Abstract 151: Barriers and Opportunities for a Drone-Delivered AED Network in Durham, North Carolina

Abstract

Background: The general public is unfamiliar with the concept of medical drones delivering life-saving technologies. Our research sought to define stakeholder attitudes towards development of drone-based emergency care for out-of-hospital cardiac arrest. Methods: Using qualitative methodology, we explored key stakeholder attitudes about using a drone to deliver automated external defibrillators (AED), challenges and facilitators to early establishment of a drone AED network, implementation considerations, and factors related to long-term sustainability. We identified 22 key individuals as potential respondents based on professional position; 16 respondents participated in data collection. Research participants included leaders in government, healthcare, emergency services, business, community, and the aviation industry (regulation and drone operation). Interview data were recorded and transcribed; data were analyzed using NVivo. A coding schema was developed based on constructs identified in previous literature and inductive consideration of this study’s data, including both thematic and descriptive coding. Results: We found broad support for a drone-delivered AED network. Such a network was perceived as valuable for reduced response times and for enhanced access to hard-to-reach areas. Identified challenges included operationalizing an autonomous drone AED network, privacy and safety concerns, current legal and regulatory requirements, financial liabilities, public buy-in and concern for public actually using an AED, and the need for research on treatment and cost- effectiveness of a drone network. Facilitators of development for a drone AED network included solidifying key partnerships (including integration into current EMS or fire services), identifying viable funding from private and public entities, and learning from existing drone models (e.g. commercial package or medical supply delivery). Conclusion: This study found general and conceptual support for the development of a drone network for AED delivery across key informants from an array of related fields. Such information should be considered in developing a regional drone AED network.