Mechanical chest compressions and simultaneous defibrillation vs conventional cardiopulmonary resusc
Mechanical chest compressions and simultaneous defibrillation vs conventional cardiopulmonary resuscitation in out-of-hospital cardiac arrest: the LINC randomized trial.
To determine whether continued mechanical chest compressions with simultaneous defibrillation improves out of hospital cardiac arrest outcomes when compared to standard of care ACLS.
-Multicenter randomized clinical trial of 2589 adult patients with out-of-hospital cardiac arrest randomized to either mechanical chest compressions with the LUCAS device or traditional ACLS guidelines
-Primary endpoint = four hour survival
-Secondary end points = survival up to 6 months with good neurological outcome using the Cerebral Performance Category (CPC) score.
No significant difference was found between the two study groups with regards to the primary or secondary end points.
No significant device failures.
The LUCAS device may not be beneficial in field cardiopulmonary resuscitation if manual quality CPR is provided. LUCAS may be better suited for in house CPR under more controlled settings.