Help save a fellow Londoner’s life

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705 Londoners have responded | 16/10/2023 - 17/03/2024

A female member of the London Ambulance Service is performing CPR on a doll as part of a training course on lifesaving skills.

Using defibrillators in London

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Did you know that 87% of cardiac arrests (when a person’s heart stops beating) happen outside of hospital?  

Maximising the number of defibrillators across London will help people increase their chances of surviving a cardiac arrest.  

A defibrillator is a device that gives an electric shock to the heart of someone who is in cardiac arrest. 

On 16 October 2023 - World Restart a Heart day - the Mayor announced that all London Underground and Overground stations now have public defibrillators.

City Hall’s Health policy team wants to know if Londoners will feel confident enough to use these new defibrillators if they see a person in cardiac arrest. Astrid, Anmol and Kay from the team will be reading your contributions and signposting to lifesaving training and resources.   

We want to hear from you: 

  • Would you feel confident using a defibrillator if you see someone having a cardiac arrest? Why or why not? 
  • What might hold you back from using a defibrillator? 
  • Where in your local area or community have you seen a defib? What kind of places would you like to see more defibs? 
  • What, if anything, would encourage you to sign-up to a free course on using defibrillators and lifesaving skills?  
  • What do you think might help raise awareness of these new defibrillators and empower people to use them?  

Tell us more in the discussion below.  

The discussion ran from 16 October 2023 - 17 March 2024

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Comments (226)

Avatar for - Staghorn coral

I know how a defibrillator works but like a live demonstration of CPR and defibrillator in action on a dummy or life situation.

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I have maintained my knowledge of CPR and defibrillators through training programmes in the workplace, and later, as Head of HR for various businesses I made sure it was a core element of employee training.

Most recently I joined up as a NHS...

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I have maintained my knowledge of CPR and defibrillators through training programmes in the workplace, and later, as Head of HR for various businesses I made sure it was a core element of employee training.

Most recently I joined up as a NHS volunteer responder and received more updates etc.  There is plenty of opportunity out there, but how can we ensure people know where to find it and h9w to access it?  

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I've just done a first aid course and it included practicing with one of these - it was so easy!!! I'd really like to know they are close by when you need one. 

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I've just done a first aid course and it included practicing with one of these - it was so easy!!! I'd really like to know they are close by when you need one. 

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I have seen a defibrillator in use but have never used one. I have provided CPA once with support via phone.

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Great idea to introduce defibrillators in stations. Are National Rail doing the same? Are they easily accessible i.e. can they be removed by member of public or do they need a key/code. I understand they are self instructing however...

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Great idea to introduce defibrillators in stations. Are National Rail doing the same? Are they easily accessible i.e. can they be removed by member of public or do they need a key/code. I understand they are self instructing however confidence in their use is important as with CPR.  Can you provide a short video to show these to give us confidence.

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Hi Royjakes, thank you for your questions. All the defibs on the TfL network are easily accessible, there is no key or code required.  You’re right that confidence is important! Please watch our training video here London lifesaver | London City Hall or sign up to training with LAS Become a London Lifesaver - London Ambulance Service NHS Trust. While we don't have the answer about National Rail, we would encourage you to get in touch with them directly to find out.

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Survival rate after using a defibrillator is only 10% - very rarely mentioned - instead all articles are giving a false picture of saving life with defibrillator.

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Hi Benjamin321, thank you for sharing your thoughts. It's important not to get discouraged. The reality is that CPR and/or using a defibrillator gives a person in cardiac arrest their best chance of survival while medical help arrives. It’s vital that we try if we it can help save a person’s life.

Avatar for - Adelie penguin

... and what's the survival rate if a defibrillator isn't used?

