TB 184 - Lund University Cardiac Arrest System (LUCAS) Flashcards

1
Q

THE LUCAS is indicated for acute cardiac arrest involving:

  1. Adult patients >___ years old
  2. Patients who do not meet DHS Reference No. ______.
A
  1. > 14 years old
  2. Ref 814 for determination of death
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2
Q

The LUCAS should not be applied in the following scenarios:

A

-Traumatic cardiac arrest (LAFD).

-Patient is too LARGE: If the upper part of the LUCAS device cannot be locked into the back plate without compressing the patient’s chest.

-Patient is too SMALL: Device will signal three fast alert tones when lowering the suction cup and will not enter the PAUSE or ACTIVE mode.

-It is not possible to position the device safely or correctly on the patient’s chest.

-Patients in skilled nursing facilities (LAFD).

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3
Q

The LUCAS back plate should be high up at the patient’s ______.

The black bars of the back plate should align and cross over the HEART area and central chest compression point where the compressors hands are placed.

A

axilla

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4
Q

How shall the pt’s arms be positioned while using the LUCAS?

A

Place patient’s arms outward and upward at the elbows.

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5
Q

The LOWER edge of the LUCAS suction cup should touch immediately ________.

A

ABOVE the Xyphoid Process

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6
Q

Can defibrillation be performed while the LUCAS device operates?

A

Yes, LUCAS is defibrillator safe. Ensure pads or wires are clear from under suction cup

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7
Q

In order to get a EKG analysis with the LUCAS applied, what must be done?

A

Pause compressions

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8
Q

Use the LUCAS patient straps to facilitate patient transportation. Make sure that the patient’s hands are secured around the ______ prior to moving the patient. Make sure that IV access is not obstructed when using patient straps.

DO NOT lift LUCAS by the patient straps

A

Wrists

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9
Q

For any patient who achieves return of spontaneous circulation (ROSC) following LUCAS application, the compression cycles will be discontinued and the device _______ (will or will not?) remain in place.

A

-Will remain in place in case spontaneous circulation is lost and compressions need to resume

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10
Q

Patients in cardiac arrest including those who achieve ROSC should be transported to a _________.

A

STEMI Receiving Center (SRC).

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11
Q

Patients in refractory ventricular fibrillation (V-fib) who remain in V-fib following THREE defibrillation attempts should be transported to an ______ participating SRC if reachable within _____ minutes by ground ambulance.

A

Extracorporeal Membrane Oxygenation (ECMO)

30 mins.

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12
Q

The ______ must ALWAYS be installed for the LUCAS device to be able to operate even when powered by an external power supply.

A

Battery

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13
Q

In addition to facilitating CARDIO-CEREBRAL perfusion during prolonged resuscitation, utilizing the LUCAS device allows for life-saving interventions such as ____________ and _________ by providing consistent compressions on the way to and during these advanced life-saving therapies.

A

-Percutaneous Coronary Intervention (PCI)

-Extracorporeal Membrane Oxygenation (ECMO)

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14
Q

Maintenance

The LUCAS replacement straps will be replaced 1 for 1 basis with S&M.

The device can be cleaned with a damp cloth and mild soap, 70% isopropyl alcohol, or a 1:10 bleach cleaning solution.

Avoid getting dirt, dust, blood, or water into the ________. DO NOT immerse the tower in liquid.

A

vent holes

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15
Q

The LUCAS is a _______ device that provides continuous chest compressions with consistent rate and depth to MAXIMIZE CARDIAC OUTPUT during resuscitation.

A

mechanical

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16
Q

The _________ shall retrieve the LUCAS device from the receiving hospital, clean and ready the equipment for the next patient.

A

EMS Battalion Captain