Public access defibrillator locations and details in Forsyth County, North Carolina: Results of a telephone survey canvas of large businesses to facilitate out-of-hospital cardiac arrest treatment

Am J Emerg Med. 2024 Nov:85:166-171. doi: 10.1016/j.ajem.2024.09.004. Epub 2024 Sep 5.

Abstract

Background: Limited data are available on locations of public access defibrillation programs across communities in the United States, despite their widespread presence. Our goal was to determine publicly available AED locations of large businesses in a mixed urban-rural county. We then compared our survey results to a NC state-mandated AED registry and the county's emergency medical dispatch center AED registry.

Methods: We conducted structured phone surveys of all large businesses (>19 employees) and select small businesses (healthcare, government, childcare, educational, and religious organizations with 1-19 employees) in Forsyth County, NC (n = 1702) to determine AED ownership and location. In addition, AED lists were elicited from multi-building organizations (e.g., health systems, universities, and local government), the NC Office of Emergency Medical Services (OEMS), and the Forsyth County emergency medical dispatch center.

Results: Our survey yielded a response rate of 79.1 % and identified 411 businesses with ≥ 1 AEDs. An additional 162 AED locations were contained in AED lists from multi-building organizations and registries. In total, our canvas identified 963 AEDs at 573 unique locations. The majority of AEDs (65.1 % [627/963]) were not previously registered in the NC OEMS AED registry. Few identified AEDs (11.8 % [114/963]) were listed in the county emergency medical dispatch center registry.

Keywords: AED; Bystander defibrillation; OHCA.

MeSH terms

  • Commerce
  • Defibrillators* / statistics & numerical data
  • Defibrillators* / supply & distribution
  • Emergency Medical Services
  • Health Services Accessibility
  • Humans
  • North Carolina
  • Out-of-Hospital Cardiac Arrest* / therapy
  • Ownership
  • Registries
  • Surveys and Questionnaires
  • Telephone