Jonsson Martin, Berglund Ellinor, Müller Michael P
Center for Resuscitation Science, Department of Clinical Science and Education Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
Deptartment of Anaesthesiology, Intensive Care, and Emergency Medicine, Artemed St. Josef's Hospital. Freiburg, Germany.
Curr Opin Crit Care. 2023 Dec 1;29(6):628-632. doi: 10.1097/MCC.0000000000001109. Epub 2023 Oct 4.
Automated external defibrillators are a very effective treatment to convert ventricular fibrillation (VF) in out-of-hospital cardiac arrest. The purpose of this paper is to review recent publications related to automated external defibrillators (AEDs).
Much of the recent research focus on ways to utilize publicly available AEDs included in different national/regional registers. More and more research present positive associations between engaging volunteers to increase the use of AEDs. There are only a few recent studies focusing on professional first responders such as fire fighters/police with mixed results. The use of unmanned aerial vehicles (drones) lacks clinical data and is therefore difficult to evaluate. On-site use of AED shows high survival rates but suffers from low incidence of out-of-hospital cardiac arrest (OHCA).
The use of public AEDs in OHCA are still low. Systems focusing on engaging volunteers in the cardiac arrest response have shown to be associated with higher AED usage. Dispatching drones equipped with AEDs is promising, but research lacks clinical data. On-site defibrillation is associated with high survival rates but is not available for most cardiac arrests.
自动体外除颤器是治疗院外心脏骤停时室颤的一种非常有效的方法。本文旨在综述近期与自动体外除颤器（AED）相关的出版物。
近期的许多研究集中在利用不同国家/地区登记册中包含的公开可用AED的方法上。越来越多的研究表明，让志愿者参与可增加AED的使用，二者之间存在正相关关系。近期只有少数研究关注消防员/警察等专业急救人员，结果不一。使用无人机缺乏临床数据，因此难以评估。现场使用AED显示出高生存率，但院外心脏骤停（OHCA）的发生率较低。
OHCA中公共AED的使用仍然较低。专注于让志愿者参与心脏骤停应对的系统已显示与更高的AED使用率相关。派遣配备AED的无人机很有前景，但研究缺乏临床数据。现场除颤与高生存率相关，但大多数心脏骤停情况无法进行现场除颤。
