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Madrid takes measures to improve the survival of its inhabitants and tourists
Sudden cardiac death is a major public health problem in the developed world and is usually caused by the spontaneous onset of a ventricular fibrillation (FV). Ventricular fibrillation is the most frequent fatal arrhythmia responsible for cardiorespiratory arrest in adults, due to the high ischemic heart disease in the adult population. In Spain, during the 2002 year, there have been 68.494 cases of acute myocardial infarction (AMI) and 27.500 of them died before reaching the hospital .
Electrical defibrillation (shock or shock), using an automated external defibrillator (AED), is the treatment to reverse ventricular fibrillation (It is something similar to a "reset" of the heart). Early defibrillation with automated external defibrillators (AEDs) has been recommended to improve the survival of cardiac arrest that occurs outside the hospital. The chances of recovery from a cardiac arrest are closely related to the time interval between the collapse and the first electric shock using the defibrillator. Therefore, if the discharge is performed early, the chances of survival without neurological sequelae increase considerably. [2-3]
This is where the concept of public access to defibrillation by the first interveners through semiautomatic external defibrillators. The Community of Madrid, aware of this problem of great magnitude after registering 1.351 cardiorespiratory stops in the region outside the hospital environment in the 2016, shows the need for the use of this type of device by the locals, announcing the 12 of September of 2017 a decree that regulates the installation and use of external defibrillators outside of the sanitary field.
The establishment of these semi-automatic external defibrillation programs, such as the one already launched by the Community of Madrid: "Madrid Project Cardioprotected Community", aims to improve the survival of victims who suffer cardiac arrest outside the hospital.
From Proyecto Salvavidas we have been promoting these initiatives for years to improve the prognosis of patients after cardiac arrest, providing greater accessibility and availability of defibrillators outside the healthcare environment. We are proud to be activists of cardiopulmonary resuscitation (CPR) and defibrillator use in our country and Latin America.
Like the president of the Community of Madrid, we are sure that this initiative will save many lives.
To restore circulation after cardiac arrest due to ventricular fibrillation we will need an electric shock, called defibrillation, using an automated external defibrillator (AED).
The most important factor to improve survival in these cases is early defibrillation, the faster the defibrillation is performed, the better. For every minute that defibrillation is delayed, survival decreases by 10%.
If you are interested in obtaining more information about defibrillators or training in cardiopulmonary resuscitation and defibrillator use, simply contact us, we will be happy to assist you.
 Jaume Marrugat a, Roberto Elosua b, Helena Martí b Epidemiology of ischemic heart disease in Spain: estimation of the number of cases and trends between 1997 and 2005. Rev Esp Cardiol. 2002; 55: 337-46 - Vol. 55 No.04
 European Ressucitation Council. Part 2: Adult basic life support and use of automated external defibrillators. Resuscitation 2005; 67: s7-23
 Marenco J et al. Improving survival from sudden cardiac arrest: the role of the automated external defibrillator. JAMA 2001; 285: 1193-200
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