Richardson, LD, Gunnels, MD, Groh, WJ, Peberdy, MA, Pennington, S, Wilets, I, Campbell, V, Van Ottingham, L, McBurnie, MA, Ornato, JP, Weisfeldt, M, Sayre, MR, Riegel, B, Vijayaraghavan, K, Mattioni, T, Williams, C, Anton, AR, Jones, CD, Yahn, S, Rabel, D, O'Connor, RE, McGraw, P, Bollinger, M, Megargel, RE, Hallstrom, AP, Greene, HL, Powell, J, Birnbaum, A, Ledingham, RB, Moore, R, Morris, M, Scholz, M, Kerr, A, Lambrew, CT, Goff, DC, McCullough, L, Gonzales, L, Feldman, HA, Braslow, A, Craven, RA, Bosken, LA, Burke, P, Paulsen, J, Newton, G, Nichol, G, Wells, G, Huszti, E, Rokosh, J, Morris, D, Kuntz, K, Mahoney, BD, Knudson-Ballard, R, Vasquez, G, Groh, WJ, Cordes, D, Bondurant, SJ, Weil, MH, Mann, NC, Shaum, B, Brown, K, Jacobsen, K, Sehra, R, Aufderheide, TP, Pirrallo, RG, Conrad, CJ, Kitscha, DJ, Sparks, CW, Von Briesen, C, Deja, KA, Lestarge, MM, Janisch, RW, Schmidt, SS, Parmenter, L, Grabowski, L, Ehrlich, S, Haynes, B, Asbury, L, Amaya, M, Holohan, J, Ehlert, F, Freyberg, C, Richmond, N, Shields, C, Schron, EB, Fleg, J, Domanski, MJ, Proschan, M, Rosenberg, Y, O'Neill, L, Simons-Morton, D, Salive, ME, Daya, M, Gunnels, MD, Hedges, JR, Jui, J, Schmidt, T, Wittwer, L, Brooks, H, Burke, C, Griffiths, D, Osur, M, MacGavin, B, Myrin, B, Cummins, RO, Doherty, A, Thompson, S, Wood, S, Christenson, J, Pennington, S, Holmes, A, Payne, H, Webb, R, Douglas, N, Lawson, P, Henry, MC, Johnson, S, Thode, H, Stapleton, ER, Reed, DB, Brown, LH, Evans, LM, Varghese, PJ, Lucas, R, Terndrup, TE, Stephens, S, Nafziger, S, Sanford, J, Feeny, D, Travers, A, Panylyk, A, Irwin, K, Heisz, B, Becker, LB, Barry, A, Demertsidis, E, Van Zile, J, Grimmelsman, C, Nolting, L, Mosesso, VN, Slater, BK, Campbell, VJ, Hostler, D, Overton, J, Schaffer, K, Zalenski, R, Compton, S, Dunne, R, Swor, R, Welch, R, Mango, LM & Bilicki, K 2005, 'Implementation of community-based public access defibrillation in the PAD trial', Academic Emergency Medicine, vol. 12, n.º 8, pp. 688-697. https://doi.org/10.1197/j.aem.2005.03.525
@article{788aaf36d77b429e9d5ed8c701cf18c3,
title = "Implementation of community-based public access defibrillation in the PAD trial",
abstract = "Background: The Public Access Defibrillation (PAD) Trial was a randomized, controlled trial designed to measure survival to hospital discharge following out-of-hospital cardiac arrest (OOH-CA) in community facilities trained and equipped to provide PAD, compared with community facilities trained to provide cardiopulmonary resuscitation (CPR) without any capacity for defibrillation. Objectives: To report the implementation of community-based lay responder emergency response programs in 1,260 participating facilities recruited for the PAD Trial in the United States and Canada. Methods: This was a descriptive study of the characteristics of participating facilities, volunteers, and automated external defibrillator (AED) placements compiled by the PAD Trial, and a qualitative study of factors that facilitated or impeded implementation of emergency lay responder programs using focus groups of PAD Trial site coordinators. Results: The PAD Trial enrolled 1,260 community facilities (14.8% residential), with 20,400 lay volunteers (mean ± standard deviation = 13.4 ± 10.7 per facility) trained to respond to OOH-CA. The 598 locations randomized to receive AEDs required 2.7 ± 1.8 AEDs per facility. Volunteer attrition was high, 36% after two years. Barriers to recruitment and implementation included identification of appropriate {"}at-risk{"} facilities, lack of interest or fear of litigation by a facility key decision maker, lack of motivated potential volunteer responders, training and retraining resource requirements, and lack of an existing communication/response infrastructure. Conclusions: These data indicate that implementation of community-based lay responder programs is feasible in many types of facilities, although these programs require substantial resources and commitment, and many barriers to implementation of effective PAD programs exist.",
