Monday, 17 November 2014

Mechanical CPR No Better Than Manual CPR in Out-of-Hospital Cardiac Arrest

"Over 400 U.K. emergency vehicles were randomized to deliver CPR either manually or with the LUCAS-2 chest compression device. Nearly 4500 patients were enrolled over 3 years. The primary outcome, 30-day survival, did not differ significantly between the groups. There were no serious adverse events."

LUCAS-2 electronic CPR device

The authors concluded, "We noted no evidence of improvement in 30 day survival with LUCAS-2 compared with manual compressions. On the basis of ours and other recent randomised trials, widespread adoption of mechanical CPR devices for routine use does not improve survival."

Lancet study (1) reported in Journal Watch.

1) Gavin D Perkins, Ranjit Lall, Tom Quinn, Charles D Deakin, Matthew W Cooke, Jessica Horton, Sarah E Lamb, Anne-Marie Slowther, Malcolm Woollard, Andy Carson, Mike Smyth, Richard Whitfield, Amanda Williams, Helen Pocock, John J M Black, John Wright, Kyee Han, Simon Gates. Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised controlled trial. The Lancet  16 November 2014(Article in Press DOI: 10.1016/S0140-6736(14)61886-9)

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