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• W1991001497 abstract "Descrever as etapas de desenvolvimento e implementação de um programa de desfibrilhação automática externa (DAE), no âmbito do Sistema Integrado de Emergência Médica (SIEM) e em locais de acesso público, em Portugal. Exposição do processo de implementação nos aspetos logísticos, formativos e de controlo da atividade. No final de 2012 existiam 442 ambulâncias de emergência equipadas com DAE integrados no programa de DAE do INEM. Entre 2010‐2012 foram formados e considerados aptos 2130 operacionais de DAE. Relativamente a programas de DAE em locais de acesso público, no final de 2012 existiam 207 programas licenciados, correspondendo a 302 espaços públicos, 66 ambulâncias de transporte, 463 equipamentos e 6133 operacionais de DAE. Entre 2010‐2012 foram acreditadas 19 entidades para formação em SBV‐DAE. No programa de DAE do INEM em 2012 houve 3250 utilizações de DAE, com ritmos desfibrilháveis em 12,5% dos casos (407). Destes, 38,6% (157) recuperaram ritmo compatível com pulso após administração de choque, com recuperação de circulação eficaz em 45,9% dos casos (72). A sobrevida à alta hospitalar foi de 26% (19 casos). A implementação do programa seguiu os critérios cientificamente recomendados, e os resultados obtidos, resultantes dum significativo crescimento do acesso precoce ao DAE, são bastante satisfatórios e concordantes com os internacionais. O reforço da cadeia de sobrevivência implica o envolvimento da comunidade em geral, nomeadamente na aprendizagem generalizada de suporte básico de vida, que terá que ser o próximo grande esforço de todos os parceiros do SIEM. To describe the stages of development and implementation of an automated external defibrillator (AED) program within the Emergency Medical Service System and in public places in Portugal. Description of the implementation process in terms of logistics, training and supervision of activity. By the end of 2012 there were 442 emergency ambulances equipped with AEDs included in the AED program of the National Institute for Medical Emergencies (INEM). Between 2010 and 2012, 2130 emergency medical technicians were trained and considered qualified to use AEDs. With regard to AED programs in public places, by the end of 2012 there were 207 licensed programs, covering 302 public places, 66 patient transport ambulances, 463 AEDs and 6133 AED operators. Between 2010 and 2012, 19 organizations were licensed to provide training in basic life support and AEDs. In INEM's AED program in 2012, AEDs were used 3250 times, with shockable rhythms in 12.5% of cases (407). Of these, a pulse was restored in 38.6% (157) after a shock, with recovery of spontaneous circulation in 45.9% of these (72). Survival to hospital discharge was 26% (19 cases). Implementation of the program followed recommended scientific criteria, and the results obtained, following significant growth in early access to AEDs, are satisfactory and in line with those in other countries. Strengthening the chain of survival requires the involvement of the community in general and in particular the widespread learning of basic life support measures, which must be the next step for all partners in the Emergency Medical Service System." @default.
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• W1991001497 date "2014-06-01" @default.
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• W1991001497 title "Implementação do Programa Nacional de Desfibrilhação Automática Externa em Portugal" @default.
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• W1991001497 doi "https://doi.org/10.1016/j.repc.2013.10.006" @default.
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