Cardiac Arrest in Medical and Dental Practices
Implications for Automated External Defibrillators
Linda Becker, MA;
Mickey Eisenberg, MD, PhD;
Carol Fahrenbruch, MSPH;
Leonard Cobb, MD
Arch Intern Med. 2001;161:1509-1512.
Background To determine the need for placing automated external defibrillators
(AEDs) in medical and dental practices, we identified cardiac arrests at these
locations.
Methods Locations of cardiac arrest were abstracted from Emergency Medical Services
data from January 1, 1990, through December 31, 1996. We calculated the annual
incidence of cardiac arrest per type of practice.
Results There were 142 cardiac arrests in medical or dental practices. Dialysis
centers had a relatively high incidence of cardiac arrest ( 0.746 per practice
annually). Cardiology, internal and family medicine, and urgent care centers
had a medium incidence (0.01 per practice annually). All other medical
and dental practices had a low incidence ( 0.002 annually).
Conclusions Placement of 779 AEDs in the high- and medium-incidence practices would
have provided treatment for 112 patients with cardiac arrest in 7 years. To
provide for the 16 cardiac arrests in low-incidence practices, an additional
1928 AEDs would be required.
From the Emergency Medical Services Division, Seattle–King County
Department of Public Health (Ms Becker and Dr Eisenberg), and the Department
of Medicine, University of Washington (Drs Eisenberg and Cobb and Ms Fahrenbruch),
Seattle, Wash.
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