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From 1992 to 1994, says Dr. Richard Cummins of the University of Washington School of Medicine, the FDA's limitations on Physio Control Corp., the leading manufacturer of external defibrillators, meant that as many as 1,000 victims of cardiac arrest were not restored to life.
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Early in my career, one of the founders of HeartStream [makers of automated external defibrillators (AED ], Carl Morgan, gave me a piece of advice: "Focus on saving lives and the money will follow". At that time I was eager to prove myself as a new manager of the AED business.
Fatal outcomes, as anticipated, were associated with a doubling of the response time of professional rescuers, presumably in the absence of bystander utilization of automated external defibrillators, especially since a majority of survivors had shockable ventricular fibrillation or ventricular tachycardia.
Major progress has occurred during the past 10 years in the initial management of successfully resuscitated CA: the development of a "chain of survival," the availability of automated external defibrillators in paramedical teams and public places, and the innovations in the resuscitation process gives hope for a further improvement in early survival.
Public training in the use of automated external defibrillators to treat out-of-hospital cardiac arrests has been receiving increased attention.
Objective: Because the majority of cardiac arrests occur at home, the use of automated external defibrillators (AEDs) in the home could potentially improve survival of out-of-hospital cardiac arrest.
See related research article Public training in the use of automated external defibrillators (AEDs) to treat out-of-hospital cardiac arrests has been receiving increased attention [ 1].
This prompted the county to strip most of Compton's firetrucks of automated external defibrillators, a device than can mean the difference between life and death for someone in cardiac arrest.
[3] Sudden Cardiac Arrest Foundation, www.sca-aware.org/about-sca [4] Weisfeldt ML, Sitlani CM, Ornato JP, et al. Survival after application of automated external defibrillators before arrival of the emergency medical system: Evaluation in the Resuscitation outcomes consortium population of 21 million.
However, the application of high quality of cardiopulmonary resuscitation (CPR) introduces strong artifact components into the electrocardiogram (ECG) signal, which reduces the accuracy of the shock/nonshock decision of automated external defibrillators (AEDs) [ 3].
Bystander cardiopulmonary resuscitation (CPR) and the use of automated external defibrillators (AED) are two of the most important factors favouring survival [ 2].
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