Automated external defibrillator skills among lay people in the region of Koroska: a pilot study

Background. In the region of Koroška, there are more and more public spaces equipped with automated external defibri-llators which can be used by a witnessed bystander. The aim of this study was to gain insight into the skills required for using automated external defibrillators. 

Methods. This was a cross-sectional survey conducted in two family medicine practices. We included volunteers who visited their family doctor during a period of four days. Skills were assessed in a virtual setting using a plastic manikin. 

Results. There were 107 participants in the sample, 60.0% were women. Average age of the sample was 47.6±16.8 years. In the practical part (skills testing), the participants earned 2.7 points from a total of 5 points. Younger participants and those who attended a course in basic life support, in the past 10 years, had a significantly higher score.  

Conclusion. Lay people need more education regarding skills for using automated external defibrillators. 

automated external defi-brillator, basic life support, lay people, survival, cardiac arrest

1. Nichol G, Thomas E, Callaway CW, Hedges J, Powel JL, Aufderheide TP, et al. Regional variation in out of hospital cardiac arrest incidence and outcome. JAMA 2008;300:1423-31.

2. Valenzuela TD, Roe DJ, Cretin S, Spaite DW, Mesilin HW, Clark LL, et al. Estimating effectivness of cardiac arrest interventions: a logistic regression survival model. Circulation 1997;96:3308-13.

3. Hayashi Y, Hiraide A, Morita H. Three year longitudinal study for out-of hospital cardiac arrest in Osaka Prefecture. Resuscitation 2004;63:161-6.

4. Hazinski MF, Idris AH, Kerber RE, Epstein A, Atkins D, Tang W, et al. Lay rescuer automated external defibrillator ("public access defibrilla-tion") programs: lessons learned from an international multicenter trial: advisory statement from the American Heart Association Emergency Cardiovascular Committee; the Council on Cardiopulmonary, Perioperative, and Critical Care; and the Council on Clinical Cardiology. Circulation 2005;111:3336-40.

5. Valenzuela TD, Roe DJ, Cretin S, Spaite DW, Larsen MP. Estimating effectiveness of cardiac arrest interventions: a logistic regression survival model. Circulation 1997;96:3308-13.

6. Rajapakse R, Noč M, Kersnik J. Public knowledge of cardiopulmonary resuscitation in Republic Slovenia. Wien Klin Wochenschr 2010;122:667-72.

7. Piepho T,Resch N, Heid F, Werner C, Noppens RR. Lay basic life support: the current situation in a medium-sized German town. Emerg Med 2011;28:786-9.

8. Earnes P, Larsen PD, Galletly DC. Comparison of ease of use of three automated external defibrillators by untrained lay people. Resusci-tation 2003;58:25-30.

9. Beckers S, Fries M, Bickenbach J, Derwall M, Kuhlen R, Rossaint R. Minimal instructions improve the performance of layperons in the use of semiautomatic and automatic external defibrillators. Crit Care 2005;9:R110-6.

10. Woollard M, Whitfield R, Smith A, Colguhoun M, Newcombe RG, Vetteer N, et al. Skill acquisition and retention in automated external defibrillator (AED) use and SPR by lay respondents: a prospective study. Resuscitation 2004;60:17-28.

11. Mitchell KB, Gugerty L, Muth E. Effects of brief training on use of automated external defibrillators by people without medical expertise. Hum Factors 2008;50:301-10.