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Shocking the system: AEDs in military resuscitation
Andrew M Buckley1, A T Cox2, P Rees3
1Department of Acute Medicine, Northwick Park Hospital, Harrow, UK.
Journal of the Royal Army Medical Corps
|October 8, 2017
Summary
Automated external defibrillator (AED) availability and training are crucial for improving survival rates from out-of-hospital cardiac arrest in the UK military. Reassessing AED placement and enhancing training are vital for better outcomes.
Area of Science:
- Emergency Medicine
- Public Health
- Military Health Systems
Background:
- Automated external defibrillators (AEDs) have been used clinically since the early 1990s for non-clinical cardiac arrest events.
- Increased survival expectations from out-of-hospital cardiac arrest (OOHCA) necessitate re-evaluating AED accessibility.
- Reduced response times are critical for achieving return of spontaneous circulation (ROSC).
Purpose of the Study:
- To re-examine the availability and strategic placement of AEDs within the UK military.
- To review the history, life-saving capabilities, and best practices for AED utilization.
- To identify knowledge gaps in AED training and research for military personnel.
Main Methods:
- Literature review of AED history, clinical use, and survival data.
- Analysis of current practices regarding AED training and deployment in military settings.
- Exploration of evidence on factors influencing OOHCA survival.
Main Results:
- AEDs are essential for improving survival from OOHCA, with timeliness being a key factor.
- Current availability and strategic placement of AEDs in the UK military require re-evaluation.
- Evidence suggests a need for updated training protocols and further research into optimal AED deployment.
Conclusions:
- Enhanced AED availability and strategic placement on military bases are recommended.
- Improved and standardized AED training for military personnel is essential.
- Future research should focus on identifying optimal locations and protocols to maximize AED effectiveness in military environments.
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