IntroductionIn the recent past, cardiovascular disease has been rated as one of the major root of premature death in Australia. Stroke, heart as well as the vascular disease has posed a great threat as far as the health matters in Australia are concerned. For instance in year 2005 the disease claimed 46,134 lives which translated to 3.5% of all deaths in Australia which affected approximately 3.7 million people in Australia (Lerner, Maio, Garrison, Spaite, Nichol, 2006:pp. 515-524). Therefore the Australian Government has prioritized to invest in National Health regarding the improvement of health outcomes due to cardiovascular disease.
Death resulting from sudden cardiac arrest is estimated to account for at least half of the deaths that are associated with cardiovascular causes. It occurs when the heart ceases to function all over sudden due to electrical malfunctioning thereby disrupting the normal rhythm of the muscle. Recent studies have shown that there are minimal chances of survival from cardiac arrest especially from patients who are not within the hospital premises. Cardiopulmonary Resuscitation (CPR) as well as the early defibrillation is the only major cardiac arrest solutions that can help arrest the condition and that forms a part of emergency sequence of survival (Bernard, 1998: pp. 25-29).
Therefore early defibrillation has been considered as the most efficient method of treatment to re-start the functioning of the heart of an individual suffering from cardiac arrest. However the defibrillation time has been considered as one of the determinant of survival to cardiac arrest patient. This has thereby led to the automated external defibrillators (AED) development that has created a chance for community to respond to early cases of defibrillation in public places.
Therefore the Australian Resuscitation Council guidelines categorize and identify the cases of early defibrillation as follows; Emergency medical services: whereby defibrillation is undertaken by ambulance service personnel; First responder: the defibrillation is undertaken by thoroughly trained persons whose core duty is to respond to emergencies pertaining to medical cases; andPublic access defibrillation (PAD): a situation where defibrillation can be carried out by anyone regardless he/she is trained or not. Review on Public Access Defibrillation (PAD). The automated external defibrillators (AED) under the guideline of the public access defibrillation demonstration are a perfect move adopted by New South Wales, Victoria and St John WA ambulance services.
This was through an engagement by the Department of Health and Ageing of the Australian Government for the ambulance services to adequately implement a public demonstration on public access defibrillation. The main objective of this demonstration was to adequately reduce the mortality to Australians who occasionally experience the condition of cardiac arrest in comparison with other current emergency cases experienced day in day out in Australia. Currently there are several automated external defibrillators has been installed at various host organizations selected in all the states in Australia and those territories that manned by the PAD Demonstration funded department (Wasserstein, Keane, Fisher, Leditschke, 2000: pp.
97-104). These places comprises of airports, schools, sporting stadiums, tourist sites, clubs and train stations. The demonstration on public access defibrillation was adequately designed to help curb the cardiac arrest cases that mostly occur in public places. The objectives of this program are part and parcel of the major policies developed by the Australian Government regarding the health prevention.
However this guideline encompasses;