AEDs in the Wild?

What do you do after you've defibrillated? Mask ventilate? Intubate? Start an epi infusion?

My suggestion would be to begin by researching state law as it applies to AED use.

Can boaters three weeks off shore call the air force for transport to a hospital? A defibrillator could be useful in a very specific situation where the person was otherwise fairly healthy and arrested with a shockable rhythm and a cause that's easily reversible on the boat (an obstructed airway causing hypoxia?) or the ability to get to a higher level of care in a timely fashion. The likelihood of any boater encountering that is slim.

To be honest, when I see AEDs in grocery stores, churches, schools, and parks around the area I live in I wonder how often any of these get used. Like across the US. I live in a wealthy suburban area with an average EMS response time

I'm not berating AEDs by any means. I just think the situations they're most useful in is when ems will be there soon but not very soon.

When encountering AEDs that have not been domesticated, remember that they will attack if feeling threatened. If you're traveling to an area native to AEDs, be prepared. Ensure that your food is hidden and covered at all times. Consider wearing something to mask your natural scent. And please, don't approach them.

When encountering AEDs that have not been domesticated, remember that they will attack if feeling threatened. If you're traveling to an area native to AEDs, be prepared. Ensure that your food is hidden and covered at all times. Consider wearing something to mask your natural scent. And please, don't approach them.

Too funny.

I've heard that most successful layperson aed use is in the airport... maybe it has to do with the availability of them everywhere. I also know of running groups keeping one on hand.

In one of the immunization clinics I worked for, they would describe people who want certain immunizations even if the risk of catching that disease/benefitting from immunization is low as "risk adverse" and "desiring maximal preparation". In the case of aeds, if people have the money to spend, it's no skin off my back.

early shocks save lives. the more there are available I'm for it.

I think they might be more useful for a drowning or electrocution vs. an MI — if someone having an MI is that far from the beaten path, the defib might be only a temporary help and not enough to get them to where they need to be. But I do know you can get a "home" AED for about $1K on Amazon. Hmmmmmm. Interesting topic!

My experience has been in CCU and cardiac surgery ICU. The ACLS scenerio for drowning (at least the last few times I've certified) specifies a non-shockable rhythm, so I'm wondering how common it would be for drowning to result in a shockable rhythm? I would think it would be PEA, asystole or extreme bradycardia resulting from hypoxia.

A home AED -- for one's home on land and only a 911 call away from an ambulance ride to the nearby hospital -- makes more sense to me. I just don't understand the efficacy of shocking someone who is hours or days away from a hospital. Perhaps I've overlooked something?

My suggestion would be to begin by researching state law as it applies to AED use.

I'm sorry, I don't understand your post. Is there a state law applying to private use of AEDs, and if there is, what difference would it make to an offshore sailor? A climber ascending Mt. Everest? Or even a camper in a campground 40 miles from the nearest EMS? Could you clarify your thinking please?

Can boaters three weeks off shore call the air force for transport to a hospital? A defibrillator could be useful in a very specific situation where the person was otherwise fairly healthy and arrested with a shockable rhythm and a cause that's easily reversible on the boat (an obstructed airway causing hypoxia?) or the ability to get to a higher level of care in a timely fashion. The likelihood of any boater encountering that is slim.

To be honest, when I see AEDs in grocery stores, churches, schools, and parks around the area I live in I wonder how often any of these get used. Like across the US. I live in a wealthy suburban area with an average EMS response time

I'm not berating AEDs by any means. I just think the situations they're most useful in is when ems will be there soon but not very soon.

A boater three weeks off shore is out of luck unless there's a boat in the area (a cruise ship maybe? a vessel from someone's navy?) with a doctor and some equipment willing to go out of their way to attempt a rescue. The Coast Guard might try to get to someone who was within the US coastal waters or even a reasonable distance outside them, but you're on your own in the middle of the Pacific. Or Atlantic.

I make it a point to look for AEDs when I'm in the airport and I've seen them in museums and large, expensive and crowded theme parks. But those places aren't far from EMS. It isn't like the movies -- people don't just get up and go on to commit heroic feats after being successfully defibrillated or even cardioverted.

When encountering AEDs that have not been domesticated, remember that they will attack if feeling threatened. If you're traveling to an area native to AEDs, be prepared. Ensure that your food is hidden and covered at all times. Consider wearing something to mask your natural scent. And please, don't approach them.

Beverage alert!

Too funny.

I've heard that most successful layperson aed use is in the airport... maybe it has to do with the availability of them everywhere. I also know of running groups keeping one on hand.

In one of the immunization clinics I worked for, they would describe people who want certain immunizations even if the risk of catching that disease/benefitting from immunization is low as "risk adverse" and "desiring maximal preparation". In the case of aeds, if people have the money to spend, it's no skin off my back.

You're right -- if someone has the money to burn, it's no skin off my nose. The guy on the boat next to ours has an AED on board. He's a physician. When he takes the boat out, he's usually alone but I can see how it would come in handy if DH or I DFO'd on the dock . . . someone would just have to run to the gate to let the EMS through afterward!