Controversial Issues: Pro Mechanical Cardiopulmonary Resuscitation

Kylie Dyson, Dion Stub, Stephen Bernard, Karen Smith

Research output: Contribution to journalReview ArticleOtherpeer-review


High-quality cardiopulmonary resuscitation, in particular chest compressions, is a key aspect of out-of-hospital cardiac arrest (OHCA) resuscitation. Manual chest compressions remain the standard of care; however, the extrication and transport of patients with OHCA undermine the quality of manual chest compressions and risk the safety of paramedics. Therefore, in circumstances whereby high-quality manual chest compressions are difficult or unsafe, paramedics should consider using a mechanical device. By combining high-quality manual chest compressions and judicious application of mechanical chest compressions, emergency medical service agencies can optimize paramedic safety and patient outcomes.

Original languageEnglish
Pages (from-to)367-374
Number of pages8
JournalCardiology Clinics
Issue number3
Publication statusPublished - 1 Aug 2018


  • Cardiopulmonary resuscitation
  • Emergency medical services
  • Equipment
  • Mechanical chest compressions
  • Out-of-hospital cardiac arrest

Cite this