There have been recent moves to include Public Access Defibrillation (PAD) in emergency response strategies. The value of this development is explored in this article. The benefits and limitations of extending AutomaticExternal Defibrillator (AED) use to non-traditional first responders, minimally trained witnesses and citizens are examined and the cost-effectiveness of such developments is discussed. The authors contend that, at the present time, enthusiasm for PAD would seem misplaced and that there is a series of economic, ethical and legal uncertainties that need to be addressed before widespread distribution of AED technology should be pursued
