Cardiac arrest & resuscitation

Adherence to automated external defibrillator instructions during real-life in-hospital cardiac arrest: an analysis of device data

ResuscitationPublished Retrospective observational study

Authors' conclusion

Adherence to core AED prompts was high, whereas interruptive and corrective instructions were disregarded more frequently.

Study context

Population
Professionals using automated external defibrillators (AEDs) during real-life in-hospital cardiac arrest (IHCA) in a German hospital, 2007–2024419 cases analysed
Participants
466 professionals
Outcome
Adherence to AED prompts (timely implementation of prompts according to predefined criteria)
Methodological detailssingle-centre, analysis of AED device data
  • Single-centre
  • Analysis of AED device data

Main finding

As reported in the abstract

Adherence to AED prompts

Prompt adherence range

15.3% to 81.1%

"start CPR" followed

81.1%

"press shock button" followed

77.7%

"push harder" followed

15.3%

Observational data: associations, not effects.

Further findings

Mean chest compression (CC) depth after "push harder" prompt

Increased from 3.26 cm to 3.66 cm, 3.61 cm, 3.51 cm
  • p < 0.001

Mean CC rate after "push harder" prompt · first interval only

Improved from 89.8 cpm to 102.2 cpm
  • p < 0.001

High-quality CC with adherence to "push harder"

High-quality CC with adherence to "push harder"
54.6%
  • p < 0.001

Original publication

Adherence to automated external defibrillator instructions during real-life in-hospital cardiac arrest: an analysis of device data. Resuscitation. Published 29 January 2026. doi:10.1016/j.resuscitation.2026.110993

Composed by AI from the published abstract and checked against it. How Briefs are made →

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