tag:blogger.com,1999:blog-18943510.post6557481767126213617..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: AED's - The Barriers to EntryDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-18943510.post-73338911977268607832008-07-01T07:40:00.000-05:002008-07-01T07:40:00.000-05:00Batteries range in cost from $65/$75 (Zoll - Durac...Batteries range in cost from $65/$75 (Zoll - Duracell 123 Lithium) to over $300 (Cardiac Science proprietary).<BR/><BR/>Pads need to be replaced every two years and run from $38 (Defibtech) to $149 (Zoll, which has a special CPR feedback device built into the pads - and has a 5 year shelf life). <BR/><BR/>On the comment about AEDs being not cost efficient; tell that to the families of the 15 Elliot Fischhttps://www.blogger.com/profile/17301759796530317133noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-75704243658631609072008-06-26T16:36:00.000-05:002008-06-26T16:36:00.000-05:00On a lighter note, an MD friend strongly suggested...On a lighter note, an MD friend strongly suggested to me that if I'm going to go into VF or VT, hope that it happens at a barber shop, so they can shave my chest...otherwise, they'll zap me and I'll probably burst into flames....we had a good laugh about that, but it highlights the problem of presenting a seemingly simple solution which has many variables. Should my time come, I hope the fire Petehttps://www.blogger.com/profile/07255762585505666822noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-3358831079411866122008-06-25T22:55:00.000-05:002008-06-25T22:55:00.000-05:00Emmy,It's all about how it's presented and what AE...Emmy,<BR/>It's all about how it's presented and what AED is purchased. Unfortunately, some of the older ones (older than 2-3 years old) can't have their software updated to keep up with the changing CPR standards. Zoll, for instance, is compatible with "hands only CPR" that is all the rage in public access CPR and defibrillation now. And most AEDs that are made for public access situations Patrickhttps://www.blogger.com/profile/10681011337931740108noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-43138543261944603052008-06-25T13:57:00.000-05:002008-06-25T13:57:00.000-05:00I used to be a big fan of AED's in public places, ...I used to be a big fan of AED's in public places, especially schools, because my daughter and I have LQTS. Our experience with them has been underwelming. At my daughter's school the gym coach decided that the fact he had one available made it OK for him to have my daughter run the stairs in a timed gym test. He told me that when I called to ream him over the coals for ignoring my instructionsLisa https://www.blogger.com/profile/09324961653370110887noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-4620064001780543792008-06-25T05:59:00.000-05:002008-06-25T05:59:00.000-05:00This article may be of interest: http://www.ncbi.n...This article may be of interest: <BR/>http://www.ncbi.nlm.nih.gov/pubmed/18241970<BR/><BR/>An Austrian audit which compared use of newly installed AEDs to historical survival data. In a two year period following 1,865 AEDs being installed in public places, 73 defibrillations were performed with 15 patients surviving with good neurological status. As you note, the cost effectiveness is Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-51680285689018444932008-06-24T21:11:00.000-05:002008-06-24T21:11:00.000-05:00The AED doesn't know who the patient is, and the o...The AED doesn't know who the patient is, and the only data given over (on the phone to the rep who enrolls you for the free pad exchange) is age & gender of the patient. Since these are mostly PADs (public access defibs), not much HIPAA data is available.Patrickhttps://www.blogger.com/profile/10681011337931740108noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-43346511405770652982008-06-24T20:05:00.000-05:002008-06-24T20:05:00.000-05:00jay-Great comments. I concur w/that the article s...jay-<BR/><BR/>Great comments. I concur w/that the article sounded negative toward implantable defibrillators (ICDs), but the relative "save-rate" for ICD's far exceeds that for AEDs - probably because of the pre-selected high-risk population that receive implanted defibrillators. <BR/><BR/>And while $55,000 per implantable device is high, the article quoted that San Diego, CA has installed aboutDrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-26968274065588085262008-06-24T19:32:00.000-05:002008-06-24T19:32:00.000-05:00Zoll will replace the pads for free, in exchange f...Zoll will replace the pads for free, in exchange for the data from the event. It's called PEER (Post-Event Electrode Replacement). And uses consumer-replaceable batteries.Patrickhttps://www.blogger.com/profile/10681011337931740108noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-61885421616029634412008-06-24T15:04:00.000-05:002008-06-24T15:04:00.000-05:00i am an architect. .. and the majority of our pro...i am an architect. .. and the majority of our projects are theaters- since i had my pacemaker put in a few years ago i have been specifying them for all of our projects. so far i think we have put 11 in use. i do not think any of them have been used yet, but i shoudl probably go back to my clients and make sure that they are being properly maintained. thanks for the awareness article.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-64757529973320308952008-06-24T14:52:00.000-05:002008-06-24T14:52:00.000-05:00Wes,I agree completely and have been an AED advoca...Wes,<BR/><BR/>I agree completely and have been an AED advocate for years. It's been interesting to watch as AED awareness has overtaken ICD awareness. I even heard one person refer to an ICD as an AED implanted in the chest. <BR/><BR/>What's troubling about the column is the way AEDs are contrasted with ICDs with the former implied to be a better, rather that complementary treatment strategy.<Jayhttps://www.blogger.com/profile/10897176780069403370noreply@blogger.com