Impact of different methods to activate the pediatric mode in automated external defibrillators by laypersons – A randomized controlled simulation study
Introduction: Defibrillation with automated external defibrillators (AEDs) for smaller children with out-of-hospital cardiac arrest (OHCA) should be performed using a pediatric mode. This study aims to investigate the easiest and fastest way to activate the pediatric mode on AEDs for pediatric OHCA....
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | Resuscitation Plus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520422000236 |
| _version_ | 1811333736255455232 |
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| author | Mette V. Hansen Bo Løfgren Vinay M. Nadkarni Kasper G. Lauridsen |
| author_facet | Mette V. Hansen Bo Løfgren Vinay M. Nadkarni Kasper G. Lauridsen |
| author_sort | Mette V. Hansen |
| collection | DOAJ |
| description | Introduction: Defibrillation with automated external defibrillators (AEDs) for smaller children with out-of-hospital cardiac arrest (OHCA) should be performed using a pediatric mode. This study aims to investigate the easiest and fastest way to activate the pediatric mode on AEDs for pediatric OHCA. Methods: This randomized, controlled simulation study recruited 90 adult laypersons. Laypersons were randomized to use one of three AEDs with different methods to activate the pediatric mode: a Lifepak CR-T Trainer requiring switch of electrodes, a Phillips Heartstart FR3 Trainer with a “pediatric key”, or a CU Medical IPAD SP1 Trainer with a pediatric button. Laypersons were asked to use an AED on a pediatric manikin and informed that activation of a pediatric mode was recommended. Results: Activation of the pediatric mode was achieved by 0/30 (0%) participants when switching electrodes (Lifepak CRT), 2/30 (7%) participants when using a key (Phillips FR3) and 18/30 (64%) participants when pushing a button (CU Medical SP1) (p < 0.001). The median (interquartile range) time to first shock among those who activated the pediatric mode were 102 (95–107) in the CU Medical SP1 group and 78 (78–78) in the Phillips FR3 group (p = 0.21). Most participants used the anterior-lateral position for electrodes. Conclusion: Laypersons’ ability to activate the pediatric mode on AEDs and correctly attach the electrodes was generally poor. More participants were able to activate the pediatric mode by pushing a button when compared to using a key or switching electrodes. Use of the Phillips FR3 AED was associated with faster shock delivery. |
| first_indexed | 2024-04-13T16:57:21Z |
| format | Article |
| id | doaj.art-ff5e8ee6ed114a4a9537cddcf872cfdc |
| institution | Directory Open Access Journal |
| issn | 2666-5204 |
| language | English |
| last_indexed | 2024-04-13T16:57:21Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj.art-ff5e8ee6ed114a4a9537cddcf872cfdc2022-12-22T02:38:46ZengElsevierResuscitation Plus2666-52042022-06-0110100223Impact of different methods to activate the pediatric mode in automated external defibrillators by laypersons – A randomized controlled simulation studyMette V. Hansen0Bo Løfgren1Vinay M. Nadkarni2Kasper G. Lauridsen3Research Center for Emergency Medicine, Aarhus University Hospital, DenmarkResearch Center for Emergency Medicine, Aarhus University Hospital, Denmark; Department of Medicine, Randers Regional Hospital, DenmarkDepartment of Anesthesiology and Critical Care Medicine, Children’s Hospital of Philadelphia, United StatesResearch Center for Emergency Medicine, Aarhus University Hospital, Denmark; Emergency Department, Randers Regional Hospital, Denmark; Department of Anesthesiology and Critical Care Medicine, Children’s Hospital of Philadelphia, United States; Corresponding author at: Emergency Department, Randers Regional Hospital, 30 Skovlyvej 15, 8930 Randers NE, Denmark.Introduction: Defibrillation with automated external defibrillators (AEDs) for smaller children with out-of-hospital cardiac arrest (OHCA) should be performed using a pediatric mode. This study aims to investigate the easiest and fastest way to activate the pediatric mode on AEDs for pediatric OHCA. Methods: This randomized, controlled simulation study recruited 90 adult laypersons. Laypersons were randomized to use one of three AEDs with different methods to activate the pediatric mode: a Lifepak CR-T Trainer requiring switch of electrodes, a Phillips Heartstart FR3 Trainer with a “pediatric key”, or a CU Medical IPAD SP1 Trainer with a pediatric button. Laypersons were asked to use an AED on a pediatric manikin and informed that activation of a pediatric mode was recommended. Results: Activation of the pediatric mode was achieved by 0/30 (0%) participants when switching electrodes (Lifepak CRT), 2/30 (7%) participants when using a key (Phillips FR3) and 18/30 (64%) participants when pushing a button (CU Medical SP1) (p < 0.001). The median (interquartile range) time to first shock among those who activated the pediatric mode were 102 (95–107) in the CU Medical SP1 group and 78 (78–78) in the Phillips FR3 group (p = 0.21). Most participants used the anterior-lateral position for electrodes. Conclusion: Laypersons’ ability to activate the pediatric mode on AEDs and correctly attach the electrodes was generally poor. More participants were able to activate the pediatric mode by pushing a button when compared to using a key or switching electrodes. Use of the Phillips FR3 AED was associated with faster shock delivery.http://www.sciencedirect.com/science/article/pii/S2666520422000236Out-of-hospital cardiac arrestPediatric life supportAutomated external defibrillatorsSimulation |
| spellingShingle | Mette V. Hansen Bo Løfgren Vinay M. Nadkarni Kasper G. Lauridsen Impact of different methods to activate the pediatric mode in automated external defibrillators by laypersons – A randomized controlled simulation study Resuscitation Plus Out-of-hospital cardiac arrest Pediatric life support Automated external defibrillators Simulation |
| title | Impact of different methods to activate the pediatric mode in automated external defibrillators by laypersons – A randomized controlled simulation study |
| title_full | Impact of different methods to activate the pediatric mode in automated external defibrillators by laypersons – A randomized controlled simulation study |
| title_fullStr | Impact of different methods to activate the pediatric mode in automated external defibrillators by laypersons – A randomized controlled simulation study |
| title_full_unstemmed | Impact of different methods to activate the pediatric mode in automated external defibrillators by laypersons – A randomized controlled simulation study |
| title_short | Impact of different methods to activate the pediatric mode in automated external defibrillators by laypersons – A randomized controlled simulation study |
| title_sort | impact of different methods to activate the pediatric mode in automated external defibrillators by laypersons a randomized controlled simulation study |
| topic | Out-of-hospital cardiac arrest Pediatric life support Automated external defibrillators Simulation |
| url | http://www.sciencedirect.com/science/article/pii/S2666520422000236 |
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