Ventricular fibrillation and the use of automated external defibrillators on children

David Markenson, Lee Pyles, Steve Neish, Steven E. Krug, Thomas Bojko, Margaret A. Dolan, Karen S. Frush, Patricia J. O'Malley, Robert E. Sapien, Kathy N. Shaw, Joan Shook, Paul E. Sirbaugh, Loren G. Yamamoto, Jane Ball, Kathleen Brown, Kim Bullock, Dan Kavanaugh, Sharon E. Mace, Susan Eads Role, David W. TuggleTina Turgel, Susan Tellez, Robert H. Beekman, Peter B. Manning, Seema Mital, William R. Morrow, Frank M. Galioto, Thomas K. Jones, Gerard R. Martin, Reginald L. Washington, Lynn Colegrove

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

The use of automated external defibrillators (AEDs) has been advocated in recent years as a part of the chain of survival to improve outcomes for adult cardiac arrest victims. When AEDs first entered the market, they were not tested for pediatric usage and rhythm interpretation. In addition, the presumption was that children do not experience ventricular fibrillation, so they would not benefit from use of AEDs. Recent literature has shown that children do experience ventricular fibrillation, and this rhythm has a better outcome than do other cardiac arrest rhythms. At the same time, the arrhythmia software on AEDs has become more extensive and validated for children, and attenuation devices have become available to downregulate the energy delivered by AEDs to allow their use in children. Pediatricians are now being asked whether AED programs should be implemented, and where they are being implemented, pediatricians are being asked to provide guidance on the use of AEDs in children. As AED programs expand, pediatricians must advocate on behalf of children so that their needs are accounted for in these programs. For pediatricians to be able to provide guidance and ensure that children are included in AED programs, it is important for pediatricians to know how AEDs work, be up-to-date on the literature regarding pediatric fibrillation and energy delivery, and understand the role of AEDs as life-saving interventions for children.

Original languageEnglish (US)
Pages (from-to)e1368-e1379
JournalPediatrics
Volume120
Issue number5
DOIs
StatePublished - Nov 2007

Keywords

  • Automated external defibrillator
  • Cardiac resuscitation
  • Emergency medical services
  • School emergency care
  • Ventricular fibrillation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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