Use of automated external defibrillators in US federal buildings: implementation of the Federal Occupational Health public access defibrillation program

J Occup Environ Med. 2014 Jan;56(1):86-91. doi: 10.1097/JOM.0000000000000042.

Abstract

Objective: Federal Occupational Health (FOH) administers a nationwide public access defibrillation program in US federal buildings. We describe the use of automated external defibrillators (AEDs) in federal buildings and evaluate survival after cardiac arrest.

Methods: Using the FOH database, we examined reported events in which an AED was brought to a medical emergency in federal buildings over a 14-year period, from 1999 to 2012.

Results: There were 132 events involving an AED, 96 (73%) of which were due to cardiac arrest of cardiac etiology. Of 54 people who were witnessed to experience a cardiac arrest and presented with ventricular fibrillation or ventricular tachycardia, 21 (39%) survived to hospital discharge.

Conclusions: Public access defibrillation, along with protocols to install, maintain, and deploy AEDs and train first responders, benefits survival after cardiac arrest in the workplace.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Cardiopulmonary Resuscitation
  • Defibrillators*
  • Electric Countershock
  • Emergencies
  • Federal Government
  • Female
  • First Aid
  • Heart Arrest / etiology
  • Heart Arrest / therapy*
  • Humans
  • Male
  • Middle Aged
  • Occupational Health
  • Retrospective Studies
  • Survival Rate
  • Tachycardia, Ventricular / therapy*
  • United States
  • Ventricular Fibrillation / therapy*
  • Young Adult