Physio Control LUCAS 3, Instructor Manual

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LUCAS
®
3 Chest Compression System
Instructor Guidebook
After defibrillation, make sure the Suction Cup is still in the correct position. If necessary,
adjust the position.
Always follow your protocols regarding defibrillation.
Note: Chest compressions interfere with ECG interpretation. Push PAUSE to temporarily
stop compressions before you perform a rhythm check with a manual defibrillator or
analysis with an AED. Once ECG rhythm check or AED analysis is complete, you can
immediately press either
ACTIVE (continuous) or ACTIVE (30:2) .to continue
compressions to help make the interruption as short as possible.
Ventilation
The optimal method of managing the airway during cardiac arrest will vary depending on
the provider experience, EMS or healthcare system protocols, and the patient’s condition.
With a non-secured airway (e.g., bag-valve-mask), use the ACTIVE (30:2) mode so the
LUCAS device performs 30 compressions then pauses for three seconds to allow for
two ventilations. With a secured airway (e.g., endotracheal tube), ventilation and chest
compressions do not need to be synchronised and ventilations can be provided without
pausing compressions. Use the
ACTIVE (continuous) mode. A green LED will blink 10
times per minute to alert for ventilation. Current AHA and ERC Guidelines
1, 2
recommend
10 ventilations per minute and limited tidal volume to achieve chest rise. Avoid rapid or
forceful breaths.
Always follow your protocols regarding ventilations for patients with a secured airway in place.