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Concurrent Block #1

911, EMS, Fire & Law Enforcement

New Thinking about AED Placement and the Role of Bystanders

Does the provider of initial defibrillation effect the quality-of-life outcomes of out-of-hospital cardiac arrest survivors at one-year post arrest?

Thursday, November 30, 2023
11:00 AM – 11:25 AM PST
Location: Town and Country Ballroom B

    Primary Presenter(s)

  • Brian Haskins, PhD

    Associate Professor Paramedicine
    Victoria University
    Frankston, Victoria, Australia

    Disclosure information not submitted.

    • Moderator(s)

  • Joshua Smith, NRP

    Captain/Paramedic
    Richland Fire & Emergency Services
    Richland, WA, United States

    Disclosure information not submitted.

Summary: SCA survivors receiving bystander defibrillation had 77% higher odds of living at home without care, 72% higher odds of returning to work, and better quality of life at one-year post-arrest compared to those initially shocked by paramedics.

Synopsis: Our goal was to assess the long-term functional and health related quality-of-life (HRQoL) outcomes for out-of-hospital cardiac arrest (OHCA) survivors stratified by initial defibrillation provider.
This retrospective study included adult non-traumatic OHCA with initial shockable rhythms between 2010-2019. Survivors at 12 months post-arrest were invited to participate in structured telephone interviews. To identify outcomes, we used the Glasgow Outcome Scale–Extended (GOS-E), EuroQol-5D (EQ-5D), 12-Item Short Form and questions relating to living and work status.

Come to this session to learn why bystander defibrillation supports better functional and HRQol outcomes.

Learning Objectives:

  • Identify which initial provider of defibrillation improves the 1 year quality of life for out-of-hospital cardiac arrest survivors.
  • Explain which measures of quality of life are improved for out-of-hospital cardiac arrest survivors at 1 year post-arrest when bystanders deliver the initial shock using an automatic external defibrillator.
  • This presentation will include ways to educate citizens that can lead to a comprehensive change to a culture of excellence and improved CPR training in the community, schools and workplace.
  • This presentation will include components of a high quality collaborative cardiovascular and resuscitation program in a dispatch, EMS and / or healthcare system that has demonstrated improvement in survival from SCA.