Every year in France, nearly 50,000 people suffer from cardiac arrest. In the face of this vital emergency, time is of the essence: every minute without intervention decreases the chances of survival by 10%. It is in this context that the automated external defibrillator (AED) stands out as an essential piece of equipment, capable of saving lives when the heart suddenly stops.
What is a Defibrillator and How Does It Work?
A defibrillator is a medical device designed to analyze the electrical activity of the heart and deliver, if necessary, an electric shock (defibrillation) to restore a normal heart rhythm. During a cardiac arrest, the heart usually goes into ventricular fibrillation: it no longer beats in a coordinated manner and therefore cannot ensure blood circulation.The automated external defibrillator is specifically designed to be used by the general public, without prior medical training. Once the device is opened and the electrodes are placed on the victim's chest, it automatically analyzes the heart rhythm and determines if an electric shock is necessary. The device vocally guides the user at each step, making it accessible to everyone.The Obligation to Equip Defibrillators in Public Establishments
Since the decree of December 19, 2018, the installation of a mandatory defibrillator in public establishments (ERP) has become a progressive reality in France. This obligation concerns different categories of establishments according to a precise schedule:- Since January 1, 2020: ERP categories 1 to 3 (more than 300 people)
- Since January 1, 2021: ERP category 4 (less than 300 people)
- Since January 1, 2022: ERP category 5 hosting certain specific activities (care facilities for the elderly, covered sports facilities, train stations, etc.)
The Different Types of Defibrillators
There are mainly three categories of defibrillators:The fully automatic defibrillator (AED): it analyzes the heart rhythm and automatically delivers the shock if necessary, without human intervention. The user only needs to follow the vocal instructions and place the electrodes correctly.The semi-automatic defibrillator (SAD): similar to the AED, but it requires the user to press a button to deliver the shock after analyzing the heart rhythm. This voluntary action ensures that no one touches the victim at the moment of the shock.The implantable defibrillator: a medical device surgically implanted in patients at high risk of cardiac issues. It continuously monitors the heart rhythm and intervenes automatically in case of anomalies.◆ ◆ ◆
How to Use a Defibrillator: The Life-Saving Steps
Using a defibrillator is simple and intuitive, designed to be accessible even in situations of intense stress. Here are the essential steps:- Call for help: immediately dial 15 (SAMU) or 18 (firefighters) before anything else.
- Turn on the defibrillator: as soon as the case is opened, the device activates and begins to give vocal instructions.
- Expose the victim's chest: remove or cut clothing to access the chest. Dry the skin if it is wet.
- Attach the electrodes: place them exactly as indicated on the diagrams present on the electrodes themselves (one under the right collarbone, the other on the left side of the chest).
- Let the device analyze: do not touch the victim during the analysis. The defibrillator determines if a shock is necessary.
- Follow the instructions: if a shock is recommended, ensure that no one touches the victim and press the button (for a SAD) or let the device deliver the shock (for an AED).
- Continue resuscitation: alternate chest compressions and mouth-to-mouth breathing according to the instructions until help arrives.
SECURIMED: A Reference Player in Defibrillators
In the field of rescue and first aid equipment, SECURIMED has established itself as an essential reference for professionals and establishments. This French company specializes in offering a complete range of automated external defibrillators suitable for all types of environments, whether it be businesses, public establishments, or local authorities. SECURIMED assists its clients in choosing the most appropriate equipment for their specific needs while ensuring comprehensive maintenance and training services. Their expertise covers the entire rescue chain, with solutions that include not only defibrillators but also protective cabinets, regulatory signage, and necessary consumables. Thanks to their in-depth knowledge of the current regulations regarding the obligation to equip defibrillators in public establishments, SECURIMED guides establishments in their compliance while ensuring certified quality equipment.Cardiac Prevention: Particularly Important for Seniors
For the DYNSEO audience, primarily composed of seniors concerned about preserving their cognitive and physical health, cardiac prevention is of particular importance. With age, cardiovascular risks naturally increase due to several factors: atherosclerosis (hardening of the arteries), high blood pressure, diabetes, or family history.Knowing the existence and location of defibrillators in one's daily environment is part of a comprehensive health prevention approach. Just as brain training helps maintain cognitive abilities, vigilance regarding heart health and familiarity with first aid gestures are valuable assets for aging gracefully.Many associations offer training in life-saving gestures, including the use of the defibrillator. These sessions, often free and tailored for seniors, allow participants to familiarize themselves with the device in a reassuring and educational setting. Knowing that one can intervene effectively in an emergency is a source of confidence and autonomy, essential values for aging well.◆ ◆ ◆
Warning Signs to Know
Recognizing the symptoms of cardiac arrest is crucial for quick intervention. The main signs are:- The victim does not respond to stimuli (they are unconscious)
- They are not breathing or exhibit abnormal breathing (gasping)
- Absence of a detectable pulse
The Importance of the Chain of Survival
The concept of the "chain of survival" illustrates the four essential links to maximize survival chances in case of cardiac arrest:- Early alert: quickly call for help (15 or 18)
- Cardiopulmonary resuscitation: chest compressions and ventilation
- Early defibrillation: rapid use of the defibrillator
- Specialized resuscitation: care by medical teams
Where to Find a Defibrillator Near You?
Several resources allow you to locate defibrillators in your environment:- The national database: the government.fr website lists the declared defibrillators in France
- Dedicated mobile applications: such as "Staying Alive" which geolocates the nearest AEDs
- Local signage: green signs with a heart and a lightning bolt indicate the presence of a defibrillator
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