title: When an AED meets an ICD... Automated external defibrillator. Implantable cardioverter defibrillator.
abstract: The chances of prehospital care providers being confronted with a patient with an implantable cardioverter defibrillator (ICD) are increasing and so care providers must receive proper training. Based on observations made during the resuscitation of a patient with an ICD using an automated external defibrillator (AED) some technical features and possible interactions of ICDs and AEDs are highlighted. Furthermore, we discuss the key points of basic knowledge, safety, and treatment protocols for cardiac arrest and other situations required for practical training in the ICD for prehospital care providers.
authors.affiliation: Department of Emergency Medicine, University Hospital, Gent, Belgium.
authors.forename: P A
authors.initials: PA
authors.lastname: Calle
authors.forename: W
authors.initials: W
authors.lastname: Buylaert
mesh_terms: D000328:Adult; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D002311:Cardiomyopathy, Dilated / Q000628:therapy; D016887:Cardiopulmonary Resuscitation; D002985:Clinical Protocols; D017147:Defibrillators, Implantable; D004554:Electric Countershock / Q000295:instrumentation / Q000379:methods*; D004632:Emergency Medical Services; D004867:Equipment Design; D004868:Equipment Failure; D006323:Heart Arrest / Q000628:therapy; D006801:Humans; D008133:Long QT Syndrome / Q000628:therapy; D008297:Male; D008790:Metoprolol / Q000627:therapeutic use; D012151:Resuscitation; D012449:Safety; D017180:Tachycardia, Ventricular / Q000628:therapy; D014693:Ventricular Fibrillation / Q000628:therapy
chemical_list: D000889:Anti-Arrhythmia Agents; D008790:Metoprolol