II. CARDIAC ARREST RHYTHMS
B. Automated External Defibrillator
The distribution of automatic external defibrillators has been widespread. The AHA recommends that all first-responding emergency personnel such as physicians, nurses, emergency medical technicians, paramedics, fire¬fighters, and volunteer emergency personnel be trained and permitted to operate a defibrillator. The defibrillator should be available in all emergency ambulances that engage in the care or transit of cardiac patients.
The automated external defibrillator automatically interprets the cardiac rhythm and, if VF is present, advises the operator to provide a shock. Because most cardiac arrests occur in the home, a case can be made for home defibrillators for patients at high risk. Their size, that of a notebook laptop computer, and costs of approximately $3000 should both decrease considerably over the next decade.
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