• J Emerg Med · May 2010

    Case Reports

    Resuscitation, prolonged cardiac arrest, and an automated chest compression device.

    • Martin Risom, Henrik Jørgensen, Lars S Rasmussen, and Anne Marie Sørensen.
    • Department of Anaesthesia, Centre of Head and Orthopaedics, Section 4231, Copenhagen University Hospital, Copenhagen, Denmark.
    • J Emerg Med. 2010 May 1;38(4):481-3.

    BackgroundThe European Resuscitation Council's 2005 guidelines for cardiopulmonary resuscitation (CPR) emphasize the delivery of uninterrupted chest compressions of adequate depth during cardiac arrest.ObjectivesTo describe how the circumstances of out-of-hospital cardiac arrest can impede the performance of CPR, and how this situation can be overcome.Case ReportThe presentation of two cases of prolonged CPR (48 min and 120 min, respectively) with an automated chest compression device, the AutoPulse, under difficult circumstances. Both patients survived without neurological sequelae.ConclusionProlonged chest compressions may be necessary in some cardiac arrests. These cases suggest that automated chest compression devices may increase the chance of a favorable outcome in these rare situations.Copyright (c) 2010 Elsevier Inc. All rights reserved.

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