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Case Reports, Lead Article

Cardiac resuscitation after 3.5 hours on ‘Autopulse’ Support Pump

A manufacturer of medical devices has announced that Croydon University Hospital in London successfully resuscitated a 53-year-old man from sudden cardiac arrest (SCA) using the ZOLL AutoPulse® Non-invasive Cardiac Support Pump for 3.5 hours. The automated CPR machine performed nearly 20,000 chest compressions before the man’s pulse returned.

“He had no pulse or heartbeat when he arrived at the hospital, so it is amazing that we were able to resuscitate him. I’ve not seen anything like it in 15 years in the emergency department,” said Dr Nigel Raghunath,, who heads the hospital’s emergency unit.

shocking2The patient, an East London engineer, was found lying unconscious in the street and hypothermic last month in temperatures of 14˚F (-10C) when he was rushed to Croydon, where he suffered a cardiac arrest. Under the care of two of Dr. Raghunath and Russell Metcalfe-Smith, Clinical Lead for Resuscitation at Coydon, the patient was placed on the AutoPulse, which delivered 80 compressions per minute, allowing the team to perform other life-saving therapies.

“Without the AutoPulse, we would have needed relay teams of people continually performing chest compressions while we worked around them. With the clock approaching three and a half hours, the patient’s pulse returned and his heart flickered back to life,” said Metcalfe-Smith. “This is the stuff you read about in medical journals, but never expect to experience firsthand.”

Croydon was the first hospital in the United Kingdom to use the AutoPulse when it was installed four years ago, and the first in Europe to standardize on its use for every cardiac arrest in the facility. The hospital also experiences one of the highest cardiac arrest rates in London in the Emergency Department, according to Metcalfe-Smith, with around 350 cardiac arrest cases brought into the department each year and another 185 in-hospital arrests.

The AutoPulse Non-invasive Cardiac Support Pump (shown) is an automated, portable device with a load-distributing LifeBand® that squeezes the entire chest. It may offer a significant advantage over manual CPR, moving blood more consistently than human providers, as it provides uninterrupted chest compressions to maintain myocardial and cerebral perfusion.

Published on: February 2, 2011

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