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J Korean Soc Emerg Med > Volume 29(6); 2018 > Article
Journal of The Korean Society of Emergency Medicine 2018;29(6): 557-567.
Does the placement of automated external defibrillators affect first responders’ willingness to perform cardiopulmonary resuscitation in high-rise residential buildings?
Dong Eun Lee1 , Hyun Wook Ryoo1 , Jae Yun Ahn1 , Sungbae Moon1 , Jong Kun Kim1 , Yun Jeong Kim1 , Jung Bae Park1 , Jung Ho Kim2 , Kyung Woo Lee3 , Sang Chan Jin4
1Department of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu, Korea
2Department of Emergency Medicine, Yeungnam University College of Medicine, Daegu, Korea
3Department of Emergency Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea
4Department of Emergency Medicine, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea
Correspondence  Hyun Wook Ryoo ,Tel: 053-200-6400, Fax: 053-428-2820, Email: ryoo@knu.ac.kr,
Received: March 12, 2018; Revised: July 30, 2018   Accepted: October 10, 2018.  Published online: December 31, 2018.
ABSTRACT
Objective:
The increasing number of people living in high-rise apartments may result in a delayed response from emergency medical technicians called out for an out-of-hospital cardiac arrest, making the role of apartment managers as the first responders extremely important. This study investigated whether automated external defibrillator (AED) placement influences the willingness of apartment managers to perform cardiopulmonary resuscitation (CPR) and use an AED.
Method:
A cross-sectional target population-based survey was conducted in Daegu, July 2016. Questionnaires were sent to apartment managers working in apartments with more than 500 households. The general characteristics of the respondents, status of CPR education, and knowledge about and willingness to perform CPR and use an AED were investigated.
Results:
Of the 1,445 respondents, 758 (52.5%) worked in apartments with AEDs, of which 77.8% and 70.8% were willing to perform CPR and use an AED, respectively, compared with 68.1% and 60.0% of respondents who worked in apartments without AEDs. After adjusting for potential confounders, AED placement was associated with the willingness to perform CPR (odds ratio [OR], 1.33; 95% confidence interval [CI], 1.04-1.71) and use an AED (OR, 1.39; 95% CI, 1.10-1.75). Prior CPR training and accurate knowledge of CPR skills were also associated with the willingness to perform CPR and use an AED.
Conclusion:
Placing AEDs in high-rise apartment buildings and providing refresher CPR education for maintaining CPR skills will be necessary to support apartment managers in their role as first responders.
Key words: Cardiopulmonary resuscitation; Defibrillator; Emergency responders; Survey and questionnaires
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