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The AED Project: Multiorganization Collaboration to Streamline Automatic External Defibrillator Data in

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Area of Science:

  • Cardiology
  • Emergency Medicine
  • Health Informatics

Background:

  • Automated external defibrillator (AED) devices capture critical initial rhythm data in out-of-hospital cardiac arrest (OHCA) patients.
  • Previous lack of a standardized protocol hindered timely retrieval of this vital patient data.

Purpose of the Study:

  • To develop and implement a protocol for requesting and retrieving AED data from first responders.
  • To evaluate the timeliness and clinical utility of AED data in OHCA patients.

Main Methods:

  • A Plan-Do-Study-Act model was used to co-create a data request process with emergency health services.
  • Patients surviving OHCA were enrolled from November 2018 to April 2020.
  • Timeliness of AED data retrieval, process to admission, and clinical utility via staff survey were evaluated.

Main Results:

  • 88% of AED rhythm strips were retrieved within 24 hours, with a median retrieval time of 1 hour.
  • 81% of Coronary Intensive Care Unit staff found AED data 'very useful' for clinical decision-making.
  • AED data provided insights into OHCA etiology, supported diagnoses, and reduced unnecessary testing.

Conclusions:

  • An organized protocol ensures timely access to critical AED data for OHCA patients.
  • Integrated AED data positively impacts clinical decision-making and hospital care.