Saudi Arabia is building at record speed, from Riyadh’s towers to Jubail’s plants and NEOM’s remote camps. Safety equipment has to keep up, and it has to be legal, suitable for the site and ready to use. This guide pulls together what the SFDA, Saudi Labor Law, current resuscitation guidelines and Saudi research say, and turns it into practical steps.
The cardiac arrest problem in Saudi Arabia
Sudden cardiac arrest is a time-critical emergency: survival depends on how quickly someone starts CPR and uses a defibrillator. Saudi research suggests there is room to improve on both.
- A multi-region analysis of Saudi Red Crescent Authority data found bystander CPR in only 12.0% of out-of-hospital cardiac arrests. Riyadh had the highest rate (26.4%), while several regions were below 5%.
- An earlier cross-sectional study of Saudi Red Crescent records reported bystander CPR in 12.7% of cases, and noted long EMS response times.
- A 2025 survey of Saudi residents found gaps in CPR knowledge and low AED awareness, and recommended CPR in school curricula, wider public AED deployment and dispatcher-assisted CPR.
Be careful with the numbers
The multi-region study found that bystander CPR improved return of spontaneous circulation, but its independent effect on survival was not statistically significant after adjusting for factors such as response time. The authors call for more training and faster EMS response. In other words, CPR, quick defibrillation and fast ambulance access all matter together.
The real-life problem
A worker collapses in a warehouse, mall or office. Colleagues freeze, nobody knows where the AED is (or there isn’t one), and the ambulance has to cross heavy traffic or a large site.
The solution
Put an AED where people can reach it in minutes, train enough staff to act without hesitation, and rehearse the response. Browse AED defibrillators, AED cabinets and CPR and AED training.
What The SFDA Requires Before You Buy An AED
The Saudi Food and Drug Authority (SFDA) regulates medical devices in the Kingdom. Two approvals matter, and buyers often confuse them.
| MDMA (Marketing Authorization) | MDEL (Establishment License) | |
|---|---|---|
| Applies To | The medical device (product) | The company importing, distributing, storing or manufacturing |
| Question It Answers | Is this device allowed on the Saudi market? | Is this company licensed to handle it? |
| What to Ask For | The MDMA listing for the exact model | The supplier’s current MDEL |
- Applications run through GHAD. SFDA’s Unified Electronic System (GHAD) is used for establishment licensing and marketing authorization applications.
- No MDEL, no import. An importer or distributor needs an MDEL before it can import, store or market medical devices, or apply for device authorization. Industry guides report that the license is issued for one year, so check the expiry date.
- Customs paperwork must match. SFDA’s shipment-clearance guidance expects the importer’s MDEL, evidence of the device’s marketing authorization, and labeling that corresponds to what was submitted. Device trade names should match across the invoice, MDMA and national registry listing.
- Foreign approvals are not enough on their own. A US FDA or CE record helps support a Saudi application, but the exact product still needs SFDA authorization to be marketed in the Kingdom.
- Demo and training units follow a simplified route. SFDA guidance allows demonstration or training devices to be imported without registration or MDMA, but they must be labeled as such and cannot be advertised. Never use a training unit as your site’s emergency AED.
Your checklist
Ask the supplier for (1) the MDMA record for the exact model, (2) their valid MDEL, (3) Arabic instructions and labeling, (4) the manufacturer’s authorization for local supply and service, and (5) warranty and service terms in writing. You can verify requirements directly on the SFDA medical devices pages.
What Saudi Labor Law expects from employers
The Ministry of Human Resources and Social Development (MHRSD) explains that the Labor Law’s chapter on safety and health requires employers to take the precautions needed to protect workers from hazards, occupational diseases and machinery, and to provide first aid cabinets with the necessary supplies.
- A law-firm summary of the Labor Law’s safety rules lists duties such as training workers on safety tools, providing first aid cabinets, and, for workplaces with more than 50 workers, a first aid room and trained first aid support. That summary dates from 2015, so confirm the current implementing regulations with the ministry or a legal adviser.
- Employers must also report work injuries to the General Organization for Social Insurance (GOSI). The same summary describes a three-day reporting window for injuries needing more than first aid.
Important: the Labor Law does not, as far as the sources reviewed here show, name AEDs specifically. An AED is best viewed as a risk-based measure that strengthens your first aid provision, and many clients (for example large energy and industrial operators) set their own stricter site requirements. Always check contractual HSE rules too.
What The 2025 AHA Guidelines Changed
The American Heart Association published comprehensive updated CPR and emergency cardiovascular care guidelines in October 2025. Many Saudi trainers use AHA courses, so these updates will shape what your staff learn. Highlights from published summaries:
- Core message unchanged: recognize arrest quickly, call for help, give high-quality CPR (100–120 compressions per minute) and use an AED as soon as it is available.
- A single, unified Chain of Survival now covers adults and children, in and out of hospital.
- Lone rescuer: activate the emergency response system first, then start CPR immediately.
- Real-time CPR feedback devices are encouraged, including in training.
- Naloxone for suspected opioid overdose is built into the adult basic life support algorithms.
- Clothing: adjusting a bra rather than necessarily removing it is now addressed, which helps reduce hesitation to act. For adults with obesity, standard CPR technique applies.
