J Korean Soc Emerg Med.  2018 Dec;29(6):557-567. 10.0000/jksem.2018.29.6.557.

Does the placement of automated external defibrillators affect first responders' willingness to perform cardiopulmonary resuscitation in high-rise residential buildings?

• Lee DE
• Ryoo HW
• Ahn JY
• Moon S
• Kim JK
• Kim YJ
• Park JB
• Kim JH
• Lee KW
• Jin SC

• KMID: 2432045
• DOI: http://doi.org/10.0000/jksem.2018.29.6.557

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.
METHODS
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.

Keyword

Cardiopulmonary resuscitation; Defibrillator; Emergency responders; Survey and questionnaires

MeSH Terms

Cardiopulmonary Resuscitation*
Daegu
Defibrillators*
Education
Emergency Medical Technicians
Emergency Responders
Family Characteristics
Humans
Out-of-Hospital Cardiac Arrest
Surveys and Questionnaires