Heart experts at Johns Hopkins and elsewhere have evidence that at least 522 lives can be saved annually in the United States and Canada by the widespread placement of automated external defibrillators, the paddle-fitted, electrical devices used to shock and revive people whose hearts have suddenly stopped beating.
Their latest findings support broad deployment of battery-powered defibrillators, known as AEDs for short, in public spaces where large gatherings occur, such as senior care facilities, hospitals, sports stadiums, community centers, shopping malls, airports, and the lobbies of large hotels and office buildings.
The team's study results, to be presented Nov. 5 at the American Heart Association's annual Scientific Sessions in Orlando, Fla , are among the first conclusions to emerge from a landmark series of studies, known as the Resuscitation Outcomes Consortium, designed to reveal the best life-saving techniques for cardiac emergencies.
Every year, experts say, more than 300,000 Americans of all ages die from sudden cardiac death. A good many of them are seniors.
In the latest work, researchers found - in real-life, emergency situations - that use of the laptop-size devices by random bystanders more than doubled survival rates among victims felled by a sudden heart stoppage due to a heart attack or errant heart rhythm. Each device, which costs, on average, more than $2,000, is equipped with a digital instruction screen that provides simple, step-by-step directions.
“Our results were emphatically clear,” says principal investigator, Myron “Mike” L. Weisfeldt, M.D., a cardiologist at The Johns Hopkins University School of Medicine. “Good Samaritans, when given access to automated defibrillators in potentially fatal emergencies, save lives.
“This is a serious matter of public health policy and similar to previous discussions about placing fire extinguishers near building exits, wearing seat belts while driving, or manufacturing cars with airbags,” says Weisfeldt, the William Osler Professor of Medicine at Hopkins and past president of the American Heart Association (AHA).
Previous research has shown that time is critical in saving the majority of people from sudden cardiac death. Care must be provided as rapidly as possible, he says, within five minutes of the heart attack, and must employ the physical chest compressions that are part of cardiopulmonary resuscitation (CPR), and, if needed, a defibrillator.
Currently, Weisfeldt says, AEDs are used mostly by paramedics and other emergency medical workers who have additional training in CPR. But often, he notes, bystanders first on the scene of an emergency are available to provide life-saving aid before ambulances can arrive.
As part of the study, conducted in 11 major cities in the United States and Canada from December 2005 through November 2006, researchers closely monitored the circumstances surrounding nearly 10,000 incidents of cardiac arrest called into 911 emergency telephone lines. Pulled from each medical file were details about use of CPR and a defibrillator.