In about 5 seconds, during the manual CPR ventilation phase, the piston can rock in place almost without loss of compression.
The fastest switch from manual CPR to mechanical CPR is unlikely to compromise effective coronary perfusion pressure (CPP) and blood flow to the brain
To be late (normally> 30 seconds), (a) LifeBand® (3.1) and (b) must be placed correctly in order to select the desired control. (3.2)
Slowly (about 20 seconds), (a) place the plate under the patient, (b) attach the side clamps, adjust the piston horizontally and vertically, and interrupt the compression twice. (3.3)
AutoPulse® is first applied to the patient, then multiple rescuers lift the patient onto the delivery device and then fix the patient to the device. (3.6)
LUCAS ™ was first applied to the patient, then the patient was lifted onto the litter with a minimum of three rescuers (while pushing). (3.7.2)
The EMS report was successfully used for over 600 pounds of patients. If necessary, place the patient on the LIFE-STAT® and place the arm on the outside of the post.
Hands-free cardiopulmonary resuscitation is performed at any place along with safe patients. Both compression and ventilation in 30: 2 or CCV (continuous compression, 9 asynchronous ventilation per minute) mode
There are not so many uses of CPR and respirators. Equipment on the market includes LUCAS - 2 developed at Lund University Hospital and recovery from voluntary cycling. And auto pulse. Both use chest strap, LUCAS - 2 uses pneumatic piston and motor driven shrink band. Automated devices allow rescuers to concentrate on making other interventions and begin to perform uncomfortably inefficient compression like human beings and in a limited space environment like an ambulance Compression can be performed. Manual compression is difficult and they allow ambulance staff to be tied together safely than they are standing on the patient in a speeding car. However, the disadvantage is the purchase cost, the time it takes for emergency personnel to train to use them, the interruption of CPR implementation, the possibility of misapplication, and the need for multiple device sizes.
We conducted a prospective randomized clinical trial in association with university hospital to study the safety of mechanical chest compressor AutoPulse and LUCAS during CPR. Because of an emergency situation, the study was approved by our medical ethics committee for further consent, including data from patients not hospitalized for cardiac arrest (OHCA). Try to arrest the written consent of the survivor and refuse to accept the patient's consent to withdraw from the analysis. Clinical trial registration: ISRCTN 14647429 (LUCAS) and ISRCTN 75393297 (AutoPulse)
Safety of mechanical chest compressor AutoPulse and LUCAS in cardiac arrest: a randomized clinical trial for noninferiority
The CIRC test is a randomized controlled trial of mechanical cardiopulmonary resuscitation using an automatic pulse device with standard CPR. This included all 4231 patients with putative heart disease. The patient is randomized by a sealed envelope that opens after the manual press has started. They discovered that there is no difference in the discharge survival rate between mechanical CPR and manual CPR (OR for mechanical surgery compared to manual OR: 1.06, 95% CI 0.83-1.37). There was no difference between mechanical CPR and manual CPR for secondary outcome of good neurologic outcome (defined as modified Rankine score <3 at discharge), (mechanical OR manual OR; aOR 0.80, 95% CI 0.47 - 1.37).