title: [Public access defibrillation].
abstract: Placement of automated external defibrillators (AED) in public facilities and training of the lay persons in basic life support-defibrillation (BLS-D) was recommended by the American Heart Association for the treatment of out-of-hospital cardiac arrest (OHCA). Immediate use of AED result in increase of survival to hospital discharge. Many observation and much less randomized trials describe clinical efficacy of this approach. However, "negative" trials have also been published and some recent data suggest that public access defibrillation (PAD) will have a minimal impact on population survival. In this article various PAD strategies were briefly reviewed. In our opinion installation of AED in public places should be based on the long-term study of local OHCA demography and preceded by widespread BLS training of lay population.
authors.affiliation: Service de cardiologie, CHUV, Lausanne.
authors.forename: Eugène
authors.initials: E
authors.lastname: Katz
authors.forename: Jacques-Thierry
authors.initials: JT
authors.lastname: Metzger
authors.forename: Christophe
authors.initials: C
authors.lastname: Sierro
authors.forename: Monica
authors.initials: M
authors.lastname: Deac
authors.forename: Daniel
authors.initials: D
authors.lastname: Fishman
authors.forename: Grégoire
authors.initials: G
authors.lastname: Girod
authors.forename: Mathieu
authors.initials: M
authors.lastname: Potin
authors.forename: Marc
authors.initials: M
authors.lastname: Niquille
authors.forename: Jean-Christoffe
authors.initials: JC
authors.lastname: Stauffer
authors.forename: Réza
authors.initials: R
authors.lastname: Kehtari
authors.forename: Christophe
authors.initials: C
authors.lastname: Sénéchaud
authors.forename: Wenceslao
authors.initials: W
authors.lastname: Garcia
authors.forename: Maria
authors.initials: M
authors.lastname: Rodriguez
authors.forename: Martin
authors.initials: M
authors.lastname: Fromer
mesh_terms: D003256:Community Participation; D047548:Defibrillators; D006291:Health Policy; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D011633:Public Facilities