Getting R-AEDI to save lives in Singapore.

Singapore Medical Journal
Si Yong Ivan ChuaMarcus Eng Hock Ong

Abstract

Early cardiopulmonary resuscitation (CPR) and defibrillation prior to the arrival of emergency medical services can improve survival from out-of-hospital cardiac arrest (OHCA) with good neurological outcome. However, the rate of local bystander CPR is only 24.3% and bystander defibrillation 2.1%. In 2015, the R-AEDI (Registry for AED Integration) initiative was started to improve OHCA survival rates. R-AEDI alerts volunteers to nearby OHCA cases via the myResponder mobile application. In 2015-2017, 7,682 AEDs were mapped and made accessible via this app. Comprehensive site inspections also resulted in fewer non-functional AEDs, as AED owners were educated on the importance of the maintenance of pads and batteries. The AED heat map allows us to identify areas that are lacking in or require improved public access AED coverage. The online AED registry found in the myResponder app is useful to locate AEDs rapidly during OHCAs. More community education would improve the rate of bystander defibrillation.

References

Nov 1, 1993·Annals of Emergency Medicine·M P LarsenA P Hallstrom
Aug 13, 2004·The New England Journal of Medicine·A P HallstromUNKNOWN Public Access Defibrillation Trial Investigators
Oct 4, 2005·Resuscitation·Christie AtwoodThomas D Rea
Apr 10, 2014·Emergency Medicine Australasia : EMA·Nur Diana ZakariaUNKNOWN PAROS study group
Aug 4, 2015·Resuscitation·Marcus Eng Hock OngUNKNOWN PAROS Clinical Research Network
Aug 4, 2015·Resuscitation·Marianne AgerskovLars Simon Rasmussen
Oct 19, 2017·European Heart Journal. Quality of Care & Clinical Outcomes·Christopher M SmithGavin D Perkins
Mar 15, 2018·Lancet·Marcus Eng Hock OngAlain Cariou
Mar 29, 2018·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Tsung-Hsi WangHao-Jui Tseng

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Citations

Mar 11, 2020·Singapore Medical Journal·Shu-Ling Chong, Marcus Eng Hock Ong
Apr 29, 2021·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Bharath RajagopalanDhanunjaya Lakkireddy

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