{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T09:40:27Z","timestamp":1790502027780,"version":"4.1.0"},"reference-count":32,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1998,3,1]]},"abstract":"<jats:p>Objectives.\u2003To evaluate the accuracy and efficacy of automated external defibrillators (AEDs) in patients &amp;lt;16 years old.<\/jats:p><jats:p>Background.\u2003AEDs are standard therapy in out-of-hospital resuscitation of adults and have led to higher success rates. Their use in children and adolescents has never been evaluated, despite recommendations from the American Heart Association that they be used in children &amp;gt;8 years of age.<\/jats:p><jats:p>Methods.\u2003This was a retrospective cohort study of children &amp;lt;16 years old who underwent out-of-hospital cardiac resuscitation and on whom an AED was used during the resuscitation. The setting was rural and urban prehospital emergency medical systems. Patients were identified by review of a database of cardiac arrests maintained by a large surveillance program of these services.<\/jats:p><jats:p>Results.\u2003AEDs were used to assess cardiac rhythm in 18 patients with a mean age of 12.1 \u00b1 3.7 years. The cardiac rhythms were analyzed 67 times and included ventricular fibrillation (25), asystole\/pulseless electrical activity (32), sinus bradycardia (6), and sinus tachycardia (4). The AEDs recognized all nonshockable rhythms accurately and advised no shock. Ventricular fibrillation was recognized accurately in 22 (88%) of 25 episodes and advised or administered a shock 22 times. Sensitivity and specificity for accurate rhythm analysis were 88% and 100%, respectively. One patient with a nonshockable rhythm survived, whereas 3 of 9 patients with ventricular fibrillation survived.<\/jats:p><jats:p>Conclusions.\u2003These data furnish evidence that AEDs provide accurate rhythm detection and shock delivery to children and young adolescents. AED use is potentially as effective for children as it is for adults.<\/jats:p>","DOI":"10.1542\/peds.101.3.393","type":"journal-article","created":{"date-parts":[[2004,8,13]],"date-time":"2004-08-13T23:44:32Z","timestamp":1092440672000},"page":"393-397","source":"Crossref","is-referenced-by-count":66,"title":["Accurate Recognition and Effective Treatment of Ventricular Fibrillation by Automated External Defibrillators in Adolescents"],"prefix":"10.1542","volume":"101","author":[{"given":"Dianne L.","family":"Atkins","sequence":"first","affiliation":[{"name":"From the Department of Pediatrics, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lori L.","family":"Hartley","sequence":"additional","affiliation":[{"name":"Emergency Medical Services Learning Resources Center, University of Iowa, Iowa City, Iowa."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas K.","family":"York","sequence":"additional","affiliation":[{"name":"Emergency Medical Services Learning Resources Center, University of Iowa, Iowa City, Iowa."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[1998,3,1]]},"reference":[{"key":"2021121000252590400_B1","first-page":"78","article-title":"An automatic cardiac resuscitator for emergency treatment of cardiac arrest.","volume":"13","author":"Diack","year":"1979","journal-title":"Med Instrum"},{"key":"2021121000252590400_B2","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1016\/0735-1097(88)91537-9","article-title":"A new rhythm library for testing automatic external defibrillators: performance of three devices.","volume":"11","author":"Cummins","year":"1988","journal-title":"J Am Coll Cardiol"},{"key":"2021121000252590400_B3","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1016\/S0140-6736(84)92688-6","article-title":"Sensitivity, accuracy and safety of an automatic external defibrillator.","volume":"2","author":"Cummins","year":"1984","journal-title":"Lancet"},{"key":"2021121000252590400_B4","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1161\/01.CIR.73.4.701","article-title":"Efficacy of an automated external defibrillator in the management of out-of-hospital cardiac arrest: validation of the diagnostic algorithm and initial clinical experience in a rural environment.","volume":"73","author":"Stults","year":"1986","journal-title":"Circulation"},{"key":"2021121000252590400_B5","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1056\/NEJM198809153191101","article-title":"Use of the automatic external defibrillator in the management of out-of-hospital cardiac arrest.","volume":"319","author":"Weaver","year":"1988","journal-title":"N Engl J Med"},{"key":"2021121000252590400_B6","doi-asserted-by":"crossref","first-page":"1605","DOI":"10.1001\/jama.1987.03390120067025","article-title":"Automatic external defibrillators used by emergency medical technicians: a controlled clinical trial.","volume":"257","author":"Cummins","year":"1987","journal-title":"JAMA"},{"key":"2021121000252590400_B7","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1016\/S0196-0644(95)70263-6","article-title":"Out-of-hospital ventricular fibrillation in children and adolescents: causes and outcome.","volume":"25","author":"Mogayzel","year":"1995","journal-title":"Ann Emerg Med"},{"key":"2021121000252590400_B8","doi-asserted-by":"crossref","first-page":"1102","DOI":"10.1016\/S0196-0644(05)80651-1","article-title":"The epidemiology of cardiac arrest in young adults.","volume":"21","author":"Safranek","year":"1992","journal-title":"Ann Emerg Med"},{"key":"2021121000252590400_B9","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1001\/archpedi.1995.02170140092017","article-title":"Outcome and cost at a children's hospital following resuscitation for out-of-hospital cardiopulmonary arrest.","volume":"149","author":"Ronco","year":"1995","journal-title":"Arch Pediatr Adolesc Med"},{"key":"2021121000252590400_B10","doi-asserted-by":"crossref","first-page":"2262","DOI":"10.1001\/jama.268.16.2262","article-title":"Guidelines for cardiopulmonary resuscitation and emergency cardiac care. 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