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Public access defibrillator

An automated external defibrillator (AED) is a portable electronic device that automatically diagnoses the life-threatening cardiac arrhythmias of ventricular fibrillation (VF) and pulseless ventricular tachycardia, and is able to treat them through defibrillation, the application of electricity which stops the arrhythmia, allowing the heart to re-establish an effective rhythm.An automated external defibrillator is used in cases of life-threatening cardiac arrhythmias which lead to sudden cardiac arrest, 'which is not the same as a heart attack. The rhythms that the device will treat are usually limited to:''Automated external defibrillators are generally either kept where health professionals and first responders can use them (health facilities and ambulances) as well as public access units which can be found in public places including corporate and government offices, shopping centres, restaurants, public transport, and any other location where people may congregate.Unlike regular defibrillators, an automated external defibrillator requires minimal training to use. It automatically diagnoses the heart rhythm and determines if a shock is needed. Automatic models will administer the shock without the user's command. Semi-automatic models will tell the user that a shock is needed, but the user must tell the machine to do so, usually by pressing a button. In most circumstances, the user cannot override a 'no shock' advisory by an AED. Some AEDs may be used on children – those under 55 lbs (25 kg) in weight or under age 8. If a particular model of AED is approved for pediatric use, all that is required is the use of more appropriate pads.The first use of an external defibrillator on a human was in 1947 by Claude Beck. The portable version of the defibrillator was invented in the mid-1960s by Frank Pantridge in Belfast, Northern Ireland, a pioneer in emergency medical treatment.In a study published in 2017, researchers in Poland selected the main entrances of buildings which had AEDs, although the researchers themselves did not know the exact locations of the devices. In drills of pretend heart attack, the average time to bring the AED to the patient was 96 seconds, with a time that ranged from 52 to 144 seconds. This met the three minute goal. In some cases, the use of the AED required the continuous presence of building personnel. Future improvements include more obvious signage and public-access AEDs which do not require a staff member of the building to either retrieve or use the device.

[ "Cardiopulmonary resuscitation", "External defibrillators", "Automated external defibrillator", "out of hospital cardiac arrest" ]
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