1. Adjuncts and Update in CPR Nalinas Khunkhlai, MD Department of Emergency Medicine and Narenthorn EMS center, Rajavithi hospital

2. Objective

4. Lund University Cardiopulmonary Assist System (LUCAS) 1. Automatic mechanical compression and active decompression resuscitation Suction cup to actively lift the anterior chest during decompression.. To enhance venous return to the heart.

5. 1. Automatic mechanical compression and active decompression resuscitation Lund University Cardiopulmonary Assist System (LUCAS)

6. Active Compression - Decompression

8. 2. Impedance Threshold Device A valve to limit air entry into the lungs during chest recoil. To reduce intrathoracic pressure And enhance venous return to the heart ResQpod

9. 2. Impedance Threshold Device ResQpod

10. 3.Mechanical Piston Device Simultaneous Sterno-Thoracic Cardiopulmonary Resuscitation (SST-CPR) Device depresses the sternum via compressed gas-powered plunger mounted on a backboard.

12. Simultaneous Sterno-Thoracic Cardiopulmonary Resuscitation (SST-CPR)

13. 4.Load-Distributing Band CPR or Vest CPR Autopulse

14. 5. Phase chest and abdominal compression-decompression Combines the concepts of ACD-CPR device and Interposed Abdominal Compression-CPR technique

15. IAC-CPR : Interposed abdominal compression

16. Other Gadget for non-chest compression part : King LT

17. Other Gadget for non-chest compression : EtCO2 15-38 mmHg PCO 2

18. Other Gadget for non-chest compression part

19. Dent ER

20. Ohhhhh…..

25. Apr 2008 : Essential feature of designating OHCA

26. Oct 2008 : Hands-Only CPR

28. Post-Cardiac Arrest Syndrome : Pathophysiology, Clinical manifestation

29. Post-Cardiac Arrest Syndrome : Pathophysiology, Clinical manifestation

31. โอ้วว พอที .... Thank you For your attention.