Resqpump VS using your hands

[Matthew99]

I'm surprised a search for "resqpump" didn't yield any result.

I'm talking about this thing:

In Israel it's it wide use because our national rescue company did a massive purchase of it, but my instructor said "using your good old hands and this device has the same effect, really." I even saw hands used despite having this device in one CPR in one of my volunteering.

Question is, is this device used around the globe where you live? What do you think of it? Do you prefer to use your hands?

[Vorenus]

I'm surprised a search for "resqpump" didn't yield any result.

I'm talking about this thing:

In Israel it's it wide use because our national rescue company did a massive purchase of it, but my instructor said "using your good old hands and this device has the same effect, really." I even saw hands used despite having this device in one CPR in one of my volunteering.

Question is, is this device used around the globe where you live? What do you think of it? Do you prefer to use your hands?

Saw it in school, but never used it there and neither in the field.

Around here, I don`t know of any service using it, we still do it the oldschool way...

Therefore, can`t make any claims about it. Though I`d be interested to hear from someone who used it on an actual patient. Have you (couldn`t make that out from your post). What about the stability on the thorax? Could imagine it slipping out of position...?

BTW: Are you from Israel?

[zippyRN]

it resurfaces as a great idea every few years for the past ?15 years

every used one ? no

every seen one on a front line vehicle - no

every seen one in the Hospital - no

[VDCavey]

Never saw one, i trust on my good old hands and the Lucas or Autopulse

[croaker260]

Just becasue I am a stickler for the tiny details.....This device actually provides Active compression-decompression CPR (ACD-CPR), as opposed to traditional CPR.

I have not used it, HOWEVER, there has been some research showing increased ROSC with it, and some showing no difference when compared to traditional CPR. IIRC, the research that showed increased ROSC was slightly flawed because this device was used with another device called the ResqPod (same company), and therefore increased ROSC could not be attributed to one or the other device (or both in combination).

Quoting the AHA:

Results from the use of ACD-CPR have been mixed. In several studies61–66 ACD-CPR improved ROSC and short-term survival compared with conventional CPR. Of these studies, 3 showed improvement in neurologically intact survival. In contrast, 1 Cochrane meta-analysis of 10 studies involving both in-hospital arrest (826 patients) and out-of-hospital arrest (4162 patients) and several other controlled trials comparing ACD-CPR to conventional CPR showed no difference in ROSC or survival. The meta-analysis did not find any increase in ACD-CPR–related complications.

There is insufficient evidence to recommend for or against the routine use of ACD-CPR. ACD-CPR may be considered for use when providers are adequately trained and monitored (Class IIb, LOE B ).

TAKE HOME MESSAGE: DOES NOT HURT (when used correctly), unclear if it helps. If you use it, consider using it with the ResQPod too. You still have to do excellent rate/compression/decompression CPR regardless of how you do it.

Some of the studies:

Cohen TJ, Goldner BG, Maccaro PC, Ardito AP, Trazzera S, Cohen

MB, Dibs SR. A comparison of active compression-decompression

cardiopulmonary resuscitation with standard cardiopulmonary resuscitation

for cardiac arrests occurring in the hospital. N Engl J Med.

1993;329:1918 –1921.

Plaisance P, Adnet F, Vicaut E, Hennequin B, Magne P, Prudhomme C,

Lambert Y, Cantineau JP, Leopold C, Ferracci C, Gizzi M, Payen D.

Benefit of active compression-decompression cardiopulmonary resuscitation

as a prehospital advanced cardiac life support: a randomized

multicenter study. Circulation. 1997;95:955–961.

Plaisance P, Lurie KG, Vicaut E, Adnet F, Petit JL, Epain D, Ecollan P,

Gruat R, Cavagna P, Biens J, Payen D. A comparison of standard

cardiopulmonary resuscitation and active compression-decompression

resuscitation for out-of-hospital cardiac arrest. French Active

Compression-Decompression Cardiopulmonary Resuscitation Study

Group. N Engl J Med. 1999;341:569 –575.

He Q, Wan Z, Wang L. [Random control trial of the efficacy of

cardiopump on pre-hospital cardiac arrest]. Zhongguo Wei Zhong Bing

Ji Jiu Yi Xue. 2003;15:292–294.

Mauer D, Schneider T, Dick W, Withelm A, Elich D, Mauer M. Active

compression-decompression resuscitation: a prospective, randomized study

in a two-tiered EMS system with physicians in the field. Resuscitation.

1996;33:125–134.

Stiell IG, Hebert PC, Wells GA, Laupacis A, Vandemheen K, Dreyer JF,

Eisenhauer MA, Gibson J, Higginson LA, Kirby AS, Mahon JL,

Maloney JP, Weitzman BN. The Ontario trial of active compressiondecompression

cardiopulmonary resuscitation for in-hospital and prehospital

cardiac arrest. JAMA. 1996;275:1417–1423.

Goralski M, Villeger JL, Cami G, Linassier P, Guilles-Des-Buttes P,

Fabbri P, Venot P, Tazarourte K, Cami M. Evaluation of active

compression-decompression cardiopulmonary resuscitation in out-ofhospital

cardiac arrest. Reanimation Urgences. 1998;7:543–550.

Skogvoll E, Wik L. Active compression-decompression cardiopulmonary

resuscitation: a population-based, prospective randomised clinical

trial in out-of-hospital cardiac arrest. Resuscitation. 1999;42:163–172.

Schwab TM, Callaham ML, Madsen CD, Utecht TA. A randomized

clinical trial of active compression-decompression CPR vs standard

CPR in out-of-hospital cardiac arrest in two cities. JAMA. 1995;273:

1261–1268.

Luiz T, Ellinger K, Denz C. Active compression-decompression cardiopulmonary

resuscitation does not improve survival in patients with

prehospital cardiac arrest in a physician-manned emergency medical

system. J Cardiothorac Vasc Anesth. 1996;10:178 –186.

Nolan J, Smith G, Evans R, McCusker K, Lubas P, Parr M, Baskett P.

The United Kingdom pre-hospital study of active compression-decompression

resuscitation. Resuscitation. 1998;37:119 –125.

And the Meta-Analysis:

Lafuente-Lafuente C, Melero-Bascones M. Active chest compressiondecompression

for cardiopulmonary resuscitation. Cochrane Database Syst Rev. 2004;:CD002751.

Edited August 23, 2011 by croaker260

[Matthew99]

Vorenus - Yes I am from Israel. I've seen it in use a few times but I just don't see how it makes a difference. Our national rescue service keeps using it because they already invested money in it.

Thanks for the detailed stuff, croaker.

[croaker260]

Vorenus - Yes I am from Israel. I've seen it in use a few times but I just don't see how it makes a difference. Our national rescue service keeps using it because they already invested money in it.

Thanks for the detailed stuff, croaker.

You know what they say...the devil is in the DETAILS.

[Richard B the EMT]

Only seen in catalogs, and an article I cannot reference, indicating the device was created when some guy attempted using a bathroom plunger on his Dad to do CPR, and was definitely almost 25 years ago, if memory serves. Believe it or not, he allegedly got ROSC!

The guy actually wanted to legislate a plunger becoming manditory equipment on ambulances, too!

[Matthew99]

Only seen in catalogs, and an article I cannot reference, indicating the device was created when some guy attempted using a bathroom plunger on his Dad to do CPR, and was definitely almost 25 years ago, if memory serves. Believe it or not, he allegedly got ROSC!

The guy actually wanted to legislate a plunger becoming manditory equipment on ambulances, too!

ROFL! Best story ever.