Does use of the LUCAS device improve mortality in adult patients with out-of-hospital cardiac arrest?
Intended for healthcare professionals
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.e1825

Citation

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.e1825

Peer review

This article has been subject to external double-blind review and checked for plagiarism using automated software

Correspondence

robfenwickrn@googlemail.com

Conflict of interest

None declared

Published online: 15 August 2018

Want to read more?

Already subscribed? Log in

OR

Unlock full access to RCNi Plus today

Save over 50% on your first 3 months

Your subscription package includes:
  • Unlimited online access to all 10 RCNi Journals and their archives
  • Customisable dashboard featuring 200+ topics
  • RCNi Learning featuring 180+ RCN accredited learning modules
  • RCNi Portfolio to build evidence for revalidation
  • Personalised newsletters tailored to your interests
Subscribe
RCN student member? Try Nursing Standard Student

Alternatively, you can purchase access to this article for the next seven days. Buy now

Or