Effectiveness of Emergency Response Planning for Sudden Cardiac Arrest in United States High Schools With Automated External Defibrillators

US high schools are increasingly adopting automated external defibrillators (AEDs) for use in campus settings. We analyzed the effectiveness of emergency response planning for sudden cardiac arrest (SCA) in a large cohort of US high schools that had onsite AED programs. A cohort of US high schools w...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 2009-08, Vol.120 (6), p.518-525
Hauptverfasser: DREZNER, Jonathan A, RAO, Ashwin L, HEISTAND, Justin, BLOOMINGDALE, Megan K, HARMON, Kimberly G
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container_issue 6
container_start_page 518
container_title Circulation (New York, N.Y.)
container_volume 120
creator DREZNER, Jonathan A
RAO, Ashwin L
HEISTAND, Justin
BLOOMINGDALE, Megan K
HARMON, Kimberly G
description US high schools are increasingly adopting automated external defibrillators (AEDs) for use in campus settings. We analyzed the effectiveness of emergency response planning for sudden cardiac arrest (SCA) in a large cohort of US high schools that had onsite AED programs. A cohort of US high schools with at least 1 onsite AED was identified from the National Registry for AED Use in Sports. A school representative completed a comprehensive survey on emergency planning and provided details of any SCA incident occurring within 6 months of survey completion. Surveys were completed between December 2006 and July 2007. In total, 1710 high schools with an onsite AED program were studied. Although 83% (1428 of 1710) of schools have an established emergency response plan for SCA, only 40% practice and review the plan at least annually with potential school responders. A case of SCA was reported by 36 of 1710 schools (2.1%). The 36 SCA victims included 14 high school student athletes (mean age, 16 years; range, 14 to 17 years) and 22 older nonstudents (mean age, 57 years; range, 42 to 71 years) such as employees and spectators. No cases were reported in student nonathletes. Of the 36 SCA cases, 35 (97%) were witnessed, 34 (94%) received bystander cardiopulmonary resuscitation, and 30 (83%) received an AED shock. Twenty-three SCA victims (64%) survived to hospital discharge, including 9 of the 14 student athletes and 14 of the 22 older nonstudents. School-based AED programs provide a high survival rate for both student athletes and older nonstudents who suffer SCA on school grounds. High schools are strongly encouraged to implement onsite AED programs as part of a comprehensive emergency response plan to SCA.
doi_str_mv 10.1161/CIRCULATIONAHA.109.855890
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We analyzed the effectiveness of emergency response planning for sudden cardiac arrest (SCA) in a large cohort of US high schools that had onsite AED programs. A cohort of US high schools with at least 1 onsite AED was identified from the National Registry for AED Use in Sports. A school representative completed a comprehensive survey on emergency planning and provided details of any SCA incident occurring within 6 months of survey completion. Surveys were completed between December 2006 and July 2007. In total, 1710 high schools with an onsite AED program were studied. Although 83% (1428 of 1710) of schools have an established emergency response plan for SCA, only 40% practice and review the plan at least annually with potential school responders. A case of SCA was reported by 36 of 1710 schools (2.1%). The 36 SCA victims included 14 high school student athletes (mean age, 16 years; range, 14 to 17 years) and 22 older nonstudents (mean age, 57 years; range, 42 to 71 years) such as employees and spectators. No cases were reported in student nonathletes. Of the 36 SCA cases, 35 (97%) were witnessed, 34 (94%) received bystander cardiopulmonary resuscitation, and 30 (83%) received an AED shock. Twenty-three SCA victims (64%) survived to hospital discharge, including 9 of the 14 student athletes and 14 of the 22 older nonstudents. School-based AED programs provide a high survival rate for both student athletes and older nonstudents who suffer SCA on school grounds. 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High schools are strongly encouraged to implement onsite AED programs as part of a comprehensive emergency response plan to SCA.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>19635968</pmid><doi>10.1161/CIRCULATIONAHA.109.855890</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Cardiopulmonary Resuscitation - mortality
Cardiopulmonary Resuscitation - statistics & numerical data
Defibrillators - statistics & numerical data
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Electric Countershock - instrumentation
Electric Countershock - statistics & numerical data
Emergency Medical Services - statistics & numerical data
Faculty - statistics & numerical data
General and cellular metabolism. Vitamins
Health Planning - statistics & numerical data
Heart Arrest - mortality
Heart Arrest - therapy
Humans
Medical sciences
Middle Aged
Pharmacology. Drug treatments
Prevalence
Registries
Schools - statistics & numerical data
Sports - statistics & numerical data
Students - statistics & numerical data
United States - epidemiology
title Effectiveness of Emergency Response Planning for Sudden Cardiac Arrest in United States High Schools With Automated External Defibrillators
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