Caffrey Sherry
Department of Aviation, O'Hare International Airport, Chicago, Illinois 60666, USA.
Curr Opin Crit Care. 2002 Jun;8(3):195-8. doi: 10.1097/00075198-200206000-00001.
Immediate defibrillation is the single most effective therapy to reverse ventricular fibrillation cardiac arrest today. The once physician-only skill of defibrillation has entered mainstream society and is saving the lives of many sudden cardiac arrest (SCA) victims in a variety of settings. The automated external defibrillator (AED) and the concept of public access defibrillation (PAD) are a result of collaborative efforts between the American Heart Association (AHA) and medical manufacturers. Today, airports, airlines, casinos, cruise ships, and other public venues have modernized their first aid kits to include an AED. The success of these programs has ignited a trend in public safety and subsequently marketed the worth of AEDs in the home. Although optimal placement of AEDs remains uncertain, PAD is showing great promise in reducing the death rate from SCA. The lay public, both trained and untrained, is emerging as the next level of emergency care responders able to use a defibrillator.
即时除颤是当今逆转心室颤动心脏骤停最有效的单一疗法。曾经只有医生才能掌握的除颤技术已进入主流社会，并在各种环境中挽救了许多心脏骤停（SCA）受害者的生命。自动体外除颤器（AED）和公众可获取除颤（PAD）的概念是美国心脏协会（AHA）与医疗设备制造商共同努力的成果。如今，机场、航空公司、赌场、游轮及其他公共场所已对其急救箱进行了升级，配备了AED。这些项目的成功引发了公共安全领域的一股潮流，并随之推广了家用AED的价值。尽管AED的最佳放置位置仍不确定，但PAD在降低SCA死亡率方面显示出了巨大潜力。无论是经过培训还是未经培训的普通大众，正成为能够使用除颤器的下一级紧急护理响应者。
