Pour enseigner la défibrillation externe semi-automatique, n'importequel intervenant entrainé ne serait pas plus mauvais qu'un instructeur certifié, selon ASOS et ERI. Voir les articles qui suivent (en anglais) à ce sujet. Rappelons que l'aéroport O'Hara de Chicago présente un DEA (Défibrillateur cardiaque externe automatisé) à tous les 30 mètres et que tous les policiers de New York en ont maintenant un dans leur voiture!
Teaching Public Access Defibrillation to Lay Volunteers---A Professional Health Care Provider is Not a More Effective Instructor Than a Trained Lay Person
Source: Resuscitation. 2004 Dec; 63(3):305-10.
Survival improves in witnessed out-of-hospital cardiac arrest if the victim receives bystander-initiated cardiopulmonary resuscitation and rapid defibrillation (BLS/AED). The European Resuscitation Council has a simple program to teach these lifesaving skills, which require no previous experience with automated external defibrillators (AEDs). To be able to widely implement the use of AEDs, many instructors are needed, and therefore lay persons may also be used as trainers. This randomized study compared lay volunteers trained by a lay person with those trained by a health care provider. No statistical difference was present between the two groups of lay volunteers. All were able to use the AED and follow instructions. They identified victims with ventricular fibrillation and cardiac arrest, but had difficulties identifying cases with imminent cardiac arrest. The control group of trained first aiders performed significantly more effectively than the newly trained lay persons. Conclusions: No significant benefit exists in the trainer being a health care professional, but thorough training and subsequent rehearsing of the skills learned are crucial.
The Acquisition and Maintenance of Defibrillation Skills by Lay First Responders
Source: Resuscitation. 2003 Jan;56(1):77-82.
Nontraditional and lay first responders increasingly are being trained in the skill of defibrillation. With the simplification of new devices, there is a need to determine optimal first responder selection and training and maintenance of this important skill. This study found that first responders with higher training levels were more likely to acquire the skill of defibrillation successfully. However, once the skill was acquired, it was easily maintained by all (98%). The researchers concluded that, for first responders proficient in cardiopulmonary resuscitation (CPR), the skill of defibrillation with an AED is readily acquired and maintained. While less experienced persons may be less likely to acquire the skill initially, once acquired, the skill is equally maintained by all.
Training of Police Officers as First Responders with an Automated External Defibrillator
Source: Resuscitation. 2004 Oct;63(1):33-41.
A short and effective training program is an essential prerequisite in learning how to use automated external defibrillators (AED) by EMS providers and first responders. This study evaluated a 3-hour AED course. All police officers (823 officers; 76% male, average age 36 years) were trained in the region of Amsterdam, the Netherlands. An assessment was made at the beginning of the course and at the end as to whether BLS can be improved in a 3-hour AED course. Through a combined BLS and AED assessment at the end of the course, the researchers found that BLS improved significantly. After training, 89% of the students were able to use an AED safely and effectively. Self-confidence and motivation improved from 12% and 73% to 99% and 94% over the course. Independent student characteristics influencing the success of the AED course were: previous BLS training, motivation before the course, and resuscitation experience that dated back for more than 12 months. The researchers concluded that the majority of police officers can be trained to use an AED safely and effectively within a 3-hour AED course. Also, during this course, they improve on their BLS skills.
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