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Automated External Defibrillators in High Schools: Disparities Persist Despite Legislation.

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Connecticut legislation requiring automated external defibrillators (AEDs) in schools significantly increased AED availability. However, small schools and those with more students with disabilities still lag in AED access.

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Area of Science:

  • Public health
  • Emergency medicine
  • Health policy

Background:

  • Automated external defibrillators (AEDs) improve survival rates for out-of-hospital cardiac arrest.
  • AED prevalence is increasing, with legislation aiming to expand access.

Purpose of the Study:

  • To evaluate the impact of Connecticut's 2009 legislation mandating AEDs in schools.
  • To identify disparities in AED availability based on school characteristics.

Main Methods:

  • A scripted telephone survey was conducted with all public and private high schools in New Haven County, Connecticut.
  • The survey assessed AED presence before and after the 2009 legislation.

Main Results:

  • AED availability in high schools increased from 49% to 88% post-legislation (P < 0.001).
  • Private schools initially had more AEDs, but the gap narrowed post-legislation.
  • Small schools (<400 students) and schools with a higher percentage of students with disabilities were less likely to have AEDs.

Conclusions:

  • Connecticut's legislation significantly increased AEDs in high schools.
  • Disparities in AED access persist for small schools and those with students with disabilities.