Automated External Defibrillator External defibrillation can save lives when used with- in minutes of the onset of VF. The AED is an efficient method of delivering defibrillation to persons expe- riencing out-of-hospital cardiac arrest, and its use by first responders is safe and effective.S11.3-1 S11.3-3 Federal efforts have been effective in placing AEDs in airports/ airplanes and federal buildings, while varying efforts at the state and community levels have been effective in placing AEDs in many. but not all, schools, sporting events, high-density residential sites, and airports as well as in police and fire department vehicles.S11.3-4 S11.3-7 Resuscitation protocols with or without AED placement are required in most states for fitness clubs, although alternate indoor exercise facilities may have higher rates of arrest and provide for increased survival over other indoor public sites.S11.3-8 In a study population of 21 million, survival to hospital discharge was nearly twice as high when an AED was applied for out-of-hospital Expanded and coordinated place- ment of AEDs in the community, including in high-risk geographic locations such as schools and organized sports arenas, can substantially increase the proportion of patients with cardiac out-of-hospital cardiac arrest who receive AED therapy.S11.3-10 The US Food and Drug Administration has approved over-the-counter sales of AEDs. Approximately 70% of SCAs occur in the home, and the rate of survival to hospital discharge after AED placement by emergency medical services is significant- ly lower for arrest at home (12%) versus public settings However, in an RCT of AEDS, home AED placement did not improve the survival of patients re- covering from an anterior MI.S11.3-12 Appropriate device location to reduce time delay after onset of SCA is criti- cal. 