In the ICU, the defib goes on the crash-cart, simple as that. Not much scope for research there, Abdo, I wouldn’t have thought. Might be more interesting, from a technical standpoint, to review the history of defib technology, and compare with the modern biphasic approach.
However, if you really want to make a name for yourself, may I suggest that you expand your terms of reference and make a study of defibrillator distribution nation-wide. You could, for instance, take UK as your model.
As we know, there are three general applications for defibs. The traditional unit found in operating theatres – usually mains powered, and complete with internal paddles (ie, for direct application to the heart through an opened chest), the crash-cart mounted type with which we are all familiar, and the AED automatic emergency type.
These days, in the UK at least, you will find defibs everywhere outside of the hospital. Dentists have them, primary health care too, you’ll find them of course in ambulance vehicles (and also, soon, in police cars). They’re hanging on the wall in factories, railway stations, public buildings etc. etc. The list is endless. Maybe traffic wardens will be carrying them on their backs any day now. Bear in mind that all this equipment has to be regularly tested, serviced and repaired. Don’t even wonder where the money comes from for all this. Your thesis could apply a similar hypothesis to your own country, arguing the case of cost to the people of Egypt versus the value, in terms of quality-adjusted life-years, of the application of these machines. Come to think of it, perhaps there’s a PhD in there somewhere for me! Good luck, Mate.
