Layperson's performance on an unconversant type of AED device: A prospective crossover simulation experimental study

• 作者: Chao-yu Lei Heng-wei Qin Xue-jie Dong Jia-lin You Lin Zhang
• 来源期刊: 世界急诊医学杂志（英文版）
• 年，卷（期）: 2022,（2）
• 所属期刊栏目: Original Articles
• 页码范围: 98-105
• 页数: 8页
• 语种: 中文
• DOI: 10.5847/wjem.j.1920-8642.2022.024

摘要

BACKGROUND: Diverse models of automated external defibrillators (AEDs) possess distinctive features. This study aimed to investigate whether laypersons trained with one type of AED could intelligently use another initial contact type of AED with varying features. METHODS: This was a prospective crossover simulation experimental study conducted among college students. Subjects were randomly trained with either AED1 (AED1 group) or AED2 (AED2 group), and the AED operation performance was evaluated individually (Phase I test). At the 6-month follow-up AED performance test (Phase Ⅱ test), half of the subjects were randomly switched to use another type of AED, which formed two switches (Switch A: AED1-1 group vs. AED2-1 group; Switch B: AED2-2 group vs. AED1-2 group). RESULTS: A total of 224 college students participated in the study. In the phase I test, a significantly higher proportion of successful defibrillation and shorter shock delivery time to achieve successful defibrillation was observed in the AED2 group than in the AED1 group. In the phase Ⅱ test, no statistical differences were observed in the proportion of successful defibrillation in Switch A (51.4％ vs. 36.6％, P=0.19) and Switch B (78.0％ vs. 53.7％, P=0.08). The median shock delivery time within participants achieving successful defibrillation was significantly longer in the switched group than that of the initial group in both Switch A (89 [81–107] s vs. 124 [95–135] s, P=0.006) and Switch B (68 [61.5–81.5] s vs. 95.5 [55–131] s, P<0.001). CONCLUSION: College students were able to effectively use AEDs different from those used in the initial training after six months, although the time to shock delivery was prolonged.