Controversial Issues : Pro Mechanical Cardiopulmonary Resuscitation - 05/07/18

Doi : 10.1016/j.ccl.2018.03.004

Kylie Dyson, PhD ^a,^b,^⁎ , Dion Stub, MBBS, PhD ^b,^c,^d,^e, Stephen Bernard, MBBS, MD ^b,^e, Karen Smith, PhD ^a,^b,^f
^a Centre for Research and Evaluation, Ambulance Victoria, 375 Manningham Road, Doncaster, VIC 3108, Australia
^b Department of Epidemiology and Preventive Medicine, Monash University, 99 Commercial Road, Melbourne, VIC 3004, Australia
^c Cardiology Department, Alfred Hospital, 55 Commercial Road, Melbourne, VIC 3004, Australia
^d Cardiology Department, Western Health, Gordon Street, Footscray, VIC 3011, Australia
^e Medical Directorate, Ambulance Victoria, 375 Manningham Road, Doncaster, VIC 3108, Australia
^f Department of Community Emergency Health and Paramedic Practice, Monash University, McMahons Road, Frankston, VIC 3199, Australia

^∗Corresponding author. Centre for Research and Evaluation, Ambulance Victoria, 375 Manningham Road, Doncaster, VIC 3108, Australia.Centre for Research and EvaluationAmbulance Victoria375 Manningham RoadDoncasterVIC3108Australia

Résumé

High-quality cardiopulmonary resuscitation, in particular chest compressions, is a key aspect of out-of-hospital cardiac arrest (OHCA) resuscitation. Manual chest compressions remain the standard of care; however, the extrication and transport of patients with OHCA undermine the quality of manual chest compressions and risk the safety of paramedics. Therefore, in circumstances whereby high-quality manual chest compressions are difficult or unsafe, paramedics should consider using a mechanical device. By combining high-quality manual chest compressions and judicious application of mechanical chest compressions, emergency medical service agencies can optimize paramedic safety and patient outcomes.

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Keywords : Cardiopulmonary resuscitation, Out-of-hospital cardiac arrest, Emergency medical services, Mechanical chest compressions, Equipment