Automated external defibrillators and secondary prevention of sudden cardiac death among children and adolescents.
Sudden cardiac death is devastating at any age, but it is especially so among children and adolescents. This report discusses the outcomes for patients with out-of hospital cardiac arrest (OHCA) and describes public access defibrillation programs in general and those directed at children and adolescents. In addition, the relatively new concept of cardiopulmonary resuscitation (CPR)–automated external defibrillator (AED) programs directed at schools is discussed. Although limited data are available, some of the preliminary data suggest improved OHCA outcomes associated with CPR-AED programs implemented in schools. These early data provide hope for the future potential reduction in the incidence of sudden cardiac deaths in the school setting, not only among children and adolescents, but also among adults.
The Herma Heart Center, Children’s Hospital of Wisconsin, The Medical College of Wisconsin, 9000 W. Wisconsin Ave, MS 713, Milwaukee, WI 53226, USA. sberger@chw.org
Joshua
J
Kovach
Stuart
S
Berger
D000293:Adolescent; D000367:Age Factors; D000572:American Heart Association; D016887:Cardiopulmonary Resuscitation; D002648:Child; D016757:Death, Sudden, Cardiac / Q000517:prevention & control*; D047548:Defibrillators / Q000706:statistics & numerical data*; D006801:Humans; D058687:Out-of-Hospital Cardiac Arrest; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D055502:Secondary Prevention / Q000379:methods / Q000706:statistics & numerical data*; D014481:United States