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Hi davel, thanks for your question. According to the British Heart Foundation, without immediate intervention with a defibrillator, most cardiac arrests are fatal. Every minute without CPR and a defibrillator reduces survival chances by up to 10%. You can read more on their website. https://www.bhf.org.uk/how-you-can-help/how-to-save-a-life/defibrillators/getting-a-defibrillator-what-you-need-to-know

Avatar for - Sumatran elephant

As a Team London Ambassador team leader I was given the opportunity to attend a course  coverin  the use of CPR and the defibrillator. The thing I remember most is that defibrillators come with clear audio instructions. Fortunately I have...

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As a Team London Ambassador team leader I was given the opportunity to attend a course  coverin  the use of CPR and the defibrillator. The thing I remember most is that defibrillators come with clear audio instructions. Fortunately I have not been put in a position where I have had to put my knowledge to the test. 

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Travellling around the UK, I've seen defibrillators in villages and towns, as well as the odd one in London. I'Ve also seen them abroad. They made me feel safer, just seeing them. They are undoubtedly useful but, having said that, I've no...

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Travellling around the UK, I've seen defibrillators in villages and towns, as well as the odd one in London. I'Ve also seen them abroad. They made me feel safer, just seeing them. They are undoubtedly useful but, having said that, I've no idea how many lives they've saved, but it must be a lot.

I've seen them in stores - but most often in converted phone boxes, which seems brilliant and a potential use for the hideous, negected privately owned black phone boxes in our streets. They might also go in the unused BT boxes around.

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I think that defibs are great and can actually save lives until further help arrives however these should only been used by people who know what they are doing or it could make the situation worse unless they are First Aid trained. 

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I think that defibs are great and can actually save lives until further help arrives however these should only been used by people who know what they are doing or it could make the situation worse unless they are First Aid trained. 

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Avatar for - American pika

Had some training ages ago so I know what to do but dont feel too confident.

Id like to see more defibrulators in the community especially sports venues - my son in law was playing cricket locally when a young person tragically had a heart...

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Had some training ages ago so I know what to do but dont feel too confident.

Id like to see more defibrulators in the community especially sports venues - my son in law was playing cricket locally when a young person tragically had a heart attack and may have been saved if there was a defibrillator or someone with CPR knowledge

CPR / emergency first aid should be taught in schools to 6th formers and youth groups - recent cases in the news show that this is relevant 

I work for refugee action Kingston and Id be VERY happy to host training in Kingston upon Thames 

TV and news campaign would be good to raise awareness as well as working with the voluntary sector

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Avatar for - Adelie penguin

Training 6th formers CPR and how to use a defibrulator is an excellent idea. One the government should promote.

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Hi Jenny Arokiasamy, thank you for sharing your thoughts. I’m very sorry to hear about your son-in-law’s experience. I do hope he’s had the support afterward to help cope through that. 

 

I completely agree with you that we need more publicly available defibrillators and more awareness of the importance of learning CPR and how to use a defib. That's exactly what we’re hoping to do with our campaign, and it’s wonderful to hear that you want to get involved.

 

Please have a look at our website where you can find lots of great resources, including a video demonstrating cpr/defib skills, as well as information on where to get hands on training and where to purchase a defib:

www.london.gov.uk/londonlifesaver

 

LAS is doing a lot of great work to get to London Lifesaver training into schools, and raising awareness of defibrillators. Here are a couple of links for you to check out. It would be great if you could spread the word in your community:

 

Free training events - London Ambulance Service NHS Trust – free training on LAS site

How can I become a London Lifesaver? - London Ambulance Service NHS Trust – LAS-facilitated training at your org. 

 

Avatar for - Adelie penguin

 I have been interested in taking a First Aid course for a while, I think it's a very important skill to have. I'm surprised they don't make it a compulsory thing at school.

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 I have been interested in taking a First Aid course for a while, I think it's a very important skill to have. I'm surprised they don't make it a compulsory thing at school.

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I would use a defibrilator even though im not coccidental about their operdition. However, lots of the lovations appear to be locked or require a key code. So in an emergency what does one do initially to get gowing wits the defib?

