Cardiopulmonary resuscitation - Automated external defibrillation programs for children and adolescents: Is public access defibrillation directed at our youth justifiable?

It is clear that SCD in the young is much less common than in adults. It is also clear that SCD in schools is much less common than other public places where a cardiac arrest might occur. However, the greatest likelihood for survival in the individual who has had an SCA will depend on rapid CPR and early defibrillation. For the school that can achieve an emergency to shock time of less than 5 min, perhaps an AED may not be necessary. All other schools have the potential to benefit from a CPR-AED program and will be limited only by available interest and resources. Finally, it is important to emphasize that in the setting of a school CPR-AED program, establishment and implementation must occur with proper education, communication, planning and follow-up. It is logical to include CPR-AED implementation in the context of a school emergency response plan. It is also very important that all individuals know and understand the utility of a CPR-AED program and that such a program exists in any given school in question. Fundraising opportunities exist and partnering with community organizations may be helpful in obtaining resources in situations where there are limitations. All of these manoeuvres and endeavors have the potential to put us in the best position to save the lives of many of the young people that are at risk for SCA and SCD.