Metrics of mechanical chest compression device use in out‐of‐hospital cardiac arrest

Abstract

Funding and support: By JACEP Open policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org). The authors have stated that no such relationships exist.

Injuries associated with mechanical chest compressions and active decompressions after out-of-hospital cardiac arrest: A subgroup analysis of non-survivors from a randomized study

“…In the study by Levy et al patients in both manual and mechanical CPR groups received manual compressions initially. 18 As in our study, the patients treated with mechanical CPR are the patients that are “hard to resuscitate” and consequently, have received a “higher dose” of CPR. Levy et al found that patients receiving only manual CPR (19patients) had a time-to-ROSC of median 3.3 (IQR 2.2–5.1) minutes.…”

“…While the twenty-one patients (70%) with mechanical CPR, first received manual CPR for median 6.9 minutes (IQR 5.3–11), and then additional 11.2 (IQR 5.7–23.8) minutes of mechanical CPR before ROSC. 18 Longer CPR duration may contribute to more injuries as documented by Krischer et al 10 Ondruschka et al documented more injuries with longer mechanical chest compression time compared with manual. 19 We also found that CPR duration > 38 minutes (median) increased the risk of significant intrathoracic bleedings ( Table 3 ).…”

Interim Guidance for Emergency Medical Services Management of Out-of-Hospital Cardiac Arrest During the COVID-19 Pandemic

“…Careful review of measures of chest compression fraction, rates of chest compressions per minute, and causes of pauses in chest compressions is valuable for EMS leaders that choose to implement mechanical chest compressions for their system. 31 …”

Finding the right pace: Addressing the transition from manual to mechanical compression devices for out‐of‐hospital cardiac arrest

“…In the study by Levy et al, 6 titled “Metrics of Mechanical Chest Compression Device Use in Out‐of‐Hospital Cardiac Arrest,” the researchers give us hope for the future use of mechanical chest compressions. The authors specifically focused on time to implementation of mechanical CPR as well as the transition time from standard (manual) to mechanical CPR.…”