Community foundation of north central massachusetts cfncm, hosted by the townsend fire department, will. Physiocontrol lucas 3 chest compression system hospital. Lucas versus manual chest compression during ambulance. Lucas 3 chest compression system service manual 3328798002, 2017 physiocontrol, inc.
Effectiveness of the lucas device for mechanical chest. Mechanical chest compression with lucas device does not. Chest compressions were initiated by bystanders until the ambulance arrived. The study protocol for the linc lucas in cardiac arrest. Nov 09, 20 chest compressions were initiated by bystanders until the ambulance arrived. Fastreliablesafe lucas easy 3step user interface makes applying the lucas simple and quick. Lucas chest compression system the lucas chest compression system is a portable tool designed to overcome problems identified with manual chest compressions. Pdf the lucas 2 chest compression device is not always. Foundation donates new lucas chest compression system to communities. Smart restart function allows for an immediate resumption of compression after change of battery as it remembers the patient settings during 60 seconds. Lucas assists rescuers by delivering effective, consistent and continuous chest compressions as recommended in the american heart association guidelines1. The advantages of the lucas system over traditional manual chest compressions are threefold. Intended for use as an adjunct to manual cpr on adult patients who have cardiac arrest in cases when effective manual.
Adams county ambulance captain kyle dixon and paramedic eric nielson demonstrate how to use a lucas 3 chest compression system at adams. The lucas device assists rescuers by delivering effective, consistent and continuous chest compressions as recommended in the. Another publication, the lucas3 chest compression system instruction for use ifu is for physicians, clinicians, and emergency care providers. Allows access to patients chest to place defibrillation pads. The lucas device is an easytouse mechanical chest compression device that helps lifesaving teams around the world deliver highquality, guidelinesconsistent chest compressions to sudden cardiac arrest patients. Lucas is driven by a rechargeable lithium ion polymer lipo battery. It also frees up the rescuers from chest compressions, allowing them to attend to other critical issues. During normal use, the lucas 3 series back plate should be securely attached to elegard. Cardiopulmonary resuscitation using electrically driven. Always follow local andor international guidelines for cpr when using lucas. Manual chest compression vs use of an automated chest.
Does use of the lucas device improve mortality in adult patients with outofhospital cardiac arrest. Lucas 2 physiocontrol chest compression system for sale. Lucas 3 chest compression system instructions for use 10103400 rev f, valid from co3241 2018 olife ab 6 2 introduction 2. A common problem during manual cpr is that the chest does not always recoil because of an increase in chest wall compliance softens. The lucas device assists rescuers by delivering effective. However, it has still controversy whether manual chest compression or mechanical chest compression is better. Cypress creek ems demonstrates total handsoff time with lucas versus manual cpr in a variety of patient movement scenarios. Lucas 2 chest compression system is to be used for performing external cardiac compressions on adult patients who have acute circulatory arrest defined as absence of spontaneous breathing and pulse, and loss of consciousness. The linc study showed similar shortterm survival rates for lucas 23. Fatal pancreatic injury due to trauma after successful. Also, chest compression depth, pressure point and pressure release were more often correct with lucas than with manual cpr. The elegard is designed to securely hold a lucas 3 series chest compression system standard back plate in place. Physiocontrol, now part of stryker, announced its newest version of the lucas 3 chest compression system, version 3.
Physiocontrol launches newest version of lucas chest. The lucas is the only chest compression system approved for use by the tuolumne county ems agency. The lucas device assists rescuers by delivering effective, consistent. Lucas chest compression system is to be used for performing external cardiac compressions on patients who have acute cardiac arrest.
Defibtech is proud to introduce the lifeline arm automated chest compression acc device for performing mechanical chest compressions when effective manual cpr is not possible. The lucas chest compression system is designed to deliver uninterrupted compressions at a consistent. The lucas device assists rescuers by delivering effective, consistent and continuous chest compressions as. The latest version provides new capabilities for tailored device functionality, wireless reporting and device status notifications sent over email. The stryker lucas 2 instructions for use version 2. Within the group of patients allocated to mechanical resuscitation, manual cpr was continued until the lucas was installed. The lucas device is developed and manufactured by jolife ab, lund, sweden, a wholly owned part of stryker. Lucas 2 chest compression system instructions for use 10066600e. Lucas chest compressor versus manual chest compression in outofhospital sudden cardiac arrest.
