A CPR system includes a retention structure to retain the patient's body, and a compression mechanism to perform CPR compressions to the patient's chest. The CPR system further includes a processor to control the compression mechanism, and thus the performance of the CPR compressions. In embodiments, the CPR system compresses at a rate or frequency that is purposely sub-optimal for circulation at least some of the time, and especially when it is detected that the patient has regained consciousness. An advantage can be that the patient may thus faint again, and therefore perceive less of the unpleasant experience of the mechanical chest compressions that the CPR system continues to perform on them as it preserves them alive.

A method, a system, or an apparatus for resuscitation can include a first sensor having a first output configured to provide a first sensor signal corresponding to optical attenuation of tissue at a site. The method, the system, or the apparatus can include a processor coupled to the first output. The processor can be configured to generate an output signal. The output signal can be determined based on a first parameter of the optical attenuation. The first parameter can correspond to blood circulation associated with externally applied stimulation of a cardiovascular organ. The method, the system, or the apparatus can include a system output coupled to the processor. The system output can be configured to provide a control signal determined using the output signal.

The system and method provide for electrocardiogram analysis and optimization of patient-customized cardiopulmonary resuscitation and therapy delivery. An external medical device includes a housing and a processor within the housing. The processor can be configured to receive an input signal for a patient receiving chest compressions and to select at least one filter mechanism and to apply the filter mechanism to the signal to at least substantially remove chest compression artifacts from the signal. A real time dynamic analysis of a cardiac rhythm is applied to adjust and integrate CPR prompting of a medical device. Real-time cardiac rhythm quality is facilitated using a rhythm assessment meter.

In embodiments, a CPR chest compression system includes a retention structure that can retain the patient's body, and a compression mechanism that can perform automatically CPR compressions and releases to the patient's chest. The compression mechanism can pause the performing of the CPR compressions for a short time, so that an attendant can check the patient. The CPR system can include a user interface that can output a human-perceptible check patient prompt, to alert an attendant to check the patient during the pause. The compression mechanism can during a CPR session retreat a distance away from the patient's chest whereby the patient's chest can expand without active decompression of the patient's chest beyond the chest's natural resting position.

A portable medical device having improved ECG trace display and reporting. Embodiments implement features to ameliorate artifacts created by virtue of attempting to eliminate compression artifacts due to mechanical compression devices. Other embodiments additionally implement features to seek to detect the occurrence of ROSC while chest compressions are ongoing.

A portable medical device having improved ECG trace display and reporting. Embodiments implement features to ameliorate artifacts created by virtue of attempting to eliminate compression artifacts due to mechanical compression devices. Other embodiments additionally implement features to seek to detect the occurrence of ROSC while chest compressions are ongoing.

Chest compression machine systems and methods adjust the administration of patient treatment based on received physiological parameter measurements, such as a CO.sub.2 measurement. Adjustment of the administered chest compressions can include adjusting one or more chest compression parameters, such as the depth of the administered compressions, the administration of active decompressions, adjusting the height of active decompression, adjusting the rate of compressions and/or active decompressions and/or other changes to one or more properties, or characteristics, of the administered chest compressions and/or active decompressions.

In embodiments, a CPR chest compression system includes a retention structure that can retain the patient's body, and a compression mechanism that can perform automatically CPR compressions and releases to the patient's chest. The compression mechanism can pause the performing of the CPR compressions for a short time, so that an attendant can check the patient. The CPR system also includes a user interface that can output a human-perceptible check patient prompt, to alert an attendant to check the patient during the pause. An advantage can be when the attendant checks in situations where the condition of the patient might have changed, and an adjustment is needed. Or in situations where the patient may have improved enough to where the compressions are no longer needed.

Embodiments of the present disclosure relate generally to the use of spectral sensors during a cardiac arrest event. More specifically, the present disclosure relates to the use of spectral sensors for measuring changes in pH and muscle oxygen saturation to estimate subject down time and evaluating the effectiveness of the clinical treatment administered during a cardiac arrest event. Given the narrow window of time in which emergency treatment must be administered, as well as the lack of information concerning the subject's condition, there is a need for a fast and accurate method of estimating the onset of the cardiac arrest emergency and evaluating the effectiveness of the emergency treatment being administered.

Various exemplary embodiments of the present disclosure encompass a cardiopulmonary resuscitation (CPR) feedback method involving a carotid blood velocity measurement by an ultrasound sensor (20) of a patient during CPR of the patient and further involving a blood oxygenation measurement by an oxygenation saturation sensor (30) during CPR of the patient and/or a CO2 production measurement by a respiratory sensor (40) during CPR of the patient. An exemplary CPR feedback controller (60) generates CPR feedback based on a descriptive correlation and/or a prescriptive correlation of the carotid blood velocity measurement by the ultrasound sensor (20) and one or both of the blood oxygenation measurement by the oxygenation saturation sensor (30) and the CO2 production measurement by the respiratory sensor (40).