What is the issue?
- In recent times the incidence of deaths due to sudden cardiac arrests outside home is increasing.
- Various Indian cities need to install Automated External Defibrillator (AEDs) in public spaces to address this issue.
What are AEDs?
- Automated External Defibrillators or AEDs are portable electronic medical devices to detect life-threatening cardiac activity such as irregular heartbeats and pulselessness.
- It can revive the heart by defibrillation or application of electricity to restore effective cardiac rhythm.
![](https://www.iasparliament.com/uploads/files/defibtech-lifeline-aed-defibrillator-salient-features.jpg)
- In the absence of a trained medical professional, AED can be used by an ordinary educated person, as it is equipped by simple audio and visual commands.
What is the need for an AED?
- During a cardiac arrest, the heart stops functioning due to problems in the electrical system of the heart, disrupting the pumping action.
- As a result the blood flow to brain and other parts of the body stops, within seconds, a person drops down unconscious and has no pulse, and within minutes, a person suffers death.
- It is estimated that the failure to administer life-saving defibrillation within 4 to 6 minutes of suffering cardiac arrest is a major factor for 95 per cent of sudden cardiac deaths.
- A person suffering from cardiac arrest except for timely administering of cardiopulmonary resuscitation (CPR) and AEDs, there remains no other way to save the life.
![](https://www.iasparliament.com/uploads/files/aed-benefits.jpg)
What is the need for AEDs in public spaces?
- Emergency services in India unfortunately are known to take way more time than they should and therefore, first-aid tools have crucial role to play for saving lives.
- With a large population size and densely crowded public spaces, there are strong indicators for growing incidence of sudden cardiac events in the country.
- This makes installation of AEDs in public places important and they should be placed alongside fire-extinguishers or at similar locations.
- In large buildings, possibly every floor can have an AED, in markets, malls, and public places, they could be placed centrally and at entry and exits.
- The device may be installed at security guards rooms and surveillance centres as well.
What measures needs to be taken in this regard?
- Apart from few initiatives, India is largely unaware of the need for installing AEDs at strategic locations in public places.
- The changing health scenario is causing a rethink and up gradation of such standards worldwide, and India needs to learn from the US, the need to make this device readily available.
- Keeping the trends of public health in mind, the union and state governments need to lay guidelines for installation of AEDs.
- Government should make Installing AEDs mandatory in railway stations, airports, metro stations, and bus terminals.
- Security staff and emergency service personnel should be trained to administer first-aid services, including CPR and AEDs.
- AEDs should be installed in traffic police vehicles and patrolling cars, and such officials should be trained to operate AEDs.
Source: Business Line