation of whole nationwide dissemination.
Purpose: To examine of the place of the AED and occurrence out-of-hospital cardiac arrest (OHCA) in Tokyo metropolitan area.
Method: Total 13,364 OHCA case who transported by emergency medical services (EMS) in Tokyo metropolitan area in 2012. We analyzed relationship of place and the AED use were analyzed using the Utstain data.
Result: The number of OHCA and AED implementation were increase by every year. Of the 45,504 AEDs installed in Tokyo, 60.4% placed at the indoor environment, 22.6% placed sport facilities or schools, 9.8% placed at home, respectively. There were 13,364 incidents of cardiac arrest, of which 11,068 (83%) occurred at home, 1,334 (10%) occurred at the outdoor environment, 859(6%) occurred at the indoor environment, and 98(1%) occurred at sport facilities or schools. As compared with the place and occurrence of OHCA mismatched, also, the sport facilities or the schools were noted highly good neurological outcome (46.9%) whereas 6.4% at home. Of these, 13,364 cardiac arrest events, only 1.9% (255/13364) AED applied (utilization rate) by lay rescuer.
Conclusion: In conclusion, AED implementation rate is high at public space in Tokyo metropolitan area in Japan, it was highly AED implementation and one month good cerebral performance rate note at the schools and the sport facilities. It is difficult to use AED at home quickly, therefore, further study home AED with the dispatch and bystander CPR training must be warrant.
Author Disclosures: K. Tsukigase: None. H. Tanaka: None. S. Shimazaki: None. H. Takyu: None.
- © 2014 by American Heart Association, Inc.