Published June 18, 2026 | Version v1
Presentation Open

Od registra do prakse: namestitev AED

Authors/Creators

  • 1. University medical center Maribor
  • 2. ROR icon University of Maribor
  • 3. Center for emergency medicine
  • 4. ROR icon University Clinical Centre Maribor
  • 5. Univerza v Ljubljani, Medicinska fakulteta
  • 6. Nacionalni inštitut za javno zdravje
  • 7. Flycom d.o.o.
  • 8. Flycom Technologies d.o.o.
  • 9. 2. University of Ljubljana, Faculty of Medicine

Description

Zunajbolnišnični srčni zastoj (OHCA) v Sloveniji prizadene 54,5 bolnika na 100.000 prebivalcev letno. Zgodnja defibrilacija z avtomatskim zunanjim defibrilatorjem (AED) izboljša preživetje, vendar laiki AED redko uporabijo, pogosto zaradi neoptimalne razporeditve naprav. Pregledali smo mednarodne pristope k postavitvi AED: japonska priporočila vežejo lokacije AED na pogostost zastojev in 5-minutno dostopnost, južnoavstralski zakon (2022) uvaja obvezno namestitev in registracijo, britanska PADmap in The Circuit pa omogočata optimizacijo z umetno inteligenco in nacionalni register. V Sloveniji se po podatkih EuReCa THREE 69 % zastojev zgodi doma, TPO izvajajo očividci v 63 %, AED pa uporabijo le v 20 %; preživetje znaša 15,1 % (evropsko povprečje 7,5 %). Kljub visoki motivaciji za nakup AED ostaja velik razkorak med lokacijo zastojev in postavitvijo naprav. Po zgledu tujih praks načrtujemo pripravo z dokazi podprtih nacionalnih smernic za postavitev AED.

Abstract (English)

Out-of-hospital cardiac arrest (OHCA) affects 54.5 patients per 100,000 inhabitants annually in Slovenia. Early defibrillation with an automated external defibrillator (AED) improves survival, yet bystander AED use remains low, largely due to suboptimal device placement. We reviewed international approaches: Japanese recommendations link placement to arrest frequency and 5-minute accessibility; the South Australian Act (2022) mandates installation and registration; and the UK's PADmap and The Circuit enable AI-based optimization and a national registry. In Slovenia, EuReCa THREE data show 69% of arrests occur at home, bystander CPR is performed in 63% of cases but AEDs are used in only 20%; survival reaches 15.1% (European average 7.5%). Despite strong public motivation to purchase AEDs, a major gap persists between arrest locations and device placement. Following international examples, we plan to develop evidence-based national guidelines for AED placement.

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Additional details

Additional titles

Translated title (English)
From Registry to Practice: Public AED access