Increasing Law Enforcement Application of Automated External Defibrillators (AED)s for Cardiac Arrest

Change in Confidence to Attach Automated External Defibrillator (AED) Pads on a Woman

The primary training outcome is, "I am confident I can always attach AED pads in the correct position on a woman". This question is a modified question from a validated tool to measure changes in self-efficacy, the Basic Resuscitation Skills Self-Efficacy Scale, which measures "can do" using 0-100.

Change in AED Application

Our primary care outcome is, change in AED application by law enforcement among adult cases with law enforcement on-scene before Emergency Medical Services (EMS) arrival overall and stratified by gender relative to the same geographic region in the preceding 5-year period. The outcome will be measured using the Portland Cardiac Arrest Epidemiologic Registry (PDX Epistry), an existing observational registry used for quality improvement and research.

Change in AED Application by AED Training

Change in AED application by law enforcement among adult cases with law enforcement on-scene before Emergency Medical Services (EMS) arrival overall and stratified by gender for counties that received the AED training adjunct versus control counties. The outcome will be measured using the PDX Epistry, an existing observational registry used for quality improvement and research.

Modified Basic Resuscitation Skills Self-Efficacy Scale

Measures "can do" using 0-100 for key skills. The investigators revised the scale based on the scope of study. In an emergency situation, I am confident I can always… (rate each on a scale of 0-100, with 100 being the most confident): 1. Assess the victim's level of consciousness within 5 seconds 2. Assess for breathing and differentiate between effective and agonal respirations in no more than 10 seconds 3. Perform CPR according to current guidelines 4. Provide effective chest compressions (correct hand placement, depth, recoil and speed) 5. Switch on the AED and start using it as soon as it is available without delay 6. Follow AED prompts in the right order 7a. Attach AED pads in the correct positions on a man 8\. Ensure nobody touches the victim while the rhythm is being analyzed 9\. Deliver a rapid and safe shock to the victim keeping visual check and giving verbal commands 10\. Resume, without hesitation, appropriate post-shock actions according to current guidelines