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Regulations of Cantabria on external defibrillators
Regulation / obligation of installation and use of external defibrillators in Cantabria, legislation on training in external defibrillators, facilities for cardioprotected spaces and their maintenance in the Cantabrian community.
Regulations of the Autonomous Community of Cantabria on the use and installation of external defibrillators, norm for cardio protection of public spaces with instructions for using and installing portable defibrillators throughout the Cantabrian territory.
Cantabrians add to cardioprotection by installing external defibrillators in public spaces
Why are more and more portable defibrillators installed in autonomous communities throughout Spain? To answer it is necessary to analyze certain realities, and that is that we are facing a Public Health problem that of course includes the Cantabrians. Mortality in Western societies in general, and in Spain in particular, have coronary diseases as the main causes of death. The origin of cardiorespiratory arrest (CRP) in adults is statistically cardiac and there is a high percentage of heart attacks witnessed by third parties, which occur every day in non-healthcare environments. If we spin all these data, we understand that many sudden deaths from cardio respiratory arrest in adults could be avoided if the first responders (witnesses), act correctly and early in the use of an external defibrillator.
What to do if we witness a cardiorespiratory arrest, such as acting in the face of cardiac arrest?
There are a series of first aid actions that are simple and must be linked, collected in the chain of survival, which we must carry out if we witness an emergency situation with an unconscious person on the ground, first call the 112, then turn on the defibrillator and follow the CPR instructions that the device tells us to perform early defibrillation, which is accompanied by advanced life support. These four actions are perfectly affordable for the general population to carry out, these early actions in the face of cardiac arrest, ensure a greater chance of survival of the person who has suffered a heart attack. If, as we said, the majority of cardiorespiratory stops are witnessed by third parties, that is, there are witnesses on the scene, betting on the formation of the population in first aid with basic life support and the installation of external defibrillators in more and more spaces public and private, saves lives.
What does the Cantabria regulation say about cardio protected spaces?
Normally, the Autonomous Communities to draft their regulations follow recommendations from international entities on the installation of external defibrillators, the regulations give instructions to those who are required, although installation is recommended in all areas. For these spaces forced to install defibrillators, this new regulation explains how and where to do the installation and its signage to locate the defibrillator quickly, which is usually in places that transit or house a large influx of people, as the probability that a cardiorespiratory arrest occurs is greater.
Last October, a new regulation on the installation of portable defibrillators entered into force in the Autonomous Community of Cantabria "in public spaces such as shopping centers, individual and collective, defined as the establishment in which the retail commercial activity is carried out and which have a built surface greater than 500 m2 (adding one more defibrillator for each 1000 m2).
The main points of the regulations of Cantabria
The Cantabrian legislation on protected cardio spaces also includes the mandatory installation of defibrillators in:
Installation of defibrillators in means of public transport such as airports, commercial sea ports, bus stations and railway of populations of more than 20 000 inhabitants.
Public and private facilities, with an average daily influx of 500 people are also required to install a defibrillator.
An external defibrillator should be installed in sports facilities where the number of daily users is equal to or greater than 350 persons.
It is also mandatory to have a portable defibrillator in schools with a capacity greater than 1500 people.
However, it should be considered to train or expand the standard on the installation and use of an external defibrillator in Cantabria, to include other public and private places with these portable defibrillators, regardless of whether they are in a town or a large city, if they concentrate less than X people per day or if they have a capacity less than 1500 people. In Spain this culture of cardioprotection is not very widespread, neither institutionally nor socially; However, if we look at other countries around us, we will see that there is practically no school, a delegation, a sports center, a cultural center, a neighborhood community or a central street that does not have a defibrillator, whether or not it is a large city.
Many populations of Cantabria are far from being cardioprotected spaces
It is paradoxical, following this thread, many towns in Cantabria do not have defibrillators even in their health centers or clinics: their population is very small but at what distance is the nearest regional or regional reference center? How long? Does the ambulance take long?
translated by: Bas Voordendag
Cantabria advances towards the cardioprotection of all its autonomous community
We are facing a problem of Public Health and before a big issue to reflect. Everything begins by becoming aware of where we are, what we can do to improve in this sense, and make the most correct decisions. Cantabria is making a great effort and socio-health work. We have seen that fighting for cardioprotection measures is a safe bet, since raising awareness and training the population in Basic Life Support and defibrillation will have an immense health impact in the medium term. Soon we will see more automated external defibrillators (AEDs) in shopping centers and will be added to existing ones in institutional, sports and educational centers of Cantabria. We are on the good way.