Abstract
The appropriate role for mechanical chest compression devices in pre-hospital care has been debated in recent years.1 The quality of manual cardiopulmonary resuscitation (CPR) during out-of-hospital cardiac arrest is often less than optimum, and affects survival.2 Mechanical compression devices are an attractive alternative: they never get tired, give consistent chest compressions, and allow CPR to continue during transfer of the patient. Results from two studies3,4 of implementation of mechanical CPR devices in the so-called real world showed higher rates of return of spontaneous circulation and survival to discharge with mechanical CPR than with manual CPR.
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