Automatic External Defibrillation (AED)
What is the automated external defibrillation?
The automated external defibrillation is the application of an external electric current at chest level in a patient in a state of ventricular (or atrial) fibrillation through their own electronic equipment - AED - aiming to stop the arrhythmia that prevents muscle contraction heart and restore the heart rhythm and blood circulation.
What is an Automated External Defibrillator (AED)?
An AED is an electronic device specially designed to be able to be operated out of the non-medical hospital, take automatic readings of rhythm and cardiac conditions and apply the electrical discharges, if advisable, to restore or reorganize the heart rate in arrest situations cardiorespiratory (PCR) with ventricular fibrillation (present in 90% of cases of PCR).
What is the importance of automated external defibrillation?
Cardiovascular disease is of outstanding leadership in the morbidity and mortality of the population of the western world. Most preventable deaths is associated with heart disease and occurs outside of hospitals.
Ventricular fibrillation is the most frequent mechanism of cardiac arrest of cardiac origin and its only effective treatment is electrical defibrillation. In these cases, the probability of survival is greater the shorter the time between fibrillation and defibrillation.
International experience shows that in extra-hospital environment, the use of automated external defibrillators (AEDs) by non-medical personnel significantly increases the probability of survival of victims. In places where the AED Program (PAED) provides immediate CPR and the first shock within 3 minutes after cardiac arrest survival rate for ventricular fibrillation is greater than 74%, compared to only 5% success rate in places without PAED.
Anyone can use an AED?
According to this decree-law No. 188/2009, the act of defibrillation, even if accomplished through automatic defibrillators, can only be performed by non-medical delegation by a physician, under its supervision and provided integrated automatic external defibrillation program(PAED) previously licensed by INEM, IP
What is the National Program for Automatic External Defibrillation?
The National Program for Automatic External Defibrillation (PNDAE) was developed by the regulatory authority responsible, the National Medical Emergency Institute, IP (INEM), after the publication of Decree-Law 188/2009 of 12 August which established the rules for the use of AEDs by non-medical personnel in non-hospital environment as well as the necessary requirements for the licensing of the AED programs, which is required for the installation and use of AEDs equipment.
Who can implement an AED program?
Any private institution and / or public legitimately concerned with the response to possible cases of cardiac arrest can implement its program of automatic defibrillation, provided it complies with the essential requirements for the licensing of an AED program.
What are the requirements for the licensing of an AED program?
The global solutions that SAFE AID provides in this area, permit compliance without worries and with the lowest possible investment, all the requirements necessary to implement and maintain a program:
- Existence of a doctor responsible for the AED program;
- The doctor in charge of the AED program must have relevant experience in emergency or emergency and / or specialty in cardiology, critical care medicine and anesthesiology;
- Existence of AED devices licensed by Infarmed;
- Depending on the nature of the program, there must be operating AEDs in sufficient numbers (able to give timely response) to ensure the operating period of the AED program;
- The training in BLS and AED has to be provided by entities / schools accredited by INEM;
- Existence of a training supervisor to keep the program needs;
- Existence of records of all uses of AEDs and that these have features that allow further analysis of these uses;
- Existence of a permanent quality control of all the program stages.
Who is required to install the AEDs?
The Decree of August 8 184/2012 came make mandatory the installation of AED equipment in certain public places and commercial establishments relevant dimension:
- Retail establishments, separately or included in commercial collections, which have a sales area less than 2000 m2;
- Commercial complexes that have a gross leasable area with more than 8000 m2;
- Commercial Airports and Ports;
- Railway stations, metro and trucking, with an average daily flow greater than 10 000 passengers;
- Sports facilities, leisure and recreation, with more than 5000 people capacity.
The entities responsible have a period until the day August 31, 2014 for full compliance with the provisions of the statute. |
