2013, Number 2
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Arch Med Urg Mex 2013; 5 (2)
San Miguel Seguro, Latin American experience in the implementation of the Public Access Defibrillation Programme
Arellano HN, García RJF, Hall H, Vázquez LG
Language: Spanish
References: 13
Page: 53-59
PDF size: 190.82 Kb.
ABSTRACT
Introduction: People who experiment cardiac arrest have two to three times more likely to survive if a respondent first applied an automated external defibrillator before the arrival of EMS. The probability of success decreases with time. Studies have shown that programs of public access defibrillation improve survival. In Mexico, the first statement was dated 14/03/2013, and although there are isolated experiences there is no report of public access defibrillation.
Objective: To share the experience you had with Continuos Update in Emergency Program implementation of the «San Miguel Sure».
Methods: We conducted a population profile analysis and visitors to San Miguel de Allende to identify potential users and designed a three-phase project with compliance in two years.
Results: We trained 25 instructors in SC programs, Basic Life Support and Advanced Life Support and trained just over 1,200 people. San Miguel Insurance is the first effort in Mexico documented in the implementation of a public access defibrillation, with results on behavioral changes in the prehospital response, lack measure the impact on the general population and the impact on health systems.
REFERENCES
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Salzberg S, Baulos JG, Diaz HP, Patiño I, Charask A, Granada. Paro cardiorespiratorio prehospitalario. Desfibrilación de acceso público. Revista Argentina de Cardiología. 2012; 80(2): 160-164.
Weisfeldt ML, Becker LB. Resuscitation after cardiac arrest: a 3-phase time-sensitive model. JAMA. 2002; 288: 3035-8.
Joglar RL, Page JA. Automated External Defibrillator Use by Police responders: Where do we go from here? Circulation. 2002; 106(1030): 1033.
Kitamura T, Iwami T, Kawamura T, Nagao K, Hiraide A. Nationwide Public-Access defibrillation in Japan. NEJM. 2010;364: 94-1004.
CDC. Out-of-Hospital Cardiaca Arrest Surveillance- Cardiac Arrest Registry to enhance Survival (CARES), United States, Octubre 2005-Dic 2010. MMWR. 2011; 60(8): 1-19.
Salubridad., Consejo Nacional de. diario Oficial. 13 de marzo de 2013. http://www.dof.gob.mx/nota_detalle.php?codigo=5292189&fecha=14%2F03%2F2013 (último acceso: 15 de marzo de 2013).
AG, Garza Alatorre. Avanza el Desfibrilador Automático Externo. Revista Mexicana de Pediatría. 2011;78(6): 256.
C, Hanefeld. A first city-wide early defibrillation project in a German city: 5-year results of the Bochum against sudden cardiac arrest study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2010; 18:31 doi:10.1186/1757-7241-18-31.
Akhane M, Tanabe S et al. Elderly out-of-hospital cardiac arrest has worse outcomes with a family bystander than a non-family bystander. International Journal of Emergency Medicine. 2012; 5(41): 1-7.
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Kozłowski D, Kłosiewicz T, Kowalczyk A, Kowalczyk AK, Koźluk E et al. The knowledge of public access to defibrillation in selected cities in Poland. Arch Med Sci. 2013; 9(1): 27-33.
http://www.msc.es/organizacion/sns/planCalidadSNS/docs/Informe_uso_Desfibriladores_sep_07.pdf (último acceso: 30 de marzo de 2013).