author = "Richardson, {Lynne D.} and Gunnels, {Mary D.} and Groh, {William J.} and Peberdy, {Mary Ann} and Sarah Pennington and Ilene Wilets and Venard Campbell and {Van Ottingham}, Lois and McBurnie, {Mary Ann} and Ornato, {Joseph P.} and Myron Weisfeldt and Sayre, {Michael R.} and Barbara Riegel and Krishnaswami Vijayaraghavan and Thomas Mattioni and Claudia Williams and Anton, {Andy R.} and Jones, {Constance D.} and Stephen Yahn and Dennis Rabel and O'Connor, {Robert E.} and Patricia McGraw and Melissa Bollinger and Megargel, {Ross E.} and Hallstrom, {Alfred P.} and Greene, {H. Leon} and Judy Powell and Alice Birnbaum and Ledingham, {Robert B.} and Richard Moore and Mary Morris and Margit Scholz and Art Kerr and Lambrew, {Costas T.} and Goff, {David C.} and Laurence McCullough and Louis Gonzales and Feldman, {Henry A.} and Allan Braslow and Craven, {Richard A.} and Bosken, {Lois A.} and Patricia Burke and Judith Paulsen and Gary Newton and Graham Nichol and George Wells and Ella Huszti and Jennifer Rokosh and Debbie Morris and Karen Kuntz and Mahoney, {Brian D.} and Rachel Knudson-Ballard and George Vasquez and Groh, {William J.} and Deb Cordes and Bondurant, {Susan J.} and Weil, {Max Harry} and Mann, {N. Clay} and Brent Shaum and Kimberlee Brown and Kammy Jacobsen and Ruchir Sehra and Aufderheide, {Tom P.} and Pirrallo, {Ronald G.} and Conrad, {Craig J.} and Kitscha, {David J.} and Sparks, {Christopher W.} and {Von Briesen}, Chris and Deja, {Kimberly A.} and Lestarge, {Marge M.} and Janisch, {Richard W.} and Schmidt, {Sandra S.} and Lisa Parmenter and Laura Grabowski and Stephen Ehrlich and Bruce Haynes and Linda Asbury and Margaret Amaya and Jennifer Holohan and Frederick Ehlert and Christopher Freyberg and Neal Richmond and Christopher Shields and Schron, {Eleanor B.} and Jerome Fleg and Domanski, {Michael J.} and Michael Proschan and Yves Rosenberg and Lisa O'Neill and Denise Simons-Morton and Salive, {Marcel E.} and Mohamud Daya and Gunnels, {Mary D.} and Hedges, {Jerris R.} and Jonathan Jui and Terri Schmidt and Lynn Wittwer and Heather Brooks and Christopher Burke and Denise Griffiths and Michael Osur and Brian MacGavin and Britta Myrin and Cummins, {Richard O.} and Alidene Doherty and Sue Thompson and Sue Wood and Jim Christenson and Sarah Pennington and Allan Holmes and Heather Payne and Roland Webb and Nadia Douglas and Patricia Lawson and Henry, {Mark C.} and Scott Johnson and Henry Thode and Stapleton, {Edward R.} and Reed, {David B.} and Brown, {Lawrence H.} and Evans, {Lisa M.} and Varghese, {P. Jacob} and Ray Lucas and Terndrup, {Thomas E.} and Shannon Stephens and Sarah Nafziger and Janyce Sanford and David Feeny and Andrew Travers and Adrian Panylyk and Kathryn Irwin and Brenda Heisz and Becker, {Lance B.} and Anne Barry and Ellen Demertsidis and {Van Zile}, Jonathan and Christine Grimmelsman and Laura Nolting and Mosesso, {Vince N.} and Slater, {Brian K.} and Campbell, {Venard J.} and David Hostler and Jerry Overton and Kelly Schaffer and Robert Zalenski and Scott Compton and Robert Dunne and Robert Swor and Robert Welch and Mango, {Lynn Marie} and Kristen Bilicki",
note = "Funding Information: Supported by Contract #N01–HC–95177 from the National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD; American Heart Association, Dallas, TX; Medtronic, Incorporated, Minneapolis, MN; Guidant Foundation, Indianapolis, IN; Cardiac Science/SurVivaLink, Incorporated, Minneapolis, MN; Medtronic Physio-Control Corporation, Redmond, WA; Philips Medical Systems/Heartstream, Seattle, WA; and Laerdal Medical Corporation, Wappingers Falls, NY. ",
year = "2005",
month = aug,
doi = "10.1197/j.aem.2005.03.525",
language = "English",
volume = "12",
pages = "688--697",
journal = "Academic Emergency Medicine",
issn = "1069-6563",
publisher = "Wiley-Blackwell",
number = "8",
}
TY - JOUR
T1 - Implementation of community-based public access defibrillation in the PAD trial
AU - Richardson, Lynne D.
