Cabañas José G, Lugo-Amador Nannette
University of Puerto Rico School of Medicine, Emergency Medicine Department.
Bol Asoc Med P R. 2007 Oct-Dec;99(4):294-8.
Cardiovascular disease is the leading cause of death for adults 40 years of age or greater in the United States and in Puerto Rico. There are approximately 165,000 out-of-hospital cardiac arrest (OHCA) events every year in the US. Since more than 30 years cardiopulmonary resuscitation (CPR) skills have saved thousands of lives. The majority of cardiac arrest events occur out of the hospital and without early access to CPR and a defibrillator these patients don't have a chance of survival and the majority will die before reaching the hospital. The development of CPR in the 1960's and the invention of automated external defibrillators (AED) in the 1970's revolutionized the means to approach OHCA victims. For the last 10 years the deployment of AEDs in public locations has been a successful model addressing this major public health concern. This article reviews the role AEDs play in the early management of OHCA victims and why public access defibrillation (PAD) programs are necessary.
在美国和波多黎各，心血管疾病是40岁及以上成年人的主要死因。美国每年约有16.5万例院外心脏骤停（OHCA）事件。30多年来，心肺复苏（CPR）技能挽救了数千人的生命。大多数心脏骤停事件发生在院外，如果不能尽早进行心肺复苏和使用除颤器，这些患者就没有生存的机会，大多数人会在到达医院之前死亡。20世纪60年代心肺复苏术的发展以及20世纪70年代自动体外除颤器（AED）的发明彻底改变了救治院外心脏骤停患者的方式。在过去10年里，在公共场所部署自动体外除颤器是解决这一重大公共卫生问题的成功模式。本文综述了自动体外除颤器在院外心脏骤停患者早期管理中的作用以及公众可获取除颤（PAD）计划为何必要。
