Friedman Franklin D, Dowler Karen, Link Mark S
Tufts University School of Medicine, Emergency Physician, Tufts-New England Medical Center, Tufts-New England Medical Center, 750 Washington Street, Boston, MA 02111, USA.
Resuscitation. 2006 Jun;69(3):407-11. doi: 10.1016/j.resuscitation.2005.09.025. Epub 2006 Mar 23.
Automatic external defibrillators (AED) have proven to be valuable and life saving for out of hospital cardiac arrests. Their use in hospital arrests is less well documented, but they offer the opportunity to improve survival in the hospital setting also.
The implementation of a public access defibrillation (PAD) programme at a tertiary care hospital is described, with reference specifically to targeting areas where time from arrest to arrival of defibrillation would be greater than 3 min.
Nine AEDs were placed in areas of the hospital distant from inpatient or outpatient floors. The locations of the AEDs were chosen based on a 3 min walk from currently available defibrillators to all areas of the hospital, including parking garages and walkways from building to building. In this programme AED use in non-inpatient hospital locations resulted in the resuscitation of a patient in ventricular fibrillation.
PAD in non-inpatient hospital settings can be life saving and similar programmes should be considered for other hospitals.
自动体外除颤器（AED）已被证明对院外心脏骤停具有重要价值且能挽救生命。其在院内心脏骤停中的应用记录较少，但它们也为提高医院环境中的生存率提供了机会。
描述了在一家三级护理医院实施公众可获取除颤（PAD）计划的情况，特别提及针对从心脏骤停到除颤到达时间会超过3分钟的区域。
在医院远离住院部或门诊部楼层的区域放置了9台AED。AED的放置位置是根据从现有除颤器步行3分钟可到达医院所有区域（包括停车场和建筑物之间的通道）来选择的。在该计划中，非住院医院区域使用AED使一名室颤患者复苏成功。
非住院医院环境中的PAD可以挽救生命，其他医院应考虑类似计划。
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