DEA salvavidas en centro deportivo

Each year, more than 2 million people in the world die of sudden cardiac arrests. Many of these incidents occur in sports facilities where people exercise. The most important factor in the survival of victims who suffer a sudden cardiac arrest is the period of time until they receive an electric shock with an AED. Automatic external defibrillators (AEDs) were created specifically to provide early defibrillation outside hospitals. A recent study reveals how installing these devices in sports facilities could significantly increase survival rates.

The American Heart Association (AHA) and the European Resuscitation Council recommend a defibrillation response in the first 5 minutes for incidents that occur outside of hospitals, and 3 minutes for those that occur within hospitals. Currently, the response time of sudden cardiac arrest to the first electrical defibrillation varies significantly, with out-of-hospital survival rates averaging only 5%.

Every extra minute that passes between collapse and defibrillation reduces the chances of survival between 7% and 10% if CPR is not given. Even applying CPR, the decrease in survival rates is still between 3% and 4% per minute. CPR extends the period of time during which defibrillation can be used; however, CPR alone is unlikely to serve to save the patient.

The latest study focuses on the Italian region of Piacenza where, since 1990, an emergency medical system coordinates medical emergencies, including sudden cardiac arrests performed outside hospitals.

En 1999 se creó el Piacenza Progetto Vita (PPV) para permitir una desfibrilación rápida. El PPV promueve la instalación de DEA en centros deportivos e instalaciones de ejercicio. Desde 1999, se han instalado cerca de 725 DEA en la región, con 207 (28,5%) ubicados en centros deportivos amateur.

Los investigadores han recopilado datos de 26 casos de paro cardíaco súbito que se produjeron en centros deportivos o instalaciones similares desde 1999. Un DEA se encontraba presente en 15 casos (58%) y el tiempo de conexión promedio fue de tan sólo 5 minutos. Como se preveía, la presencia de DEA instalados en instalaciones deportivas redujo el tiempo de conexión. El estudio reveló que el contar con un DEA aumentó las tasas de supervivencia (un 93% en DEA frente al 9% en instalaciones no equipadas).

This study concluded that the presence of AED is associated with a neurologically intact survival after sudden cardiac arrest related to sports. Therefore, the study authors strongly recommend the implementation of DEA in sports and fitness centers.

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