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Page: << Prev | 1 | 2 Fibrillation deaths "are rare events in children, but are moderately common in children who die cardiac deaths," particularly in school-age children, said Dr. Steven Neish, director of the pediatric fellowship program at Baylor University, who participated in preparing the policy statement.
"One area we worry about is young athletes who die of arrhythmias," Neish said. "The argument is about how common is common enough, and how cheap is cheap enough" to warrant the cost of a defibrillator, he said. With emergency defibrillators now commonly priced at about $1,000, "in comparison to other treatments, it makes a good case for defibrillators as preventive treatment."
Placing a defibrillator in a school also makes it available to school personnel and visitors, Neish pointed out.
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"Also, at least as important is to more broadly teach people cardiopulmonary resuscitation," he said. "We have to make people comfortable with the procedure."
There are defibrillators designed specifically for use in children, Krug said, but concerns that adult defibrillators could damage children's hearts have disappeared.
"There has been an advance in the technology," Krug said. "Even in a situation where you can provide only an adult dose, that still may be better than doing nothing."
As with adults, defibrillation of children experiencing a problem must be done quickly, Krug said. "Time is of the essence," he said. "As time passes, the chance of resuscitation decreases rapidly."
The likelihood of survival decreases by 7 percent to 10 percent with each minute of delay to defibrillation after cardiac arrest, the AAP statement said.
The first recommendation contained in the academy's statement is that "strategies and equipment availability for treatment of pediatric arrest should be focused on shortening the intervals from collapse to recognition of ventricular fibrillation and to defibrillation."
Another recommendation is that any community public-access defibrillation program use devices capable of treating children. And any program to place defibrillators in schools should include staff training in basic first-aid and resuscitation and should be integrated with the local emergency medical system, the academy recommended.
More information
To learn more about defibrillation, visit the American Heart Association.
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