Abstracts / Resuscitation 85S (2014) S15–S121 S57

All this, when AED application before EMS arrival is associated withimproved survival after out-hospital cardiac arrest.

http://dx.doi.org/10.1016/j.resuscitation.2014.03.143

AP095

Girona, cardio-protected territory

Ramon Brugada 2,∗, Àlex Morales 1, Rafel Ramos 2,Jaume Heredia 3, Ester Ruiz de Morales 1, PauBatlle 1

1 Dipsalut, Girona, Spain2 Universistat de Girona, Girona, Spain3 Emergències Mèdiques de la Generalitat deCatalunya, Girona, Spain

Introduction: Currently, the chance of a person surviving an outof the hospital sudden death is less than 5%. Experience demon-strates the effectiveness of early defibrillation in the recovery ofan effective heart rhythm, especially if a defibrillation is deliv-ered within the first minutes of cardiac arrest. Unfortunately, after10 min the chances of survival are minimal. Public access defibril-lation programs aim at improving response times by providing laypeople access to defibrillators. Thus, public access defibrillationprograms are considered key in the prevention of death in out ofhospital cardiac arrests.

Objective: Dipsalut is an organization run by the provincial gov-ernment of Girona that provides technical service and support forall the municipalities within the province of Girona, in order topromote public health and to improve the quality of life of its cit-izens. In collaboration with the University of Girona, Dipsalut hasestablished a Public access defibrillator program in the province ofGirona, with the objective to improve survival in victims of out ofhospital cardiac arrest, and improve public awareness.

Methods: Defibrillator allocation has been based on several fac-tors:

• Fix defibrillators. With a total of 508, they have been placed inpublic spaces with 24 hour access. Location has been determinedby population density as well as areas with at risk population.

• Mobile defibrillators. With a total of 197, these are provided tosecurity and health responding agencies.

• Free defibrillators. With a total of 43, these are provided for sea-sonal at risk.

Awareness programs have been started in all cities and villagesin the province to learn the basics of defibrillator use.

Results: We have deployed 748 defibrillators. The total cost ofthe program, including awareness, for the next 10 years amounts to3,000,000 euros. This program has promoted a change in legislation,by which at present, in case of emergency, the defibrillator can beused by the lay citizen, no matter his level of training.

In the last 18 months, while the program was being deployed,there have been 129 uses of defibrillators with 11 successful inter-ventions. No vandalism has been recorded.

During this last year 6800 people have undergone training.Conclusions: Public access defibrillation programs can be safely

deployed in the community. There has been an increased use ofthe defibrillators in case of cardiac arrest. Given that the use ofdefibrillators is without risk, its use can only improve the chancesof survival in the community

http://dx.doi.org/10.1016/j.resuscitation.2014.03.144

AP096

Access to public defibrillation for people withvisual disability

Carmen Leis Camacho ∗, Juan A. Garcia Barbolla,Monica Lopez Penin, Angel Miguel Poveda Martin,Pablo Pedro Ruiz herrero, Veronica GonzalezAlmagro

Samur-Proteccion Civil, Madrid, Spain

Introduction: The latest scientific recommendations on car-diopulmonary resuscitation (CPR) and the technical improvementsthat have been applied to a community program of public accessdefibrillation and to Basic Life Support (BLS) program. The aim isthat citizens could administer premature PCR. International Soci-eties of reference about PCR recommend overcoming barriers foract. In spite of, there are some obstacles that impede the access todetermined people

Objectives: To involve people in PAD. To adapt educational andtraining programs to a disability. To train lay rescuers with thisdisability. To propose technological improvements regarding AEDs.

Methodology: Design: reviews of texts and adaptation to edu-cational ways for blind people and people with other types ofvisual disabilities. Get experience in small groups following theusual teaching method of the SEMES Emergency CardiovascularCare Plan.

Population: Groups affiliated to the Spanish National Organiza-tion for the Blind.

System for collect information: tabs of records of critical actionsperformed. Satisfaction surveys.

Data management and statistical analysis: Computation of theresults obtained after assign to each variable a punctuation. Thevariables that will be studied are defined in the critical actionsfollow-up checklists.

Results: 13 courses have been imparted. Partakers: 103 pupils.All the partakers pass the course and are ready for apply the skillslearned .A manual was written in Microsoft Word® format for elec-tronic reading and information access software such as “Jaws” andalso in Braille. Its contents are “illustrated” with detailed descrip-tions of the actions and presentations. The AED was adapted byinscriptions in Braille and sound messages that allow locationimprovement, as well as the incorporation of vibration devices thatare activated simultaneously with the LED.

Conclusion: The recommendations ILCOR 2010 allowed theparticipation of people with DV. The docent actions that includedthis methodology get the same results of the traditional ones.

Further reading

1. Hazinski MF, Chameides L, Hemphill R, et al. Aspectos destacados delas guías de la American Heart Association de 2010 para RCP y ACE.(Consultado 10 noviembre 2010). Disponible en: www.heart.org/idc/groups/heart-public/@wcm/@ecc/documents/downloadable/ucm 317346.pdf.

2. Hazinski MF, Nolan JP, Billi JE, et al. Part 1: executive summary: 2010 InternationalConsensus on Cardiopulmonary Resuscitation and Emergency CardiovascularCare Science With Treatment Recommendations. Circulation 2010;122(Suppl.2):S250–75.

3. Nolan JP, Hazinski MF, Billi JE, et al. Part 1: Executive summary: 2010 InternationalConsensus on Cardiopulmonary Resuscitation and Emergency CardiovascularCare Science With Treatment Recommendations. Resuscitation 2010;81(Suppl.1):e1–25.

4. Collado S, Díez I, Sáez MI, Torrecilla F, Poveda L, Poveda MJ. Discapacidad Visualy destrezas manipulativas. Edita: ONCE, Madrid 2007.

5. Barbolla García JA, Penín López M, Martín Poveda MA, et al. “Acceso a la desfibri-lación pública sin barreras para personas con discapacidad visual” en Rescate Vialn◦25 1er. trimestre 2012.

http://dx.doi.org/10.1016/j.resuscitation.2014.03.145