TB 184 - Lund University Cardiac Arrest System (LUCAS) Flashcards
THE LUCAS is indicated for acute cardiac arrest involving:
- Adult patients >___ years old
- Patients who do not meet DHS Reference No. ______.
- > 14 years old
- Ref 814 for determination of death
The LUCAS should not be applied in the following scenarios:
-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).
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.
axilla
How shall the pt’s arms be positioned while using the LUCAS?
Place patient’s arms outward and upward at the elbows.
The LOWER edge of the LUCAS suction cup should touch immediately ________.
ABOVE the Xyphoid Process
Can defibrillation be performed while the LUCAS device operates?
Yes, LUCAS is defibrillator safe. Ensure pads or wires are clear from under suction cup
In order to get a EKG analysis with the LUCAS applied, what must be done?
Pause compressions
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
Wrists
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.
-Will remain in place in case spontaneous circulation is lost and compressions need to resume
Patients in cardiac arrest including those who achieve ROSC should be transported to a _________.
STEMI Receiving Center (SRC).
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.
Extracorporeal Membrane Oxygenation (ECMO)
30 mins.
The ______ must ALWAYS be installed for the LUCAS device to be able to operate even when powered by an external power supply.
Battery
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.
-Percutaneous Coronary Intervention (PCI)
-Extracorporeal Membrane Oxygenation (ECMO)
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.
vent holes
The LUCAS is a _______ device that provides continuous chest compressions with consistent rate and depth to MAXIMIZE CARDIAC OUTPUT during resuscitation.
mechanical
