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A program encouraging early defibrillation results in improved in-hospital resuscitation efficacy

A. Maziar Zafari, MD, PhD, FACC^*,, Susan K. Zarter, RN, Vicki Heggen, RN, Patricia Wilson, RN, MSN, Regina A. Taylor, RN, Kiran Reddy, BA^*,, Andrea G. Backscheider, PhD and Samuel C. Dudley, Jr, MD, PhD, FACC^*,,*

^* Emory University School of Medicine, Department of Medicine, Division of Cardiology, Atlanta, Georgia, USA
Atlanta Veterans Administration Medical Center, Division of Cardiology, Atlanta, Georgia, USA
Atlanta Veterans Administration Medical Center, Health Services Research and Development, Atlanta, Georgia, USA

View larger version (50K): [in a new window]   Figure 1 The percentage of arrest victims alive at discharge as a function of year. The percentage of patients surviving to discharge was greater after a program encouraging early defibrillation was instituted in 2001.

View larger version (32K): [in a new window]   Figure 2 The percentage of the arrest victims presenting with pulseless ventricular tachycardia or ventricular fibrillation alive at discharge as a function of year. The percentage of patients presenting with life-threatening rhythms surviving to discharge was greater after a program encouraging early defibrillation was instituted in 2001.

View larger version (54K): [in a new window]   Figure 3 The percentage of survivors among patients receiving defibrillation with various types of devices. In the hospital setting, automated external defibrillators (AED) appeared equally effective to manual biphasic defibrillators but superior to manual monophasic defibrillators.