In this episode we review the available evidence, and the pros and cons, of using mechanical CPR devices like the LUCAS or Autopulse for ski patrol and mountain rescue applications.

Episode links:

CPR With a Lucas Device - An example video from EMS training

Viglino et. al. - Outcomes of On-Hill Cardiac Arrests - More saves, probably because of younger patients, bystander CPR, shockable rhythms, and shorter time to defib.

WMS Guidelines on the Care of Avalanche Victims - Recommends LUCAS use for prolonged transports and extrications.

Putzer et. al. - LUCAS in Simulated Helicopter Rescue
"Physical strain during a realistic alpine rescue mission scenario at high altitude led to a significant reduction in quality of resuscitation. Resuscitation guidelines developed at sea level are not directly applicable in the mountain terrain."

Wang et. al. - CPR Quality at Altitude, Unacclimatized Rescuers

Egger et. al. - CPR Quality at High Altitude, Acclimatized Rescuers

Cascade Rescue 'Trauma One' Toboggan

YouTube: Alyeska Resort Patrol High Performance CPR in Toboggan

As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM.

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