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LUCAS CPR Machine

Objectives

  • Introduce and explain the purpose of the Lucas Machine
  • Hardware used with the Lucas Machine
  • Evaluation of usability of the Lucas Machine
  • An information system used with this machine
  • Review of utility of the Lucas Machine
  • Advantages/Disadvantages or barriers
  • Knowledge, competencies, and skills needed by professional nurses working with this machine
  • Current or potential roles, responsibilities and/or functions the Informatics Nurse or Specialist has in relation to the machine
  • Ethical/legal concerns
  • Overall Summary

Nicole Klein, Nicole Kirk, Mathew Varughese, Lia Johnston, Justine Kostenbauder

Software & Usability

Legal and Ethical Concerns

  • 100901-00 Rev. A
  • Classified as a medical device
  • Basic operating system with single-tasking capabilities
  • Evaluation of usability
  • Improves quality & consistency of compressions
  • Automatic and safer for patients & responders
  • The International Scientific Board for Consensus in Resuscitation (ILCOR):
  • “Rib fractures and other injuries are considered common but acceptable consequences of CPR given the alternative of death from cardiac arrest.After resuscitation, all patients should be reassessed and re-evaluated for resuscitation related injuries.”
  • Several autopsy studies indicate LUCAS is safe and has the same type and frequency of side effects as manual CPR.

References

LUCAS CPR Machine

(Lucas-CPR.com)/(McGonigle & Mastrian)

Keseg, D. P., MD. (2012, April 29). The Merits of Mechanical CPR. Retrieved February 14, 2016, from http://www.jems.com/articles/2012/08/merits-mechanical-cpr.html

Liao, Q., Sjöberg, T., Paskevicius, A., Wohlfart, B., & Steen, S. (2010). Manual versus mechanical cardiopulmonary resuscitation. An experimental study in pigs. BMC Cardiovasc Disord BMC Cardiovascular Disorders, 10(1), 53. Retrieved February 14, 2016, from http://bmccardiovascdisord.biomedcentral.com/articles/10.1186/1471-2261-10-53

McGonigle, D. & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett learning.

Rubertsson S, Lindgren E, Smekal D, et al. Mechanical Chest Compressions and Simultaneous Defibrillation vs Conventional Cardiopulmonary Resuscitation in Out-of-Hospital Cardiac Arrest: The LINC Randomized Trial. JAMA. 2014;311(1):53-61. doi:10.1001/jama.2013.282538.

Welcome to Lucas CPR. (n.d.). Retrieved March 20, 2016, from http://www.lucas-cpr.com/

Knowledge, Competencies, and Skills

Nurses need to work with the LUCAS

  • The Lucas Chest Compression System is a safe and efficient tool.

  • Frees up rescuers to focus on other life-saving tasks.

  • LUCAS compressions VS Manual compressions.

  • The side-effects are similar to manual compressions.

  • The LUCAS device is portable

  • Can be applied onto patient in < 20 seconds.

Keep the Air Flowing

  • In services/training
  • Competency
  • Continued education
  • What is necessary to keep the patient alive
  • Maintaining life-sustaining circulation
  • Performing manual chest compressions can be difficult
  • Quality

(www.lucas-cpr.com)

Demonstration

Hardware

Role of the informatics nurse

Information System & Review of Utility

Advantages/Disadvantages

THANK

YOU!

  • Lightweight and convenient - comes in a backpack
  • Electric or air powered
  • Easy to use display

CODE-STAT: code event review

  • Annotates chest compressions onto ECG report
  • CPR statistics
  • Compression rate
  • Hands on time
  • LIFEPAK defibrillators
  • No information system applies to device itself
  • Potential use of Office Systems to track outcomes
  • User must understand function of hardware
  • Software operates independent of user
  • Information trends & records maintained by user separately

Display Use

Summary

  • Body size
  • 60 second readjustment
  • Battery operated
  • Malfunction

(Lucas-CPR.com)

  • Push power button
  • 1: position suction cup
  • 2: pauses to remember position, or to check for pulse during operation
  • 3: start compressions; either continuous or 30:2
  • Health care providers
  • Continuous compresseions
  • Defibrillation
  • Ventilations
  • Decreased interruption time
  • Transportation
  • Individual suction cups
  • Light weight

(Lucas-CPR.com)

  • The LUCAS device is easy to carry and handle
  • Can be applied to the patient with interruptions of manual compressions of less than 20 seconds.
  • Safer and more efficient than manual CPR
  • Requires less staff

Lucas-CPR.com

ECG

62

bpm

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