1. LUCAS 2 Chest
Compression System
Presented by:
Brooke Otterson

2. About the LUCAS 2
What it does & how to use it:
• Delivers mechanical chest compressions based on the 2010 AHA CPR
guidelines
• Video on how to use LUCAS 2:
https://www.youtube.com/watch?v=HvNkWpZmdHA
Who can it be used on?
Adult Patients who fit into the device:
• Sternum height of 6.7–11.9 inches (17 – 30.3 cm)
• Maximum chest width: 17.7 inches (45 cm)
The use of LUCAS is not restricted by patient weight.
*Patients with sternum height between 6.7 inches-7.3 inches will receive
linearly increasing depth from 1.5 inches to 2.1 inches.

3. Who Operates
• First responders
• Ambulance personnel
• Nurses
• Physicians
• Other medical staff who have undertaken a
CPR course and received training in how to
use LUCAS 2

4. Implications for Use
Sudden Cardiac Arrest Victims
Pre-hospital
At scene
During transfer- ambulance, helicopter
In-hospital
Emergency Department/Trauma Center/ICU
On Units- code teams
Cath Labs

5. Sudden Cardiac Arrest Statistics
• Nearly 383,000 out-of hospital sudden cardiac arrests occur
each year in the US
o 147.7 out of every 100,000 adults
• 88% of all sudden cardiac arrests occur at home
• Survival from cardiac arrest is noted on national levels to be
less than 8%.
• Survival from cardiac arrest without neurologic insult is
around 1 %.
• Roughly 30 individuals are brought into Long Prairie by
ambulance in sudden cardiac arrest.

6. AHA Guidelines for CPR and LUCAS
2010 AHA Guidelines:
• A compression rate of at least
100/min
• A compression depth of at least
2 inches (5 cm) in adults
• Allowing for complete chest
recoil after each compression
• Minimizing interruptions in chest
compressions
• Avoiding excessive ventilation
LUCAS 2:
• Compression Frequency: 102 ±
2 compressions per minute
• Compression Depth: 2.1 inches
± 0.1 inches
• Complete chest recoil between
compressions
• Minimizes interruptions in chest
compressions once initiated
• Avoiding excessive ventilation by
letting the user know when to
―give breaths‖

7. Advantages Disadvantages
• Increased perfusion to brain and
heart
• Controlled compression rate
• Controlled compression depth
• Complete recoil of chest between
compressions
• Reduces number of CPR
interruptions
• Compressions do not need to be
stopped to deliver defibrillation
• Allow healthcare providers to
focus on other life saving
procedures and to provide for their
own safety.
• Long interruption time
needed to apply device
• Potential for incorrect
application of the device
• One size does not fit all

8. References
American Heart Association, Inc. (2013). Heart disease and stroke statistics—2013 update. Retrieved from
http://circ.ahajournals.org/content/early/2012/12/12/CIR.0b013e31828124ad.full.pdf
American Heart Association, Inc. (2010). Highlights of the 2010 American Heart Association guidelines for CPR and
ECC.Retrieved from http://www.heart.org/idc/groups/heart-public/@wcm/@ecc/documents/downloadable/ucm_317350.pdf
Park, C., Roffi, M., Bendjelid, K., & Bonvini, R. (2013). Percutaneous noncoronary interventions during continuous mechanical
chest compression with the LUCAS-2 device. American Journal Of Emergency Medicine, 31(2), 456.e1-3.
doi:10.1016/j.ajem.2012.07.022
Physio-Control, Inc. (2011). Lucas chest compression system: Your partner in in life support. Retrieved from http://www.lucas-
cpr.com/
Physio-Control, Inc. (2013). LUCAS 2 chest compression system. Retrieved from http://www.physio-control.com/LUCAS/
Putzer, G., Braun, P., Zimmermann, A., Pedross, F., Strapazzon, G., Brugger, H., & Paal, P. (2013). LUCAS compared to
manual cardiopulmonary resuscitation is more effective during helicopter rescue-a prospective, randomized, cross-over
manikin study. The American Journal Of Emergency Medicine, 31(2), 384-389. doi:10.1016/j.ajem.2012.07.018
Trivedi, K., Borovnik-Lesjak, V., & Gazmuri, R. (2013). LUCAS 2(TM) device, compression depth, and the 2010
cardiopulmonary resuscitation guidelines. American Journal Of Emergency Medicine, 31(7), 1154.e1-2.
doi:10.1016/j.ajem.2013.03.007
Yost, D., Phillips, R., Gonzales, L., Lick, C., Satterlee, P., Levy, M., & ... Niskanen, R. (2012). Assessment of CPR interruptions
from transthoracic impedance during use of the LUCAS™ mechanical chest compression system. Resuscitation, 83(8), 961-
965. doi:10.1016/j.resuscitation.2012.01.019