The lucas 3 chest compression system can replace manual compressions through every stage of emergency response, from initial contact, through. Pull up once to make sure that the parts are correctly attached. Compared with manual chest compression, an automated loaddistributing band ldb chest compression device produces greater blood flow to vital organs and may improve. The ifu provides stepbystep instructions for use, as well as operatorlevel. Pulseless electrical activity pea was observed and a mechanical chest compression device lucas. Oct 27, 2015 mechanical versus manual chest compressions for outofhospital cardiac arrest. In this manner, a patient can receive conventional manual cpr, acd cpr with the resqcpr system, or cpr with a lucas 2. Stryker lucas 3 implementation manual pdf download. With the help of the lucas 3 device, your cardiac arrest patients will receive effective, consistent and continuous chest compressions, as recommended in the.
Patients received lucas2 mechanical chest compression or manual chest compressions according to the first trial vehicle to arrive on scene. The elegard can be used during manual cpr, manual active compression decompression cpr resqcpr system, and cpr with the lucas chest compression system. Early evidence, including animal studies and observational studies in humans suggested that mechanical chest compression devices might be superior to conventional manual chest compressions during cardiac arrest. Attach the other support leg to the back plate, so that the two support legs lock against the back plate. The user control panel is situated on the hood and is connected to the. Resusci anne qcpr is built with realistic anatomy and is fully compliant with the american heart association aha guidelines for cpr and ecc. Iowa receives grant for mechanical cpr devices health. The lucas device provides consistent and highquality chest compressions shown by research to increase the chances of good patient outcomes. When fully charged, the lithium polymer battery should allow 45 minutes of uninterrupted operation. Lucas chest compressor versus manual chest compression in out. On the contrary, the cardiopump and the lucas alternate compression with active decompression by a suction cup that forces the thorax back to its uncompressed volume. And 8501 subjects were involved to analyze the clinical outcomes of lucas and manual chest compression for patients with outhospital ca.
Refer to operating instructions for complete device information including. The lucas device has demonstrated to increase blood flow to the brain 4,5 and achieve higher etco 2 values compared to manual compressions. Lucas chest compression system training and development video. Jul 27, 2012 the lucas chest compression system is designed to deliver uninterrupted compressions at a consistent rate and depth to facilitate rosc return of spontaneous circulation. Within the group of patients receiving only manual cpr, cpr was performed according to the 2005 erc guidelines. Both devices are powered by pressurized oxygen, and restore blood flow much better than manual cpr. Some members thought a weak recommendation supporting mechanical chest compression devices as a reasonable alternative to manual chest compressions was most appropriate, whereas others thought a recommendation against the routine use of mechanical chest compression devices was more appropriate. All the devices, but the cardiopump and the lucas, perform exclusively chest compression. Compared with manual chest compression, an automated loaddistributing band ldb chest compression device. 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. This manual is a part of the service education program that, together with handson technical training, will provide the service technician with the knowledge to examine. Manual mask ventilation was difficult to apply and. Elegard patient positioning system instructions for use. The use of the mechanical chest compression device lucas2 represents poor value for money when compared to standard manual chest compression in outofhospital cardiac arrest, according to a new study published in the journal resuscitation.
Lucat trial lucat the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. The primary outcome was survival at 30 days following cardiac arrest and was analysed by intention to treat. Sep 21, 2018 the lucas 3 chest compression system can replace manual compressions through every stage of emergency response, from initial contact, through the transportation, and all the way to the hospital. To summarise the evidence about the effectiveness of. Performing manual chest compressions of high quality is both difficult and tiring, and. The lucas chest compression system is distributed globally by stryker and physiocontrol, a part of stryker. If disruption or malfunction of the lucas device occurs, immediately revert to manual cpr. In the end of the 90s, the development of the lucas device was started. It is a chest compression device composed of a constricting band and half backboard that is intended to be used as an adjunct to cpr during advanced cardiac life support by professional health care. Allowing lucas to provide constant, effective chest compressions allows you to get the patient to treatment sooner, with few injuries to responders. This manual details proper operation of the device and maintenance recommendations.
The main results of the large randomized linc study, which compared the effectiveness of the lucas mechanical chest compression system to high quality manual chest compressions, were presented at the european society of cardiology congress in amsterdam, the netherlands. Foundation donates new lucas chest compression system to. The autopulse is an automated, portable, batterypowered cardiopulmonary resuscitation device created by revivant and subsequently purchased and currently manufactured by zoll medical corporation. Lucas 3 is batterypowered or can also be plugged into ac power for prolonged use.
