Standard Operating Procedure
SITE: Southern Illinois Healthcare
EFFECTIVE DATE: 4/22/2020
SUBJECT: LUCAS 3 application and usage
REVISION DATE:
DOCUMENT NUMBER:
LOCATION OF TEMPLATE:
AUTHORIZED BY: Tressa Furlow MSN,RN
DATE: 4/22/2020
SOP OWNER:
Garrett Burton, System Director of Emergency
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P a g e
PURPOSE:
The LUCAS 3 device is intended for use and an adjunct to manual CPR on adult patients who develop cardiac
arrest where effective manual CPR is compromised.
SCOPE:
ASSOCIATED DOCUMENTS & PROCEDURES:
DEFINITIONS
:
PROCEDURE: LUCAS 3 Application and Usage
Activity / Task
1
Contraindications:
Patient is too small
Patient is too large
Patient is a child
Patient is pregnant
Visible traumatic injury to the chest
2
Side Effects or Complications of use:
Rib fractures
Skin abrasions, bruising and chest soreness and possible injury to other organs
3
Benefits:
LUCAS works by pressing down very quickly on the rib cage and holding it down for 50% of the period/ cycle.
The device maintains consistent chest compression over a long period of time.
One person becomes free to provide other care
4
Control Panel Keys:
1.
POWER
Key; green circle- when pushed for one second. The device will power up, an audible signal sequence is
heard and device automatically does a self-test. When self-test is complete, the audible signal stops and a green LED
light beside the ADJUST key illuminates. The self-test takes 3 seconds.
2.
ADJUST
key; use to adjust position of the suction cup. When pushed you can manually move the suction cup up or
down.
To set Start position, manually push the suction cup down onto the patient’s chest.
To remove, manually lift the suction cup and pull it up.
3.
PAUSE
key; When pause is pushed after adjusting the Suction Cup to the chest, the height position is fine-tuned and
locked into the START position. When pushed during compressions, the LUCAS will stop compressions and lock the
suction cup in its start position.
4.
ACTIVE
key; (Continuous) When this key is pushed, LUCAS performs continuous chest compressions. The green
LED signal will blink 10times/min to alert for ventilation during ongoing compressions. The second ACTIVE key is the
(30:2 when this key is pushed, the LUCAS performs 30 chest compressions and then temporarily stops to allow for 2
ventilations. An intermittent LED combination with an audible signal alerts the operator before each ventilation pause.
5
Arrival at the Patient:
Confirm Cardiac Arrest and need for resuscitation. START high quality manual CPR.
Apply ECG Defibrillator pads using real time CPR feedback technology; pay special attention not to
place the pads where the LUCAS Suction cup will be placed.
Check rhythm every 2 minutes and defibrillate per AHA/ ACLS standards
Zoll CPR feedback device stays in place throughout resuscitation regardless of CPR method.