title: Use of automated external defibrillators in US federal buildings: implementation of the Federal Occupational Health public access defibrillation program.
abstract: OBJECTIVE
  Federal Occupational Health (FOH) administers a nationwide public access defibrillation program in US federal buildings. We describe the use of automated external defibrillators (AEDs) in federal buildings and evaluate survival after cardiac arrest.
  
  
  METHODS
  Using the FOH database, we examined reported events in which an AED was brought to a medical emergency in federal buildings over a 14-year period, from 1999 to 2012.
  
  
  RESULTS
  There were 132 events involving an AED, 96 (73%) of which were due to cardiac arrest of cardiac etiology. Of 54 people who were witnessed to experience a cardiac arrest and presented with ventricular fibrillation or ventricular tachycardia, 21 (39%) survived to hospital discharge.
  
  
  CONCLUSIONS
  Public access defibrillation, along with protocols to install, maintain, and deploy AEDs and train first responders, benefits survival after cardiac arrest in the workplace.
authors.affiliation: From the Department of Emergency Medicine (Mr Kilaru, Ms Nadkarni, and Drs Shofer and Merchant), Perelman School of Medicine at the University of Pennsylvania, Philadelphia; and Federal Occupational Health (Drs Leffer, Perkner, and Sawyer and Ms Jolley), US Department of Health and Human Services, Bethesda, Md.
authors.forename: Austin S
authors.initials: AS
authors.lastname: Kilaru
authors.forename: Marc
authors.initials: M
authors.lastname: Leffer
authors.forename: John
authors.initials: J
authors.lastname: Perkner
authors.forename: Kate Flanigan
authors.initials: KF
authors.lastname: Sawyer
authors.forename: Chandra E
authors.initials: CE
authors.lastname: Jolley
authors.forename: Lindsay D
authors.initials: LD
authors.lastname: Nadkarni
authors.forename: Frances S
authors.initials: FS
authors.lastname: Shofer
authors.forename: Raina M
authors.initials: RM
authors.lastname: Merchant
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016887:Cardiopulmonary Resuscitation; D047548:Defibrillators; D004554:Electric Countershock; D004630:Emergencies; D035082:Federal Government; D005260:Female; D005392:First Aid; D006323:Heart Arrest / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016272:Occupational Health; D012189:Retrospective Studies; D015996:Survival Rate; D017180:Tachycardia, Ventricular / Q000628:therapy*; D014481:United States; D014693:Ventricular Fibrillation / Q000628:therapy*; D055815:Young Adult