The Golden Four Minutes: DRUTEK Installs AEDs

2026-04-27 0

In April 2026, Suzhou DRUTEK installed automated external defibrillators (AEDs) in the office area and on the production floor, and on 27 April ran first-aid training for employees. The day was tight: a fire evacuation drill in the morning, first-aid theory and practice in the afternoon. Put together, both make the same point — an accident does not give notice, and the only thing that saves a life is the first response of the people standing there.

The golden four minutes leave no time to wait for an ambulance

After cardiac arrest, brain tissue begins to suffer irreversible damage within four to six minutes. Survival from out-of-hospital cardiac arrest in China has long sat at around 1%, and every minute of delay before defibrillation cuts the survival rate by roughly a further 7–10%. In everyday terms: run from the workshop to the gate, dial 120, wait for the vehicle, get through the estate, find the floor — that chain usually takes more than ten minutes.

So the logic of putting an AED in a public place or a factory is not "specialist equipment" but "moving the first shock ahead of the arrival of professional help". That is why the training repeats one instruction: call 120 first and send someone for the AED at the same time — do not let either wait for the other.

What an AED does and does not do

Many people misunderstand AEDs, imagining a "shock machine" they might misuse. The reality is the opposite:

  • It decides for itself — The AED analyses the rhythm and only advises a shock for the two shockable rhythms, ventricular fibrillation and pulseless ventricular tachycardia. It will not shock a normal rhythm or asystole, so there is no risk of shocking the wrong person.
  • It talks you through it — Once switched on, it gives spoken prompts throughout, and the pad placement diagram is clearly drawn. A layperson simply follows the instructions.
  • It cannot replace compressions — Defibrillation restores the rhythm, but blood supply to the brain and heart depends on continuous chest compressions. In training the two are practised together, never one alone.
StageKey actionCommon mistake
AssessNo response to shoulder tap and shout, no normal breathing: call for help and dial 120 immediatelyWasting time feeling for a pulse or pinching the philtrum
CompressDepth 5–6 cm, rate 100–120 per minute, 30:2 compression to ventilationToo shallow, too long a pause, afraid to press hard
DefibrillateSwitch on, apply pads (upper right chest and left mid-axillary line), clear everyone, deliver the shock on promptWrong pad position, someone still touching the patient during discharge
RotateChange the compressor every two minutes until professional help arrivesOne person pushing on alone as quality falls away

At the training: the corrections were all in the detail

The practical session used a manikin with feedback, showing compression depth and rate in real time. Once people actually got their hands on it, most discovered their own problems: elbows not locked, pushing from the arms instead of using body weight; letting up halfway so recoil is incomplete; counting the beat faster and faster. None of this is self-diagnosable without practice, and in a real resuscitation it decides whether the compressions work at all.

The training also covered management of airway obstruction and initial handling of the common workshop injuries. None of it is needed most days — but when it is needed, every second counts.

Equipment installed is equipment that has to be managed

An AED is not finished business once it is on the wall. Its effectiveness depends on two consumables, the battery and the electrode pads, both of which expire; once they do, the device self-test alarms and it cannot be used. The company therefore set up a management routine alongside the installation:

  • Fixed locations with clear signage, so that the walk from the furthest workstation is within three minutes;
  • A monthly check of the self-test indicator, battery charge and pad expiry, with records kept on file;
  • Spare pads and batteries stocked ahead of expiry, so that there is never a device without consumables;
  • First-aid training written into the annual plan, with basic first aid included in new-hire induction.
The best outcome in safety is that it is never needed. And precisely because it may never be needed, it matters all the more that when the moment comes the device is within reach — and someone knows how to use it.

For a manufacturing company, on-time delivery and stable quality are hard measures. Making sure that everyone who works on the line knows that someone will respond if something happens is another baseline that should not be overlooked.

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