• Cardiology clinics · Aug 2018

    Review

    Controversial Issues: Pro Mechanical Cardiopulmonary Resuscitation.

    • Kylie Dyson, Dion Stub, Stephen Bernard, and Karen Smith.
    • Centre for Research and Evaluation, Ambulance Victoria, 375 Manningham Road, Doncaster, VIC 3108, Australia; Department of Epidemiology and Preventive Medicine, Monash University, 99 Commercial Road, Melbourne, VIC 3004, Australia. Electronic address: Kylie.Dyson@ambulance.vic.gov.au.
    • Cardiol Clin. 2018 Aug 1; 36 (3): 367-374.

    AbstractHigh-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.Copyright © 2018 Elsevier Inc. All rights reserved.

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