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Journal of Occupational & Environmental Medicine:
doi: 10.1097/JOM.0000000000000042
Original Articles

Use of Automated External Defibrillators in US Federal Buildings: Implementation of the Federal Occupational Health Public Access Defibrillation Program

Kilaru, Austin S. BA; Leffer, Marc MD, MPH; Perkner, John DO, MSPH; Sawyer, Kate Flanigan MD, MPH; Jolley, Chandra E. BSN, RN; Nadkarni, Lindsay D. BA; Shofer, Frances S. PhD; Merchant, Raina M. MD, MSHP

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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.

Copyright © 2014 by the American College of Occupational and Environmental Medicine

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