AEDs at Sea - @ JEMS.com


AEDs at Sea

Street Science


 
 

Keith Wesley | | Tuesday, June 26, 2007


Review of: de Vries W, Bierens J, Maas M: "Moderate sea states do not influence the application of an AED in rigid inflatable boats." Resuscitation. 70(2):247-253, 2006.

The Science

Some studies seem designed to bust myths as much as to answer a serious scientific question. The Royal Netherlands Sea Rescue Institution wanted to examine whether or not and how well various AEDs would operate in the event they were used at sea. They tested several models using three sizes of watercraft, including an open inflatable RIB design. While the seas were described as calm, the waves averaged about one foot. The authors used a manikin with a simulator and crossed the seas at various angles to introduce as much bounce in the boat as possible.

They discovered that all AEDs were able to recognize NSR and VT/VT and deliver a shock as indicated. All AEDs got wet to some degree and continued to function. The authors did find that some models were faster than others to analyze, charge and shock, and some makes had more easily understood voice prompts in the noisy environment.

The Street

Why do most service protocols require the ambulance to pull over to the side of the road when using the AED to analyze and defibrillate? Is this a holdover from the early AEDs that were more susceptible to motion artifact? Is it an unfounded fear in the possibility of defibrillating a rescuer?

If AEDs function properly in the bumpy ride of a fast moving boat at sea, they should work just as well in the back of an ambulance moving at a reasonable speed over paved roads. Perhaps it is time to do a similar study in the ambulance to prove this, so that we can stop the time wasting process of pulling over to the side of a road to defibrillate.




Connect: Have a thought or feedback about this? Add your comment now
Related Topics: Cardiac and Circulation, Research

What's Your Take? Comment Now ...

Buyer's Guide Featured Companies

Featured Careers & Jobs in EMS

Get JEMS in Your Inbox

 

Fire EMS Blogs


Blogger Browser

Today's Featured Posts

 

EMS Airway Clinic

Innovation & Advancement

This is the seventh year of the EMS 10 Innovators in EMS program, jointly sponsored by Physio-Control and JEMS.
More >

Multimedia Thumb

Glendale Firefighters Suspended for Punching Patient

Excessive force was used on a combative patient.
Watch It >


Multimedia Thumb

Vancouver Chemical Fire Causes Major Response

Hazmat incident sends smoke over port neighborhood.
Watch It >


Multimedia Thumb

Salt Lake City Firefighters Injured in Firehouse Fire

Nine sent to a hospital with smoke inhalation.
Watch It >


Multimedia Thumb

Pennsylvania Paramedic Killed in the Line of Duty

West End Ambulance medic killed at accident scene.
Watch It >


Multimedia Thumb

Plane Skids off Runway at LaGuardia Airport

Delta flight stops just short of Flushing Bay
More >


Multimedia Thumb

Rigs Going in Service from EMS Today 2015

Snap shots of some of the vehicles at EMS Today that will be on the streets soon
More >


Multimedia Thumb

LMA MAD Nasal™

Needle-free intranasal drug delivery.
Watch It >


Multimedia Thumb

Braun Ambulances' EZ Door Forward

Helps to create a safer ambulance module.
Watch It >


Multimedia Thumb

Field Bridge Xpress ePCR on iPad, Android, Kindle Fire

Sneak peek of customizable run forms & more.
Watch It >


More Product Videos >