Bae Hyuna
Department of Emergency Medicine, School of Medicine, Ewha Womans University, Seoul, Korea.
J Emerg Med. 2008 Apr;34(3):299-303. doi: 10.1016/j.jemermed.2007.05.046. Epub 2007 Nov 26.
The American Heart Association has stated that the automatic external defibrillator (AED) is a promising method for achieving rapid defibrillation, and emphasized that AED training and use should be available in every community. The demonstrated safety and effectiveness of the AED make it ideally suited for the delivery of early defibrillation by trained laypersons, and the placement of AEDs in selected locations for immediate use by trained laypersons may enable critical intervention that can significantly increase survival from out-of-hospital cardiac arrest. The American Heart Association recommends the installation of AEDs in public locations such as airports, thus allowing laypersons to conduct defibrillation and cardiopulmonary resuscitation on the occasion of adverse cardiopulmonary events. In Korea, the Ministry of Health and Welfare officially prohibits the installation of AEDs in public locations on the grounds that cardiopulmonary resuscitation and defibrillation are understood as medical practices that can be conducted only by licensed medical practitioners. The purpose of this article is to discuss the necessity for AEDs and the appropriate process for their implementation in Korea, by examining the current pre-AED status of Korea and the relevant legal aspects.
美国心脏协会指出，自动体外除颤器（AED）是实现快速除颤的一种很有前景的方法，并强调每个社区都应提供AED培训和使用机会。AED已证明的安全性和有效性使其非常适合由经过培训的非专业人员进行早期除颤，在选定地点放置AED供经过培训的非专业人员立即使用，可能会实现关键干预，从而显著提高院外心脏骤停的存活率。美国心脏协会建议在机场等公共场所安装AED，以便非专业人员在发生心肺不良事件时进行除颤和心肺复苏。在韩国，卫生和福利部以心肺复苏和除颤被视为只能由有执照的执业医生进行的医疗行为为由，正式禁止在公共场所安装AED。本文的目的是通过研究韩国目前AED使用前的状况和相关法律方面，讨论在韩国使用AED的必要性及其实施的适当程序。
