evidence and practice
Does use of the LUCAS device improve mortality in adult patients with out-of-hospital cardiac arrest?
Rob Fenwick Advanced clinical practitioner, Emergency department, Heart of England NHS Foundation Trust, Birmingham, England
Out-of-hospital cardiac arrest (OHCA) is a common occurrence in the UK, with 60,000 cases reported annually. To improve outcomes among these patients it is necessary to improve links in the cardiac arrest chain of survival. Cardiopulmonary resuscitation (CPR) is one of the main elements of this chain because it reduces further ischaemic insult in the brain and heart by contributing to blood flow. However, even the best manual CPR provides only 20%-30% of the normal cardiac output. Despite the emphasis on timely CPR at the correct rate and depth, delivery of compressions is suboptimal for many patients and mechanical devices may improve outcomes.
This article critically appraises two important papers on the use of mechanical CPR for OHCA. It also suggests potential uses for this treatment option and areas for future research.
Emergency Nurse. doi: 10.7748/en.2018.e1825Citation
Fenwick R (2018) Does use of the LUCAS device improve mortality in adult patients with out-of-hospital cardiac arrest? Emergency Nurse. doi: 10.7748/en.2018.e1825Peer review
This article has been subject to external double-blind review and checked for plagiarism using automated softwareCorrespondence
Published online: 15 August 2018