AU - Gunnels, Mary D.
AU - Groh, William J.
AU - Peberdy, Mary Ann
AU - Pennington, Sarah
AU - Wilets, Ilene
AU - Campbell, Venard
AU - Van Ottingham, Lois
AU - McBurnie, Mary Ann
AU - Ornato, Joseph P.
AU - Weisfeldt, Myron
AU - Sayre, Michael R.
AU - Riegel, Barbara
AU - Vijayaraghavan, Krishnaswami
AU - Mattioni, Thomas
AU - Williams, Claudia
AU - Anton, Andy R.
AU - Jones, Constance D.
AU - Yahn, Stephen
AU - Rabel, Dennis
AU - O'Connor, Robert E.
AU - McGraw, Patricia
AU - Bollinger, Melissa
AU - Megargel, Ross E.
AU - Hallstrom, Alfred P.
AU - Greene, H. Leon
AU - Powell, Judy
AU - Birnbaum, Alice
AU - Ledingham, Robert B.
AU - Moore, Richard
AU - Morris, Mary
AU - Scholz, Margit
AU - Kerr, Art
AU - Lambrew, Costas T.
AU - Goff, David C.
AU - McCullough, Laurence
AU - Gonzales, Louis
AU - Feldman, Henry A.
AU - Braslow, Allan
AU - Craven, Richard A.
AU - Bosken, Lois A.
AU - Burke, Patricia
AU - Paulsen, Judith
AU - Newton, Gary
AU - Nichol, Graham
AU - Wells, George
AU - Huszti, Ella
AU - Rokosh, Jennifer
AU - Morris, Debbie
AU - Kuntz, Karen
AU - Mahoney, Brian D.
AU - Knudson-Ballard, Rachel
AU - Vasquez, George
AU - Groh, William J.
AU - Cordes, Deb
AU - Bondurant, Susan J.
AU - Weil, Max Harry
AU - Mann, N. Clay
AU - Shaum, Brent
AU - Brown, Kimberlee
AU - Jacobsen, Kammy
AU - Sehra, Ruchir
AU - Aufderheide, Tom P.
AU - Pirrallo, Ronald G.
AU - Conrad, Craig J.
AU - Kitscha, David J.
AU - Sparks, Christopher W.
AU - Von Briesen, Chris
AU - Deja, Kimberly A.
AU - Lestarge, Marge M.
AU - Janisch, Richard W.
AU - Schmidt, Sandra S.
AU - Parmenter, Lisa
AU - Grabowski, Laura
AU - Ehrlich, Stephen
AU - Haynes, Bruce
AU - Asbury, Linda
AU - Amaya, Margaret
AU - Holohan, Jennifer
AU - Ehlert, Frederick
AU - Freyberg, Christopher
AU - Richmond, Neal
AU - Shields, Christopher
AU - Schron, Eleanor B.
AU - Fleg, Jerome
AU - Domanski, Michael J.
AU - Proschan, Michael
AU - Rosenberg, Yves
AU - O'Neill, Lisa
AU - Simons-Morton, Denise
AU - Salive, Marcel E.
AU - Daya, Mohamud
AU - Gunnels, Mary D.
AU - Hedges, Jerris R.
AU - Jui, Jonathan
AU - Schmidt, Terri
AU - Wittwer, Lynn
AU - Brooks, Heather
AU - Burke, Christopher
AU - Griffiths, Denise
AU - Osur, Michael
AU - MacGavin, Brian
AU - Myrin, Britta
AU - Cummins, Richard O.
AU - Doherty, Alidene
AU - Thompson, Sue
AU - Wood, Sue
AU - Christenson, Jim
AU - Pennington, Sarah
AU - Holmes, Allan
AU - Payne, Heather
AU - Webb, Roland
AU - Douglas, Nadia
AU - Lawson, Patricia
AU - Henry, Mark C.
AU - Johnson, Scott
AU - Thode, Henry
AU - Stapleton, Edward R.
AU - Reed, David B.
AU - Brown, Lawrence H.
AU - Evans, Lisa M.
AU - Varghese, P. Jacob
AU - Lucas, Ray
AU - Terndrup, Thomas E.
AU - Stephens, Shannon
AU - Nafziger, Sarah
AU - Sanford, Janyce
AU - Feeny, David
AU - Travers, Andrew
AU - Panylyk, Adrian
AU - Irwin, Kathryn
AU - Heisz, Brenda
AU - Becker, Lance B.
