AEDs in the Wild?

Nurses General Nursing

Published

Recently, a poster on a boating forum I frequent has advocated purchasing an AED for use on off-shore passages (think in the middle of the Pacific Ocean, three weeks from land). The reasoning is that "simply jump-starting the heart could save a life, and I'd rather do something than nothing." The poster goes on to say that they and their spouse are nurses, and know what they're talking about. They advocate purchasing an AED for personal use because they can save lives in drowning or scuba diving accidents, electrical accidents and when someone onboard has an MI.

I really can't see advocating that boaters (or hikers, or backpackers or river rafters or anyone who engages in activity far from civilization, ambulances and hospitals) spend money and use the weight for an AED. Their usefulness is limited and without proper follow-up, the person is likely to die anyway. It's not like a Tom Cruise movie where you allow yourself to be electrocuted fall on a convenient defibrillator and get shocked back to life.

What do others think?

Specializes in Critical Care.
The question is: what is going to happen after that first shock is delivered? Do these people also have access (and know how to place/use) IV, fluids, pressors, BP monitoring, etc., etc.? If not, then the guy is probably will die just as well, just a few minutes late. Deadly shockable arrythmias rarely, if ever, happen with absolutely no underlying reason.

Idiopathic VF, where there is no treatable underlying reason, has been reported to occur in 15% of VF cases in those under 40, and between 3 and 9% of VF cardiac arrest cases overall. While it's far from guaranteed that having an AED out in the middle of the ocean will make any difference, many would call those odds at least worth trying, particularly when you can get an AED for as little as $800, which as far as boating supplies go is relatively cheap.

The local summer camps I attend have them on site as well. Most of these camps are out in the middle of national parks. We did have an MI at one of them, that did not require the use of an AED. Even though this camp was closest to civilization, it was still far enough out to justify driving the staffer into the nearest town to meet EMS just to save time for them. I would hate to have seen what would have happened if the woman who had the MI had a more severe situation.

I still prefer having the AEDs on site personally, but then again, we also have medical professionals on site as well, ones much more capable than I for out of hospital emergencies, so keeping someone stable while we wait for EMS is less of an issue. We seem to attract a lot of high-level EMTs and military-trained medics for some odd reason for our outings.

I have been an ER nurse for 31 years. Past 2 summers I have worked for a large outdoor children's camp in NC. We are miles from the nearest Hospital. We have 2 AED's One at the pool area and one by the Lake. Honestly, I like others on here see no purpose for them. I really do not believe that if a child would drowned that an AED would save them. I am thinking as an ER nurse.... No IV, no ACLS drugs. No intubation equipment, Working with only a monitor and defibrillator...... ? Sorry, but just having an AED at my disposal makes no sense at all..... EMS is 20 minutes out???

If a person can afford it, I am all for it. AED's do save lives, at least buys time and gives the person a chance. Certainly a chance, however remote is worth it. We revived a fellow Kayaker with an AED, who had NO health problems and was in phenomenal shape, who arrested likely due to hypothermia. We had to shock him 6 times he was down 23 minutes, and was up pacing in his ICU room the next day. He's back on the water shredding river waves!

I'm all for it. Time is tissue. An AED may allow some time to get help. My son, a member of the US Coast Guard, has been involved in rescues in the middle of the ocean.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
I'm all for it. Time is tissue. An AED may allow some time to get help. My son, a member of the US Coast Guard, has been involved in rescues in the middle of the ocean.

WOW! I had no idea that the US Coast Guard would go so far from US Coastal waters as to rescue someone halfway to Europe (or Asia).

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