What's the AHA position on placement of AEDs?
The AHA strongly advocates that all EMS
first-response vehicles and ambulances be equipped with an AED or
another defibrillation device (semiautomatic or manual defibrillator).
The AHA also supports placing AEDs in targeted public areas such as
sports arenas, gated communities, office complexes, doctor's offices,
shopping malls, etc. When AEDs are placed in the community or a business
or facility, the AHA strongly encourages that they be part of a
defibrillation program in which:
- Persons that acquire an AED notify the local EMS
office.
- A licensed physician or medical authority
provides medical oversight to ensure quality control.
- Persons responsible for using the AED are trained
in CPR and how to use an AED.
Why is notifying the local
EMS office important?
It's important for the local EMS system to
know where AEDs are located in the community. In the event of a sudden
cardiac arrest emergency, the 9-1-1 dispatcher will know if an AED is on
the premises and will be able to notify the EMS system as well as the
responders already on the scene.
Why should a licensed
physician or medical authority be involved with purchasers of AEDs?
This is a quality control mechanism. The licensed physician or
medical authority will ensure that all designated responders are
properly trained and that the AED is properly maintained. He or she also
can help establishments develop an emergency response plan for the AED
program.
Why should people who are
responsible for operating an AED receive CPR training?
Early CPR is an integral part of providing
lifesaving aid to people suffering sudden cardiac arrest. CPR helps to
circulate oxygen-rich blood to the brain. After the AED is attached
and delivers a shock, the typical AED will prompt the operator to
continue CPR while the device continues to analyze the victim.
If AEDs are so easy to use,
why do people need formal training in how to use them?
An AED operator must know how to recognize the
signs of a sudden cardiac arrest, when to activate the EMS system, and
how to do CPR. It's also important for operators to receive formal
training on the AED model they will use so that they become familiar
with the device and are able to successfully operate it in an emergency.
Training also teaches the operator how to avoid potentially hazardous
situations.
Can anyone buy an AED?
AEDs are manufactured and sold under guidelines approved by the Food
and Drug Administration (FDA). The FDA may require someone who purchases
an AED to present a physician's prescription for the device.
My health club has identified
a member physician willing to purchase an AED for the club. What's the
first step in the process?
Your local EMS system can help you find out about local and state
protocols and requirements for AED training and use.
The police are the first
responders in my community. Officials are reluctant to have them carry
and use AEDs for fear of potential litigation. What legislation is
currently in effect to protect first responders who use an AED?
If the person is a trained and licensed medical first responder
(MFR), an established standard of care is outlined in the law, and those
operating within these guidelines are protected under these laws. These
same guidelines pertain to the personnel in your EMS system. If they are
not trained and licensed MFRs, check the state laws to determine if lay
rescuers are given limited liability immunity. If not, they may not be
protected from litigation. Agencies should seek legal counsel before
implementing a defibrillation program.
How much does an AED cost?
The price of an AED varies by make and model. Most AEDs cost between
$1,200–$2,000.
What steps should an organization
take to buy an AED for its premises?
Any person or entity wanting to buy an AED may first need to get a
prescription from a physician. The AED should be placed for use within
an AED program that includes these elements:
- Training of all users in CPR and operation of an
AED (this can be achieved through the AHA's Heartsaver AED Course).
- Physician oversight to ensure appropriate
maintenance and use of the AED.
- Notifying local EMS of the type and location of
AED(s).
Can AEDs be used on
children?
Children over 8 years can be treated with
a standard AED. The AHA recommends the pediatric attenuated pads which
are purchased separately, for children 1-8 years or age.
Which AED model does the AHA
recommend?
The AHA does not recommend a specific device.
All AED models have similar features, but the slight differences allow
them to meet a variety of needs. The AHA encourages potential buyers to
consider all models and make a selection based on the buyer's particular
needs. The local EMS system can help you with this decision.
Training
How can I enroll in a CPR or
AED class?
The American Heart Association offers CPR and
AED training through its network of Training Centers. To locate a
Training Center near you, call 1-877-AHA-4CPR, or use our online
class finder.
What kind of training on AEDs
is available?
The AHA has developed a new Heartsaver AED Course that integrates
CPR and AED training. The course is less than four hours long.