A case of hypothermic cardiac arrest treated with an external chest compression device (LUCAS) during transport to re-warming

被引：28

作者：

Holmström, P

Boyd, J

Sorsa, M

Kuisma, M

机构：

[1] Univ Helsinki, Cent Hosp, Helsinki Emergency Med Serv, FIN-00099 Helsinki, Finland

[2] Helsinki Rescue Dept, FIN-00099 Helsinki, Finland

来源：

RESUSCITATION | 2005年 / 67卷 / 01期

关键词：

active compression-decompression; cardiopulmonary resuscitation; emergency medical services; hypothermia;

D O I：

10.1016/j.resuscitation.2005.04.013

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The recommended treatment for severe hypothermia with circulatory collapse is re-warming using cardiopulmonary by-pass. This may require transporting a patient to hospital with on-going cardiopulmonary resuscitation (CPR). Manual CPR during patient transport may result in sub-optimal chest compressions and can be a hazard for the ambulance crew. We report a case of a patient with a core temperature of 22.2 degrees C and crew-witnessed cardiac arrest due to hypothermia. After unsuccessful initial resuscitation he was transported to hospital for re-warming with cardiopulmonary by-pass. CPR was continued during transport using a mechanical active compression-decompression device (the LUCAS-device). During cardiopulmonary by-pass ROSC was achieved after 90 min of cardiac arrest. The patient recovered with a cerebral performance category of 3. Using a mechanical device for chest compressions during transport of a hypothermic patient with on-going CPR is feasible, effective and safe. (c) 2005 Elsevier Ireland Ltd. All rights reserved.

引用

页码：139 / 141

页数：3

共 5 条

[1]

*EUR RES COUNC, 2000, RESUSCITATION, V46, P267

[2]

Kahn C A, 2001, Prehosp Emerg Care, V5, P261, DOI 10.1080/10903120190939751

[3] Evaluation of LUCAS, a new device for automatic mechanical compression and active decompression resuscitation [J].