This disclosure relates to device for providing continuous negative abdominal pressure (CNAP) which selectively recruits (inflates) the dorsal (spinal region) collapsed areas of the lung, while enabling the patient to remain in the supine (usual) position. The CNAP device includes a rigid frame configured to have a shape and size to envelop a patient's lower chest and abdominal area while in a supine position with the frame having opposed edges which sit on a surface on which the supine patient is resting. A series of panels are mounted in the frame such that the series of panels extend around the patient's lower chest and abdominal area. A flexible sheet wrapped around the outside of the panels and is long enough to extend up to the patient's upper chest and down to the patient's thighs and wide enough to envelop the supine patient's lower chest and abdominal area. Sealing members are to seal the flexible sheet over the frame and panels and around the patient's lower chest and pelvis, wherein a chamber is formed between the patient and said device when the patient is enveloped by the device. An air inlet coupling extends through one of the panels and is attachable to a suction source which is configured to generate negative pressure of between about −5 to about −10 cm H.sub.2O inside the chamber.

A mechanical chest compression device is secured to a gurney, transport stretcher or ambulance cot while engaging a patient's thorax to provide mechanical CPR during transport. The mechanical chest compression device compresses the patient's thorax against the gurney deck. The mechanical chest compression device may engage the side rails on the gurney, the gurney deck or any suitable structural elements of the gurney.

This disclosure relates to device for providing continuous negative abdominal pressure (CNAP) which selectively recruits (inflates) the dorsal (spinal region) collapsed areas of the lung, while enabling the patient to remain in the supine (usual) position. The CNAP device includes a rigid frame configured to have a shape and size to envelop a patient's lower chest and abdominal area while in a supine position with the frame having opposed edges which sit on a surface on which the supine patient is resting. A pressure sensor is mounted to the frame for measuring a pressure inside the chamber and is connected to a display for displaying the pressure inside the chamber. An active pressure controller is connected to the pressure sensor, and a vacuum pump is in flow communication with inside the chamber and connected to the active pressure controller. The device includes a top up pump in flow communication with inside the chamber and connected to the active pressure controller which is programmed to instruct the vacuum pump to provide negative pressure in the chamber to start decompressing the chamber, and to instruct the top up pump to maintain the negative pressure in the chamber.

A method for performing cardiopulmonary resuscitation (CPR) includes elevating the heart of an individual to a first height relative to a lower body of the individual. The lower body may be in a substantially horizontal plane. The method may also include elevating the head of the individual to a second height relative to the lower body of the individual. The second height may be greater than the first height. The method may further include performing one or more of a type of CPR or a type of intrathoracic pressure regulation while elevating the heart and the head. The first height and the second height may be determined based on one or both of the type of CPR or the type of intrathoracic pressure regulation.

An articulated patient support platform cyclically expands and contracts a patient's lung volume, to both support breathing and mobilize lung tissue. In the lung expansion phase, a change in angle between a leg and hip supporting portion and a chest and head supporting portion causes extension the patient's spine, which increases the distance between the patient's sternum and spine. In the lung contraction phase, the reverse change in this angle causes flexion the patient's spine, which decreases the distance between the sternum and spine. A cycle of increase and decrease in spine-sternum distance expands and contracts lung volume in the manor of a bellows. Motorized operation of the platform thereby provides non-invasive natural breathing support. A corollary benefit of this lung expansion/contraction cycle is mobilization of lung tissue, which is beneficial in reducing post-operative pneumonia risk.

An alignment device for assisting a rescuer for correctly aligning a mechanical cardiopulmonary resuscitation (CPR) device. The alignment device can guide positioning of the backboard so that the backboard is correctly positioned prior to connecting an upper portion of the mechanical CPR device to the backboard. The alignment device can also include positioning the mechanical CPR device without a backboard or positioning the backboard and the upper portion of the mechanical CPR device nearly simultaneously.

An active backboard that can assist with adjusting a patient on the backboard to ensure that the backboard is correctly aligned for a compression mechanism of an upper portion of a mechanical cardiopulmonary resuscitation (CPR) device to perform compressions. The active backboard can also include multiple layers that can slide or move relative to each other to move the patient relative to the backboard. The active backboard can include roller bars, a wheel, and/or projections to assist with moving a patient relative to the backboard.

A method to increase the overall hemodynamic efficacy of cardiopulmonary resuscitation (CPR) by alternating between chest compression-decompression cycles optimized to either cardiac output or venous return. The phases of cardiac output and venous return enhancement may themselves by adjusted in their duration and character. The method may enhance mechanical and manual techniques delivered to the anterior or circumferential chest, and be synchronized to adjunctive techniques such as airway, ventilatory or abdominal therapies.

A back plate for use with a CPR compression device comprises first and second static attachment elements configured on first and second sides, respectively, to releasably connect to first and second legs, respectively. In addition, a bottom surface of the back plate comprises a plurality of ribs that run from the first side to the second side in parallel to the third and fourth sides. The back plate also includes a hollow portion between the upper and bottom surfaces and the first, second, third, and fourth sides, and the ribs and third and fourth sides provide structural rigidity to the back plate. A plurality of openings along the third and fourth sides may be configured for strapping the back plate to a patient. Grooves may be configured on the top surface to hide sink marks on the top surface caused by the ribs on the bottom surface.

A method for performing cardiopulmonary resuscitation (CPR) includes elevating the heart of an individual to a first height relative to a lower body of the individual. The lower body may be in a substantially horizontal plane. The method may also include elevating the head of the individual to a second height relative to the lower body of the individual. The second height may be greater than the first height. The method may further include performing one or more of a type of CPR or a type of intrathoracic pressure regulation while elevating the heart and the head. The first height and the second height may be determined based on one or both of the type of CPR or the type of intrathoracic pressure regulation.