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Automated external defibrillation training on the left or the right side – a randomized simulation study

Authors Stærk M, Bødtker H, Lauridsen KG, Løfgren B

Received 22 April 2017

Accepted for publication 10 July 2017

Published 14 September 2017 Volume 2017:9 Pages 73—79

DOI https://doi.org/10.2147/OAEM.S140220

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Hans-Christoph Pape


Mathilde Stærk,1 Henrik Bødtker,1 Kasper G Lauridsen,1–3 Bo Løfgren,1,3,4

1Research Center for Emergency Medicine, Aarhus University Hospital, Aarhus, 2Clinical Research Unit, 3Department of Internal Medicine, Randers Regional Hospital, Randers, 4Institute of Clinical Medicine, Aarhus University, Aarhus, Denmark


Background:
Correct placement of the left automated external defibrillator (AED) electrode is rarely achieved. AED electrode placement is predominantly illustrated and trained with the rescuer sitting on the right side of the patient. Placement of the AED electrodes from the left side of the patient may result in a better overview of and access to the left lateral side of the thorax. This study aimed to investigate if training in automated external defibrillation on the left side compared to the right side of a manikin improves left AED electrode placement.
Methods: Laypeople attending basic life support training were randomized to learn automated external defibrillation from the left or right side of a manikin. After course completion, participants used an AED and placed AED electrodes in a simulated cardiac arrest scenario.
Results: In total, 40 laypersons were randomized to AED training on the left (n=19 [missing data =1], 63% female, mean age: 47.3 years) and right (n=20, 75% female, mean age: 48.7 years) sides of a manikin. There was no difference in left AED electrode placement when trained on the left or right side: the mean (SD) distances to the recommended left AED electrode position were 5.9 (2.1) cm vs 6.9 (2.2) cm (p=0.15) and to the recommended right AED electrode position were 2.6 (1.5) cm vs 1.8 (0.8) cm (p=0.06), respectively.
Conclusion: Training in automated external defibrillation on the left side of a manikin does not improve left AED electrode placement compared to training on the right side.

Keywords: automated external defibrillator, pads, basic life support, training

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