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Hi keithburn, it’s great the hear that you would use a defibrillator if needed. Some privately owned defibrillators do require unlocking or a code, but all of the ones on the TfL estate are unlocked and available to use immediately. To use the defibrillator, just open the box and audio instructions will tell you everything that you need to it. 

When you call 999 in an emergency, the call handler will also guide you on where to locate and how to use a defibrillator. If a defib is not available, you can always start CPR while on the phone with 999.  


This video shows you exactly what to do:   Do you know the signs of cardiac arrest? Would you know what to do in a crisis? | London Life Savers - YouTube

Avatar for - Rhino

I would need input on a defribrillator.Though I will check I am familiar with CPR but it's been a long time

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The significant majority of cardiac arrests which happen outside hospital occur in the home, most of which are too far from any public defibrillator sites. I suggest that this excellent initiative also looks closely at innovative products...

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The significant majority of cardiac arrests which happen outside hospital occur in the home, most of which are too far from any public defibrillator sites. I suggest that this excellent initiative also looks closely at innovative products such as CellAED, a small portable UK-certified defibrillator unit which could be deployed as a much cheaper (per unit) asset on a street or community basis.

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I've done a couple of training sessions which included defibrillators over the last few years.
A couple of comments:

  1. It should be widely publicised how easy it is to use defibrillators, with the machines themselves giving you instructions...
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I've done a couple of training sessions which included defibrillators over the last few years.
A couple of comments:

  1. It should be widely publicised how easy it is to use defibrillators, with the machines themselves giving you instructions, and that they won't give the subject a shock if their condition isn't appropriate.
  2. The database of defibrillator locations needs to be kept updated better so that people can find the nearest one quickly in an emergency. This is probably more important than providing more of them.
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Hi DeeGee, 

 

Thanks for your response. We agree that this should be more widely publicised, it would be great if you could help us by spreading the word about the video and the training available! All can be accessed here: www.london.gov.uk/londonlifesaver.   We are also encouraging organisations with defibs and all defib owners to register their defib. Details also available on the link about how people can do this – do help us get the word out if you can! Remember that if you generally want to check out where your nearest defib is, visit:  GoodSam or BHF's DefibFinder. 

 

In an emergency when you dial 999, the call-handler will also direct you to one. 

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i am concerned about the time needed to call emergency services to get the code for locked defibrillators in public areas: i realise that they are locked to prevent theft or vandalism but there should be substantial and clearly publicised...

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i am concerned about the time needed to call emergency services to get the code for locked defibrillators in public areas: i realise that they are locked to prevent theft or vandalism but there should be substantial and clearly publicised penalties to dissuade misuse and avoid the need for them to be locked similar to the misuse of emergency alarms on trains: additionally, the defibrillators could be fitted with an alarm that not only attracts local attention but also alerts the emergency services (via mobile telephone network) including audio & video link... 

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Hi daveviney, 

 

Unfortunately, not all defibrillators are public. Private defibs require unlocking or a code before use. However, the ones on the TfL estate are not locked – they are publicly accessible. It’s important to help spread awareness that these are life-saving devices to help discourage vandalism. 

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I have done several first aid courses in the past (for work) and also did a short course on how to use a defib machine (also for work) so I would definitely have a go if there was an incident and a machine was nearby.  I definitely think...

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I have done several first aid courses in the past (for work) and also did a short course on how to use a defib machine (also for work) so I would definitely have a go if there was an incident and a machine was nearby.  I definitely think all schoolchildren should do a basic, full day, first aid course which should include the use of an automated defib machine, before they leave school.

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I live in a bungalow adjacent to a playing field. This field is used legally every day by dog walkers (many of them senior citizens), by joggers and by individuals exercising. They are also used illegally by rat-running motor cyclists and...

