On-site Automatic External Defibrillators (AED’s) give high rates of survival after exercise-related cardiac arrest

This study confirms that there are substantially increased rates of survival following Sudden Cardiac Arrest (SCA) when Automatic External Defibrillators (AED’s) are present in a sports centre, re-enforcing the need for educational programmes aiming at making them widely available.

SCA is an issue amongst both recreational athletes and those in competitive sports. It is the leading cause of death on the field of play with exercise having been identified as trigger of lethal arrhythmias. This study has shown that the presence of an on-site AED significantly reduces the ‘time to shock’ and is an independent predictor of survival with favourable neurological outcome.

When an AED was present ‘neurologically intact’ survival rates were reported to be 93% in centres with on-site AED’s but only 9% in centres without an AED (P<0.001). The presence of an on-site AED, the presence of a shockable rhythm, early assistance from a lay bystander and time to defibrillation were all related to neurologically intact survival. The presence of on-site AED was the only independent predictor in the multivariate analysis. The use of on-site AED resulted in a lower time to first shock when compared with emergency medical system-delivered AED (3.3±1.4min vs 7.3±3.2 min; P=0.001)

In this study, more than half of the first shocks were delivered by a non-trained individual. This highlights the importance of education programmes for the football public, as well as the need for clear instructions about where AED’s are stored. The first rhythm was shockable in the majority of patients (93%) when an on-site AED was attached (compared to only 63% in sites where an AED was not on-site).

Based on this evidence FIFA’s ongoing efforts to have AED’s available on all sidelines, as well the facilitation of SCA education programmes, are essential in increasing survival rates.

To learn more about sudden cardiac arrest in the setting of sports and exercise, complete the Sudden Cardiac Arrest and Cardiology modules in the FIFA Diploma in Football Medicine.

References
Aschieri D, Penela D, Pelizzoni V, et al. Outcomes after sudden cardiac arrest in sports centres with and without on-site external defibrillators.
Heart  Published Online First: 20 February 2018. doi:10.1136/heartjnl-2017-312441.

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drlabelle
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These are, unfortunately. missing from most ice hockey arenas in the US midwest.

drlabelle
Member

These are, unfortunately. missing from most ice hockey arenas in the US midwest.

Hugo Juan Gallinari
Member

This is a good afirmation and a recognize situation for several studies that show the risk of sudden death after exercise, but really not much sport centers have the opportunity for un AED, because is very expensive, more on not first level of football competition centers.

Adamu Mohammed MAGAJI
Member
Adamu Mohammed MAGAJI

Many Training sessions and even league competitions in Nigeria don’t have on site AEDs(they only have standby equipped Ambulances), indeed I am making efforts to submit a proposal to my State’s Football Association to ensure the procurement and distribution of such life saving devices starting with the league matches for starters! I am waiting to get my FIFA diploma!!

Adamu Mohammed MAGAJI
Member
Adamu Mohammed MAGAJI

It is not only USA that doesnt comply, I think more advocacy is needed and targeted for sports administrators and associations!

Bangoura
Guest

La FIFA recommande à toutes les associations l utilisation d un DÉFIBRILLATEUR pendant les séances d entraînement et les compétitions pour réduire les morts subites
Un massage cardiaque une respiration bouché à bouche ne peuvent pas remplacer un DÉFIBRILLATEUR
Nous avons perdu assez de sportifs dans les terrains par manque d appareil adéquat
C est pourquoi il est recommander aujourd hui de faire un ECG et un DOPPLER CARDIAQUE pour tous les sportifs pour dépister une eventuelle anomalie cardiaque

Bangoura
Guest

La FIFA recommande à toutes les associations l utilisation d un DÉFIBRILLATEUR pendant les séances d entraînement et les compétitions pour réduire les morts subites
Un massage cardiaque une respiration bouché à bouche ne peuvent pas remplacer un DÉFIBRILLATEUR
Nous avons perdu assez de sportifs dans les terrains par manque d appareil adéquat
C est pourquoi il est recommander aujourd hui de faire un ECG et un DOPPLER CARDIAQUE pour tous les sportifs pour dépister une eventuelle anomalie cardiaque

NELSON BOLIVAR
Member
NELSON BOLIVAR

SOU MÉDICO DESPORTIVO EM ANGOLA NA EQUIPA DO PETRO ATLÉTICO DE LUANDA “APL” FELIZMENTE TEMOS DESFIBRILADOR E TODOS NOSSOS ATLETAS SAO SUBMETIDOS A EXAMES MÉDICOS DE INICIO DE ÉPOCA DA BASE AO PROFISSIONAL. OS EXAMES AS EQUIPAS DE FORMAÇÁO FAZEMOS ESSENCIALMENTE EXAMES LABORATORIAIS ECG E UM RX. DEPENDENDO DO RESULTADO DESSES EXAMES SAO SOLICITADOS OUTROS SE ASITUAÇAO ASSIM EXIGIR