AU - Barry, Anne
AU - Demertsidis, Ellen
AU - Van Zile, Jonathan
AU - Grimmelsman, Christine
AU - Nolting, Laura
AU - Mosesso, Vince N.
AU - Slater, Brian K.
AU - Campbell, Venard J.
AU - Hostler, David
AU - Overton, Jerry
AU - Schaffer, Kelly
AU - Zalenski, Robert
AU - Compton, Scott
AU - Dunne, Robert
AU - Swor, Robert
AU - Welch, Robert
AU - Mango, Lynn Marie
AU - Bilicki, Kristen
N1 - Funding Information:
Supported by Contract #N01–HC–95177 from the National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD; American Heart Association, Dallas, TX; Medtronic, Incorporated, Minneapolis, MN; Guidant Foundation, Indianapolis, IN; Cardiac Science/SurVivaLink, Incorporated, Minneapolis, MN; Medtronic Physio-Control Corporation, Redmond, WA; Philips Medical Systems/Heartstream, Seattle, WA; and Laerdal Medical Corporation, Wappingers Falls, NY.
PY - 2005/8
Y1 - 2005/8
N2 - Background: The Public Access Defibrillation (PAD) Trial was a randomized, controlled trial designed to measure survival to hospital discharge following out-of-hospital cardiac arrest (OOH-CA) in community facilities trained and equipped to provide PAD, compared with community facilities trained to provide cardiopulmonary resuscitation (CPR) without any capacity for defibrillation. Objectives: To report the implementation of community-based lay responder emergency response programs in 1,260 participating facilities recruited for the PAD Trial in the United States and Canada. Methods: This was a descriptive study of the characteristics of participating facilities, volunteers, and automated external defibrillator (AED) placements compiled by the PAD Trial, and a qualitative study of factors that facilitated or impeded implementation of emergency lay responder programs using focus groups of PAD Trial site coordinators. Results: The PAD Trial enrolled 1,260 community facilities (14.8% residential), with 20,400 lay volunteers (mean ± standard deviation = 13.4 ± 10.7 per facility) trained to respond to OOH-CA. The 598 locations randomized to receive AEDs required 2.7 ± 1.8 AEDs per facility. Volunteer attrition was high, 36% after two years. Barriers to recruitment and implementation included identification of appropriate "at-risk" facilities, lack of interest or fear of litigation by a facility key decision maker, lack of motivated potential volunteer responders, training and retraining resource requirements, and lack of an existing communication/response infrastructure. Conclusions: These data indicate that implementation of community-based lay responder programs is feasible in many types of facilities, although these programs require substantial resources and commitment, and many barriers to implementation of effective PAD programs exist.
AB - Background: The Public Access Defibrillation (PAD) Trial was a randomized, controlled trial designed to measure survival to hospital discharge following out-of-hospital cardiac arrest (OOH-CA) in community facilities trained and equipped to provide PAD, compared with community facilities trained to provide cardiopulmonary resuscitation (CPR) without any capacity for defibrillation. Objectives: To report the implementation of community-based lay responder emergency response programs in 1,260 participating facilities recruited for the PAD Trial in the United States and Canada. Methods: This was a descriptive study of the characteristics of participating facilities, volunteers, and automated external defibrillator (AED) placements compiled by the PAD Trial, and a qualitative study of factors that facilitated or impeded implementation of emergency lay responder programs using focus groups of PAD Trial site coordinators. Results: The PAD Trial enrolled 1,260 community facilities (14.8% residential), with 20,400 lay volunteers (mean ± standard deviation = 13.4 ± 10.7 per facility) trained to respond to OOH-CA. The 598 locations randomized to receive AEDs required 2.7 ± 1.8 AEDs per facility. Volunteer attrition was high, 36% after two years. Barriers to recruitment and implementation included identification of appropriate "at-risk" facilities, lack of interest or fear of litigation by a facility key decision maker, lack of motivated potential volunteer responders, training and retraining resource requirements, and lack of an existing communication/response infrastructure. Conclusions: These data indicate that implementation of community-based lay responder programs is feasible in many types of facilities, although these programs require substantial resources and commitment, and many barriers to implementation of effective PAD programs exist.
UR - http://www.scopus.com/inward/record.url?scp=22544482961&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=22544482961&partnerID=8YFLogxK
U2 - 10.1197/j.aem.2005.03.525
DO - 10.1197/j.aem.2005.03.525
M3 - Article
C2 - 16079421
AN - SCOPUS:22544482961
SN - 1069-6563
VL - 12
SP - 688
EP - 697
JO - Academic Emergency Medicine
JF - Academic Emergency Medicine
IS - 8
ER -