The abundance of automated defibrillators in Japan

The first time I saw an Automated External Defibrillator, AED for short, was in Japan. An AED is a machine designed to help people who are suffering from a heart attack. While waiting for an ambulance, bystanders can fetch the machine, connect the electrodes to the patient and the machine will automatically determine if it is necessary to administer an electric shock. It is important to note though, that CPR (resuscitation) remains vital. AEDs are designed to be used together with CPR.

philips heartstart AED

The Philips Heartstart AED

philips heartstart AED placement of electrodes

Electrodes are placed on the patient and the machine determines if an electric shock should be administered

While we have AEDs in Belgium as well, they seem to be few and well hidden. In Japan on the other hand, AEDs are everywhere. And there are clear signs indicating where the AEDs are. Have a look at this map, giving an overview of all AEDs in Atsuta Jingu park in Nagoya:

a map of all available AEDs in Atsuta jingu in Nagoya, Japan

A map of all available AEDs in Atsuta shrine in Nagoya, Japan. The hearts indicate the location of the AEDs. I count four AEDs in this park alone. Amazing!

AED in Japan

A clearly visible AED near the entrance of the toilets in a shopping centre in Japan. There is a flashlight on top of it. I wonder how it is activated. Are there buttons throughout the shopping centre that activate the flashlight and thus guide you to the AED?

One might argue that this abundance of AEDs is due to Japan’s ageing population. Belgium however also has an ageing population, yet AEDs are not omnipresent. Personally, I attribute the availability of AEDs in Japan to Japan’s concern with safety (安全 anzen). The lengths that Japanese people and authorities go through to ensure safety in all possible situation is impressive. Japan is covered with signs warning you about all possible dangers. ‘Anzen’ (safety) is a word that I quickly learned while living in Japan!

What do you think about AEDs in Japan? Do you also find there are so many of them? Why do you think that is?

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