A cardiopulmonary resuscitation (CPR) device for performing automatic defibrillation and chest compressions on a patient and method for using same. The CPR device having a balloon configured to inflate/deflate, a belt configured to securely strap around a chest of a patient, a pair of electrode pads configured to deliver shock energy from a shock source, and, optionally, a pulse oximeter sensor. The CPR device is in electrical communication with a CPR defibrillator/ECG computer system that is configured to control the CPR device.

A computing device includes a memory configured to store instructions. The computing device also includes a processor to execute the instructions to perform operations that include providing an alternating electrical signal to a patient through at least a pair of electrodes, and determining transthoracic impedance of the patient from a measurement associated with the applied alternating electrical signal. Operations also include identifying, from the transthoracic impedance, a sequence of resistance values for controlling the discharge of a charge storage device located external to the patient, and controlling the discharge of the charge storage device using the identified sequence of resistance values.

Methods and systems are provided for guiding a rescuer in treatment of a patient. A method may include initializing one or more cameras on an external electrode assembly including a pair of electrodes. The method may further include capturing image information via the one or more cameras, the image information comprising a series of images acquired by the one or more cameras. The method may further include, based at least in part on the image information, providing feedback, comprising at least one of visual feedback and audio feedback, on at least one output device to guide the rescuer in the treatment of the patient.

The invention relates to a device for assisting a first aider with a cardiopulmonary resuscitation of a person suffering cardiac arrest, comprising a transport housing (1), in which a sensor apparatus (4) and two adhesive electrodes (2), which are or can be connected to the sensor apparatus (4), can be stowed. The sensor apparatus (4) allows data to be acquired while the first-aid measures for resuscitation are performed. The sensor apparatus (4) comprises an adhesive (5) for attachment to the chest of the patient (3). The chest compressions, i.e. depth of compression and compression frequency, can be detected by means of a motion sensor. An interface for data transfer allows wireless communication with a mobile terminal (6). Furthermore, the sensor apparatus (4) contains a high-voltage store so that, after connection to the adhesive electrodes (2), a single defibrillation shock can be delivered.

A multimodal optical imaging platform is used to obtain cerebral perfusion-metabolism mismatch metrics for rapid assessment of acute brain injury, ongoing (real-time) feedback to optimize cardiopulmonary resuscitation to improve neurological outcome, and rapid prognosis of recovery. Light of several wavelengths and types is delivered to the tissue, which is then absorbed and scattered by tissue components such as blood and cellular components. Some of this light scatters back to the surface, where it is captured by a detector. The resulting data are processed to obtain blood flow and oxygenation parameters, as well as tissue scattering. These parameters are then combined to calculate metabolism and flow-metabolism coupling/decoupling metrics, which are used to determine ischemic damage, ongoing need for optimal blood flow and oxygenation, and to predict cerebral recovery in patients with acute brain injury during and immediately after cardiac arrest, stroke, traumatic brain injury, etc.

Systems, devices, and methods provide up-to-date defibrillation shock recommendations. In an example method, multiple segments of an electrocardiogram (ECG) of an individual are detected from an individual receiving chest compressions. The multiple segments are evaluated to determine whether the individual is exhibiting a shockable heart rhythm. A medical device outputs a recommendation indicating whether a defibrillation shock is advised based on the most recent determination of the individual's heart rhythm. For example, the medical device outputs an up-to-date recommendation on-demand in response to an input signal from a user. In some examples, the medical device updates the recommendation based on ongoing analysis of the ECG.

Defibrillators providing enhanced recommendations of whether to administer a defibrillation shock to patients are described. An example defibrillator determines an analysis factor, such as whether a patient has previously exhibited high-amplitude or “coarse” ventricular fibrillation (VF) during a particular time period. The defibrillator generates a shock index based on an electrocardiogram (ECG) of the patient and determines whether the patient is exhibiting a shockable rhythm by comparing the shock index to a threshold. The defibrillator generates the shock index and/or the threshold based on the analysis factor. The defibrillator outputs a recommendation based on the determination of whether the patient is exhibiting the shockable rhythm.

Defibrillators with enhanced functionality during cardiopulmonary resuscitation (CPR) periods are described. The enhancements include predicting a length of a charging period of a capacitor of the medical device so that capacitor is shock charged at the end of the CPR period. The enhancements also include re-assessing an electrocardiogram (ECG) signal for continued presence of a shockable rhythm during the CPR period and before administration of a defibrillation shock. Together the enhancements can improve the timing and recommended administration of defibrillation therapy.

Systems, devices, and methods for detecting and addressing irregular motion to improve defibrillation shock recommendations are described. In an example method performed by a medical device, an electrocardiogram (ECG) of an individual receiving chest compressions is detected. In addition, irregular motion of the individual is detected. If a magnitude of the irregular motion is greater than or equal to a threshold, a remedial action is performed. In some examples, the medical device refrains from generating a recommendation indicating whether the ECG includes a shockable rhythm and/or whether a defibrillation shock is recommended. In some instances, the medical device outputs the recommendation with a certainty of the recommendation. In some cases, the medical device outputs a warning and generates the recommendation in response to receiving an input signal indicating a manual override.

An external defibrillator is provided. The external defibrillator includes therapy delivery circuitry configured to discharge electrotherapy to a patient, a chest compression sensor configured to acquire motion signals during and after administration of CPR to the patient, an ECG sensor configured to acquire ECG signals from the patient, and a processor coupled to the therapy delivery circuitry, the chest compression sensor, and the ECG sensor. The processor is configured to generate first ECG data from ECG signals acquired during a cycle of CPR, generate second ECG data from ECG signals acquired after the cycle of CPR, identify a plurality of temporally overlapping segments in the first ECG data, determine shock/no-shock guidance based on the plurality of temporally overlapping segments, confirm the shock/no-shock guidance based on the second ECG data, and control the therapy delivery circuitry to discharge the electrotherapy where the shock/no-shock guidance is confirmed to specify electrotherapy.