A “robotic paramedic” is getting used for the primary time to hold out chest compressions on sufferers in ambulances to unlock the emergency crew to hold out different important remedies.
South Central Ambulance Service (SCAS) is the primary within the nation to take the brand new state-of-the-art know-how, referred to as LUCAS 3, onboard its automobiles.
The machine is a mechanical system which may ship high-quality cardiopulmonary resuscitation (CPR) chest compressions constantly from the second crews arrive on scene and all through a affected person’s journey to hospital with out interruption.
CPR is important to sustaining blood and oxygen stream across the physique whereas an individual is unconscious and never respiration.
“As soon as paramedics arrive and start CPR or take over from bystanders who could have initiated it, the transition from guide compressions to LUCAS will be accomplished inside seven seconds, making certain continuity of compressions,” stated an SCAS spokesman.
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The system makes use of wi-fi Bluetooth connectivity, permitting it to configure the compression charge, depth and alerts particular to an organisation’s resuscitation pointers.
It additionally means it could possibly acquire information which will be reviewed post-event and shared with different clinicians.
“We all know that delivering prime quality and uninterrupted chest compressions in cardiac arrest is without doubt one of the main determinants of survival to hospital discharge however it may be very difficult for a lot of causes,” stated Dr John Black, medical director at SCAS.
“Folks can change into fatigued when performing CPR manually which then impacts the speed and high quality of compressions, and sufferers could have to be moved from troublesome places, corresponding to down a slim flight of stairs, or distant locations which impedes the method.
“There are additionally vital security dangers to ambulance personnel being unrestrained and performing CPR behind automobiles travelling at excessive pace.
“These units don’t fatigue or change the supply in any approach, which means prime quality CPR will be delivered for so long as is required whereas liberating up the paramedic, protecting them seated and belted and in a position to concentrate on different important features of affected person care on a journey.
“It finally acts as a robotic third crew member for our groups.”
The mannequin used is upgraded from a model which clinicians at SCAS evaluated in 2014 as a part of the PARAMEDIC trial led by the College of Warwick and revealed in journal The Lancet.
“The LUCAS machine transforms the administration at a cardiac arrest and permits paramedics to concentrate on the important thing features of medical care,” stated Professor Charles Deakin, divisional medical director for SCAS and lead for resuscitation.
“It is going to be a useful a part of the crew and contribute to the already excellent outcomes that SCAS have achieved in saving lives of those sufferers.”
South Central Ambulance Charity has funded 28 of the units to assist crews throughout Oxfordshire, Berkshire, Buckinghamshire and Hampshire.
LUCAS units are additionally used for resuscitation in hospital emergency departments and to assist sufferers in cardiac arrest in intensive care models, as effectively for sufferers present process life-saving coronary balloon angioplasty and stenting procedures to widen narrowed arteries.