Manual vs device-assisted CPR

In an editorial in the June 14th edition of JAMA, Roger J. Lewis, M.D. and James T. Niemann, M.D., investigators at the Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center (LA BioMed), attempt to reconcile apparent contradictions in conclusions drawn from two studies examining use of a mechanical CPR device for the resuscitation patients with out-of-hospital sudden cardiac arrest. One study concluded the device was beneficial, while the other concluded it may be harmful.

Lewis and Niemann deal with several questions raised by the research, including whether the true effectiveness of the device was different in the two settings, whether there was some methodological weakness in the design of the studies and whether anomalous outcome patterns occurred by chance.

The editorial concludes that the degree of benefit or harm associated with use of the LBD-CPR device is influenced by the details of its use perhaps including selection of the patient population with respect to presenting rhythm, time from cardiac arrest to initiation of CPR, time-to-deployment of the device, and the influence of deployment on time-to-defibrillation.

Out-of-hospital sudden cardiac arrest continues to be a major health problems, resulting in more than 1,000 deaths each day in the United States.


Contact: Roger Lewis, MD, PhD
Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center (LA BioMed)

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1. Manual chest compressions are better than automated for treatment of out-of-hospital cardiac arrest

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