
Begins marks a significant step forward in enhancing public safety and emergency preparedness across one of Iowa’s key communities. Announced on March 9, 2026, by the City of Dubuque, this initiative led by the Dubuque Fire Department addresses the critical need for rapid intervention in cases of sudden cardiac arrest (SCA), a leading cause of death in the United States.
What is an AED and Why Does It Matter?
An Automated External Defibrillator (AED) is a compact, user-friendly medical device designed specifically for laypersons to use in emergencies. It automatically analyzes a person’s heart rhythm during sudden cardiac arrest—a condition where the heart suddenly stops beating effectively—and, if a shockable rhythm like ventricular fibrillation is detected, delivers an electric shock to restore normal heart function.
The life-saving potential of AEDs is well-documented. Research, including analyses from the National Institutes of Health, indicates that prompt AED use can boost survival rates from out-of-hospital cardiac arrest by up to 70% when combined with immediate CPR. Survival chances drop dramatically—by about 7-10% per minute—without defibrillation, underscoring the value of having these devices accessible in public spaces where large numbers of people gather, exercise, or recreate.
In parks, where individuals of all ages engage in physical activities, the risk of cardiac events can be elevated, particularly among older adults or those with underlying heart conditions. Placing AEDs in these locations bridges the gap between the onset of an emergency and the arrival of professional responders, who may take several minutes to reach more remote or crowded park areas.
The Dubuque Initiative: Partnerships and Initial Rollout
The program is a collaborative effort between the Dubuque Fire Department and the City of Dubuque Parks & Recreation Department. The first installations are now complete at three prominent locations:
• Comiskey Park (255 E. 24th St.) — A multi-use recreational space popular for sports and community events.
• Miracle League Park (2790 Miracle League Dr.) — An inclusive facility designed for individuals with disabilities, emphasizing accessibility and community participation.
• Dubuque Arboretum and Botanical Gardens (3800 Arboretum Dr.) — A scenic attraction drawing visitors for walking, events, and nature appreciation.
These initial sites were strategically chosen based on factors such as high visitor traffic, population density in surrounding neighborhoods, demographic data (including age and health risk profiles), and the fire department’s historical medical response patterns. By prioritizing areas with demonstrated need and limited nearby AED coverage, the program maximizes potential impact.
The AED units are housed in brightly colored, weather-resistant, and secure cabinets positioned in high-visibility spots to facilitate quick location. Access follows a smart, controlled protocol to balance availability with security and proper guidance:
1. Call 9-1-1 immediately upon recognizing a cardiac emergency.
2. The emergency dispatcher provides an alpha-numeric code.
3. Enter the code to unlock the cabinet.
4. Retrieve the AED, which then delivers clear voice and text instructions—including pad placement, analyzing the rhythm, and administering a shock if needed—while the user performs CPR as directed.
This design ensures that even bystanders with minimal or no prior training can respond confidently and correctly. As Dubuque Fire Department Medical Officer Jeff Pregler noted, “Bystanders with little or even no training can be confident they’ll be able to effectively use the AED because the device walks them through the entire process.”
EMS Bureau Chief Sam Janecke emphasized the broader community benefit: “AEDs are proven to save lives in cardiac emergencies. Placing these devices around our community helps get critical care to patients while emergency responders are en route.”
Funding, Expansion Plans, and Resource Optimization
A clever resource-recycling approach made this program feasible without requiring entirely new purchases for the parks. The Dubuque Police Department secured a grant from the Helmsley Charitable Trust—an organization known for funding rural and community health initiatives, including widespread AED distribution to first responders across the Upper Midwest. This grant enabled the police department to equip each squad car with new, advanced AEDs.
The existing AEDs from the police vehicles were then repurposed for public installation, creating a sustainable cycle of equipment upgrade and redistribution. Funding for the 11 cabinets (with potential for five more by summer 2026) came through the City’s capital improvement program budget allocated to the fire department.
Planned additional locations include:
• Eagle Point Park (2601 Shiras Ave.) — A historic overlook and recreational area with significant foot traffic.
• Jackson Park (1500 Main St.).
• Jefferson Park (665 University Ave.).
• Mississippi Riverwalk (600 Bell St.) — A popular waterfront path for walking, biking, and events.
• Orange Park (1801 Washington St.).
• Near the public restroom at the intersection of 4th St. and Bluff St. — Targeting high-use urban-adjacent spots.
This phased expansion aims to create a more comprehensive network of public-access AEDs, potentially serving as a model for other Iowa municipalities.
Broader Implications and Community Impact
Beyond immediate life-saving potential, the initiative promotes greater public awareness of cardiac emergencies and encourages bystander intervention. It aligns with national efforts by organizations like the American Heart Association to increase AED availability in public spaces (detailed resources are available at heart.org/AED).
In a mid-sized city like Dubuque—where parks serve as vital community hubs for families, seniors, youth sports, and special events—the program addresses equity in emergency care. Locations like the Miracle League Park highlight inclusivity, ensuring vulnerable populations benefit from enhanced protection.
Challenges such as maintenance, battery life monitoring, pad expiration, public education, and vandalism prevention will require ongoing attention. However, the controlled-access system and integration with 9-1-1 dispatch mitigate many risks while preserving usability.
For residents, visitors, or organizations interested in learning more, supporting similar efforts, or inquiring about training opportunities, contact the Dubuque Fire Department at 563.589.4160 or fire@cityofdubuque.org.
This program represents a proactive, community-centered investment in health and safety—one that could make the difference between tragedy and survival in those critical first minutes of a cardiac emergency.

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