- Infants: the two-finger compression technique is no longer recommended; the heel of one hand or two-thumb encircling is preferred.
- Young learners: children as young as 12 can be trained in CPR and AED use.
Make sure your training provider teaches the current guidelines, and confirm which certificate you receive and how long it stays valid.
City-By-City: Real Risks And Solutions
Riyadh: dense offices, campuses and transit
Problem
Tall towers, campuses and busy transit stations make it hard to reach a single AED quickly, and staff often don’t know where it is.
Solution
Plan coverage by walking routes, not floor area. Aim for retrieval and return within about three minutes, mount devices in visible cabinets on main circulation routes, add bilingual signage, and include AED locations in every induction. Look at AEDs and cabinets.
Jeddah, Makkah and Madinah: crowds, heat and language
Problem
Large crowds, high temperatures and many visitors who speak different languages make a calm, fast response harder.
Solution
Choose AEDs with Arabic and English voice prompts and an ingress-protection rating and temperature range that match where they will be stored. Brief reception, security and housekeeping teams, and check current Ministry of Tourism and hotel-classification requirements. See AEDs with Arabic prompts and outdoor cabinets.
Dammam, Khobar and Jubail: gas, vapors and client HSE rules
Problem
Plants and refineries involve toxic gases, flammable vapors and confined spaces, plus strict client and contractor safety systems.
Solution
Combine personal gas monitoring, pre-entry atmosphere testing, correct respiratory protection and trained responders with an on-site AED. Read the client’s HSE requirements before ordering anything. See single-gas detectors and multi-gas detectors.
Yanbu, Tabuk and NEOM: distance from hospitals
Problem
Remote camps can be far from emergency care, and equipment that is unmaintained or fails silently is a hidden risk.
Solution
Select rugged devices with automatic self-tests and long standby life, store spare pads and batteries on site, and keep an emergency plan that includes who calls, who fetches the AED and how patients are handed over. See pads and batteries.
PPE And Gas Detection: Avoiding Dangerous Mistakes
Respiratory protection
Reusable half-face and full-face respirators (for example 3M 6000-series and 7502 models) are used with particulate filters and chemical cartridges. Choose them after a hazard assessment, fit-test every wearer, and set a filter-change schedule. Shop half-face, full-face and filters and cartridges.
Hydrogen sulfide (H2S) warning: H2S is hazardous even at low concentrations and can dull the sense of smell, so odor is not a reliable alarm. Air-purifying cartridges are generally not appropriate where H2S could reach dangerous levels or where oxygen may be low. Those areas need continuous gas monitoring and supplied-air or SCBA protection specified by a qualified safety professional.
Gas detectors
Personal single-gas monitors (for example Honeywell BW Clip H2S) suit known single hazards; multi-gas monitors cover oxygen, flammables, H2S and CO together; pumped units are used to test confined spaces before entry. Detectors must be bump-tested and calibrated as the manufacturer instructs. See calibration gas and accessories.
Hearing and head protection
Noise and falling objects are constant risks on construction and industrial sites. Comfortable gear gets worn: see hearing protection and hard hats.
A Step-By-Step Readiness Plan
- Map your risks. List sites, headcount, visitors, hazards and distance to emergency care.
- Check client and legal requirements. Review Labor Law duties, client HSE rules and sector regulations.
- Verify the supplier. Confirm MDMA for the exact AED model and a valid MDEL.
- Match the device to the site. Consider IP rating, battery and pad life, Arabic prompts and pediatric capability.
- Place and sign. Position AEDs on main routes with clear bilingual signs; log each location.
- Train. Teach current guidelines; refresh regularly and run drills.
- Maintain. Check status indicators monthly and track pad and battery expiry dates.
- Review after any incident. Use event data and staff feedback to improve.
In an emergency: call 997 (Saudi Red Crescent) or your site emergency number, start CPR, send someone for the AED, and follow its voice prompts.
Frequently Asked Questions
Is an FDA-approved or CE-marked AED automatically legal in Saudi Arabia?
No. Those approvals support an SFDA application, but the exact model still needs SFDA marketing authorization (MDMA) and must be supplied by a licensed establishment (MDEL).
Does Saudi law require every workplace to have an AED?
The sources reviewed here do not show a blanket, nationwide AED mandate for all workplaces. The Labor Law requires employers to protect workers and provide first aid. Sector rules and client HSE requirements may go further, so check yours.
Can I use a training AED as my emergency device?
No. Training and demonstration devices are for training only and are labeled that way.
How often should staff retrain?
Follow your certificate’s validity period, and refresh sooner after guideline updates or if staff turn over. Short drills every few months help skills stick.
Do I still need CPR training if I have an AED?
Yes. CPR keeps blood moving until the AED is ready and until responders arrive; the two work together.
Need AEDs, PPE or Gas Detectors for Your Site in Saudi Arabia?
Not sure what your site needs? Share your workplace type, quantities and delivery city, and our team will help you choose the right AEDs, PPE and gas detectors, with the compliance documents ready for your site.
Reviewed by the AED Arabia Equipment Team
We supply AEDs, PPE and gas detectors across Saudi Arabia. This guide is general information only, not medical, engineering or legal advice. Check current SFDA and SASO requirements, manufacturer instructions and your site’s HSE policy before buying or using any equipment.