The lucas mechanical chest compression device may be better than manual chest compression during resuscitation attempts after cardiac arrest. Jan 25, 20 the lucas chest compression system physiocontroljolife ab, lund, sweden has been in clinical use since 2003. In fact, many organizations have added extra staff to cardiac arrest calls to switch out rescuers performing compressions. The appropriate role for mechanical chest compression devices in prehospital care has been debated in recent years. Lucas 3 chest compression system instructor guidebook. Context highquality cardiopulmonary resuscitation cpr may improve both cardiac and brain resuscitation following cardiac arrest. Potential chest compression injury mechanism from mechanical cpr systems. View online or download stryker lucas 3 service manual, implementation manual. However, as any rescuer or caregiver knows, performing manual cpr according to current aha guidelines is difficult and tiring. When it is not possible to position the patient safely or correctly on the elegard if the patient weighs more than 350 pounds.
Lucas must only be used in cases where manual chest compression would be used. Mechanical versus manual chest compressions for cardiac. The lucas chest compression system is a portable tool designed to overcome problems identified with manual chest compressions. If so, would you please send to the medwrench admin for posting. The outcome shows there is much more handsoff time with manual cpr. The instructions for use should always be easily accessible to the users of lucas. Physiocontrol lucas 2 chest compression system refurbished. Edible arrangements founder donates automated cpr machine. Objective to summarise the evidence about the effectiveness of lucas. This implementation guide provides a comprehensive step by step instruction on how to configure the lucas device. These replacement instructions for use are for the physio control lucas 2 chest compression system.
The prehospital randomised assessment of a mechanical compression device in cardiac arrest paramedic trial is a cluster randomised pragmatic trial of the clinical and cost effectiveness of the lucas2 device versus manual chest compression, for adult patients in whom resuscitation is attempted following nontraumatic outofhospital cardiac. Mechanical versus manual chest compressions for outof. Lucas 3 chest compression system instructions for use 10092500 rev f, valid from co 3021 2016 olife ab 6 2 introduction 2. Fatal pancreatic injury due to trauma after successful cardiopulmonary resuscitation with automatic mechanical chest compression. Adams county ambulance introduces automatic cpr machines. Although other cpr devices provide consistent compression depth and rate, the lucas device, because of its integrated suction cup, is the only automated device that assists the decompression phase by drawing up on the chest and returning it to neutral. Lucas chest compression system in the newly published guidelines for cardiopulmonary resuscitation by the american heart association and the european resuscitation council read this article along with other careers information, tips and advice on biospace. Lucas compared to manual chest compressions were more frequently correct. Both groups underwent manual chest compressions during the process of randomization. Mechanical chest compression with lucas device does not impr. Sep 11, 20 september 11, 20 the main results of the large randomized linc study, which compared the effectiveness of the lucas mechanical chest compression system to high quality manual chest compressions, were presented at the european society of cardiology congress in amsterdam, the netherlands.
Lucastm chest compression system instructions for use. Lucas a ssists rescuers with 100 chest compressions per minute with a depth of 1. Lucas 2 chest compression system guideline the lucas 2 chest compression system will be used to perform external chest compressions on adult patients who have suffered sudden cardiac arrest. The goal of this study is to show the superiority in survival at hospital admittance and in neurological outcome on hospital discharge of continuous mechanical chest compression using lucas device versus manual chest compressions in patients who suffered an outofhospital cardiac arrest. Mechanical chest compression devices have the potential to help maintain highquality cardiopulmonary resuscitation cpr, but despite their increasing use, little evidence exists for their effectiveness. Experimental data have shown improved perfusion pressures to the brain and heart, enhanced cerebral blood flow and higher end tidal co 2 as an indirect measure of cardiac output using the lucas device as compared with the effects of conventional manual cpr1, 2. The lucas chest compression system is a safe and efficient tool that.
Lucas is designed to deliver uninterrupted compressions at a consistent rate and depth 100 compressions per minute, depth 1. Since performing manual chest compressions according to the american heart association guidelines is both difficult and physically demanding, jolife created the lucas chest compression system to assist. Complications of mechanical chest compression devices. We aimed to study whether the introduction of lucas 2 mechanical cpr into frontline emergency response vehicles would improve survival from. The user control panel is the user interface with which the device can be controlled and monitored through seven button switches and a number of leds. Lucas compared to manual chest compressions are more. Another publication, the lucas 3 chest compression system instruction for use ifu is for physicians, clinicians, and emergency care providers. This implementation guide provides a comprehensive step by step instruction on how to configure the lucas device for wifi, assign setup options and define email.
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