Volume : 12, Issue : 11, November – 2025
Title:
PARAMEDIC-DELIVERED MECHANICAL CPR USING LUCAS: A COMPREHENSIVE REVIEW OF CLINICAL EFFECTIVENESS AND SURVIVAL OUTCOMES
Authors :
Abdulrazaq Oudah Huran Alanazi, Meshal Farag Almutiri, Abdulaziz Oudah Huran Alanazi, Abdullah Salloum Al-Anazi, Abdullah Fahhad Alharbi, Faisal Eid Alanazi, Meshari Mohammed Zuwayyid Alanazi, Sultan Farhan Aljaysi
Abstract :
Out-of-hospital cardiac arrest (OHCA) remains a major global public health challenge, with survival strongly dependent on the quality and continuity of cardiopulmonary resuscitation (CPR). In recent years, mechanical CPR devices—particularly the Lund University Cardiac Assist System (LUCAS)—have been increasingly adopted by paramedics to enhance resuscitation performance in prehospital environments. This comprehensive review examines the clinical effectiveness, workflow benefits, and survival outcomes associated with paramedic-delivered LUCAS-assisted CPR. Evidence from observational studies, clinical trials, and EMS system evaluations indicates that LUCAS devices improve CPR consistency, minimize interruptions, reduce rescuer fatigue, and facilitate simultaneous interventions such as airway management and defibrillation. Although randomized controlled trials have shown mixed results regarding overall survival, emerging real-world data demonstrate improved return of spontaneous circulation (ROSC), reduced transport-related CPR interruptions, and enhanced safety during patient movement. Additionally, LUCAS enables paramedics to maintain high-quality compressions during complex extrication scenarios and prolonged resuscitation efforts. This review synthesizes current literature from 2016–2025 to clarify the role of LUCAS in modern prehospital care and provides recommendations for future system-level integration and practice optimization.
Keywords: LUCAS, paramedic, mechanical CPR, out-of-hospital cardiac arrest, ROSC, prehospital care, survival outcomes
Cite This Article:
Please cite this article in press Abdulrazaq Oudah Huran Alanazi et al., Paramedic-Delivered Mechanical Cpr Using Lucas: A Comprehensive Review Of Clinical Effectiveness And Survival Outcomes, Indo Am. J. P. Sci, 2025; 12(11).
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