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The use of automated external defibrillators (AEDs) has a major impact in the management of cardiac arrest and substantial implications for public health. It is therefore important for the European Society of Cardiology (ESC) and the European Resuscitation Council (ERC) to join forces to develop European recommendations for legislation on defibrillation, for training in AED use and for the development of AED community programmes.To fulfil these objectives a Policy Conference was organised jointly by ESC and ERC in December 2002 at the European Heart House in Sophia Antipolis, France. The conference was convened after the publication of the guidelines on prevention of sudden cardiac death by the ESC1 and the international guidelines for CPR by ILCOR.2 Both documents had highlighted the concept that success in the fight against premature sudden cardiac death is influenced by the efficacy of in-hospital and out of hospital resuscitation.The present document is the result of that policy conference and it has four key objectives:1. To provide a critical appraisal of the studies published in the scientific literature on the use of AEDs.2. To present data on the status of legislation/organisation of defibrillation by non-medically qualified rescuers in Europe.3. To promote recommendations for the organisation of AED programmes in Europe that were collected and discussed during the policy conference.4. To identify the areas in which more research is needed before evidence based guidelines for the use of AEDs can be developed.An appendix to the full document is published on-line on the ESC and ERC websites www.escardio.org and www.erc.edu and this executive summary is published simultaneously in the European Heart Journal and in Resuscitation.Sudden cardiac death remains the single most important cause of premature death in the adult population of the industrialised world despite its recent slow decline in incidence.3 …

ESC-ERC recommendations for the use of automated external defibrillators (AEDs) in Europe