[The early semiautomatic defibrillation: legislative Italian framing and medical-legal aspects].
Following Anglosaxon experience, automatic external defibrillators (AEDs), devices capable of automatically identifying a defibrillating rhythm and triggering a life-saving discharge, are now becoming widespread in Italy too. Their extremely simple functioning, and diagnostic sensitivity combined with diagnostic specificity all mean that AEDs can even be used by non-medical personnel (nurses) and, more extensively and after proper training, also by "first responders" who are not necessarily healthcare-related (red cross volunteers, members of the police force, firemen, etc.). In this sense Italian law no. 120/2001, enacted in the interests of the collectivity, and its later provisions approved at the conference of the Italian state and regional authorities in 2003, admits this type of application. AED safety assurance means that these devices can also be used by ordinary people who are not trained and have no specific obligations, but who suddenly find themselves in an emergency situation. However, medical personnel, paramedics and non-healthcare-related "first responders" trained in the use of AEDs, are required to apply them in suitable circumstances and, if they do not, may be accused of refusal to act in an official capacity, omission of first aid, and manslaughter.
Fontana
Alessandro
A
Sede di Medicina Legale, Dipartimento di Medicina Ambientale e Sanità Pubblica, Università degli Studi, Padova. fontanaalessandro@hotmail.com
Zancaner
Silvano
S
D000328:Adult; D000367:Age Factors; D000465:Algorithms; D016887:Cardiopulmonary Resuscitation; D002648:Child; D047548:Defibrillators; D006801:Humans; D007558:Italy; D007883:Legislation, Medical; D012449:Safety; D013997:Time Factors