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I live in a bungalow adjacent to a playing field. This field is used legally every day by dog walkers (many of them senior citizens), by joggers and by individuals exercising. They are also used illegally by rat-running motor cyclists and cycle riders and also, though less frequently, by children and youths racing motorcycles.    At weekends the football pitches are rented for use for 10 or more football matches (with players aged 5/6 upwards to mature adult).   The already vandalized changing facilities building, was virtually destroyed last year by the gales, and is now being demolished. 

Two questions.  I am happy to have a defribrillator on an outside wall, prominently advertised and readily accessible to any in need.  (1) Who would be responsible for maintenance (or who would be responsible for ensuring maintenance was of acceptable standard)?  (2)  In an area with a reputation for mindless (perhaps drug-fuelled) vandalism, would I have any responsibility in the event of damage to the defribrillator, theft of the defribrillator, or injury or harm to anyone using the defribrillator?  

I'd also be prepared to consider having Bleed Kit cabinet - though I am concerned that having Defribillators and Bleed Kit cabinets may attract unwelcome attention!

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Hi Steve Smith, 

 

Thank you for your response. 

 

The owner of the defibrillator is responsible for maintenance. If they make it publicly accessible, they will likely need to ensure it stays in good shape. It’s also important that they register it with BHF or Good Sam.  

 

If you notice a defibrillator that is vandalised, please do report it. 

 

Using a defibrillator is safe and it can give the person in cardiac arrest their best chance of survival. Remember that the defib will detect if the person can be shocked and will give the user clear instructions on how to use it. You can watch the video on our page to learn more about the steps to take in the event of a cardiac arrest: https://www.london.gov.uk/londonlifesaver.  

 

 When you call 999 during an emergency you will also get plenty of support over the phone.  

 

For detailed advice on the legalities around defibs we recommend visiting or getting in touch with the Resuscitation Council:  https://www.resus.org.uk/ 

Avatar for -

Most commercial and public buildings have ( or should have) first aid equipment  and nominated First Aiders on the premises, so maybe defibrillators should be a normal part of the first aid provision with nominated First Aiders all trained...

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Most commercial and public buildings have ( or should have) first aid equipment  and nominated First Aiders on the premises, so maybe defibrillators should be a normal part of the first aid provision with nominated First Aiders all trained to use  them.   Volunteers  and staff who work directly with the public should also be offered the training.  As a volunteer I have been required  to identify where the nearest defibrillator can be found, but would be  unable to use it without training.

 

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Hi Debbie Peaty,  

 

Thank you for your response. There are many ways to get trained on performing CPR or how to use a defibrillator, and we have a lot of those resources in one place on our website, including a video that demonstrates these skills: https://www.london.gov.uk/londonlifesaver.  

 

To register for the London Ambulance Service’s (LAS) London Lifesaver programme and get hands on experience, visit: https://www.london.gov.uk/londonlifesaver  

 

We also have information on the BHF Revive training which teaches you how to perform CPR in 15 minutes. You can do it in your own home. More information is here: https://www.london.gov.uk/londonlifesaver  

 

Guidelines on CPR do change over time. The Resuscitation Council will have the latest on this. And it of you take up London Lifesaver training with the LAS, for example, this is one of the things that will be covered during a session. 

Avatar for - Monarch butterfly

What about having defibrillators on public transport such as on tubes and on buses. I was put in a situation last week where I had to call an ambulance because a bus driver jammed on the brakes which caused a woman to hit her head and chest...

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What about having defibrillators on public transport such as on tubes and on buses. I was put in a situation last week where I had to call an ambulance because a bus driver jammed on the brakes which caused a woman to hit her head and chest on a railing. That caused her to bleed and lapse in and out of consciousness. Luckily the ambulance came just in time. 

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Hi Anna2007, 

 

Stepping in mustn’t have been easy but thank you for doing the right thing and calling the ambulance. London now has publicly accessible defibrillators in all London Underground and Overground stations, all Dial-a-Ride offices, all TfL-owned piers and some main bus stations. However,  TfL is also  continues to explore how they can further provide even more across the network.