Physio Control LUCAS 3, Instructor Manual

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APPENDIX B / FREQUENTLY ASKED QUESTIONS
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Overall, the incidence and management of CPR-induced consciousness are not
well described. A recent article published in
Resuscitation reported the results of
a systematic review that aimed to identify cases in published literature where CPR-
induced consciousness is mentioned.
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The review identified reports describing 10
patients who experienced CPR-induced consciousness, using both manual and
mechanical CPR methods. In all off the cases, purposeful arm movements were
observed. There were also reports of agonal breaths, eye opening and localizing
painful stimuli. Cases also include both verbal and non-verbal communication with
the rescuers. A few patients were even able to understand and adhere to instructions
given to them, and there were also instances of agitation and attempts to push the
rescuer away.
In four of the 10 cases, sedation was used; two didn’t describe the drug or dose
used; one stated “small doses” of morphine and diazepam; one case used 0.1 mg/kg
1
of Midazolam.
The conclusion of the literature review is as follows:
“ CPR may induce consciousness but this is infrequently reported in the medical
literature. Treatment strategies for CPR-induced consciousness varied widely, and
included physical restraint, administration of benzodiazepines and/or opiate, or no
specific management. The incidence, implications and prognostic value of CPR-induced
consciousness remains unknown. Increased awareness by rescuers of the presence of
CPR-induced consciousness and development of consensus-based guidelines to treat
this condition are required.”
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Always follow your local protocols.
: Q Can the LUCAS device be used at an angle, such as when going up and
down stairs?
: A Yes. The LUCAS device can be used at an angle, as long as the device and the patient
is safely positioned on the transportation device and device stays in the correct position
and angle on the patient’s chest (refer to IFU Section 5.6.4). If the position of the Suction
Cup changes, immediately push
ADJUST and adjust the position. Always use the
LUCAS Stabilization Strap to help secure the correct position. Fixation/straps might be
required. Always ensure the patient is properly strapped to the transportation device,
according to locally approved procedures.
: Q Can the LUCAS device be used in a helicopter?
: A The LUCAS 3 device has been tested according to EN 13718-1:2014 Medical vehicles
and their equipment - Air ambulances Part 1: Requirements for medical devices used
in air ambulance. This includes random vibration and shock tests during operation, and
stored in bag, in accordance with IEC 68-2-64 test Fh with RTCA/160G, section 8,
category U/U2 as reference; and lEC 60068-2-29, test Eb with RTCA/160G, section 7
as reference, as well as drop and low pressure tests.