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EVIDENCE-BASED BENEFITS OF THE ELEVATEDCPR™ METHOD
The ElevatedCPR method is the first major CPR breakthrough in decades and may potentially offer a significant opportunity to improve the chances for neurologically-intact survival of cardiac arrest when implemented with the proper bundle of devices. Preclinical studies have demonstrated that the ElevatedCPR method when used with an ITD and ACD-CPR or mechanical CPR:
- doubled blood flow to and through the brain and other vital organs compared to today’s best-of-class CPR techniques and devices;1
- significantly increased cerebral perfusion pressure to greater than 80% of normal and coronary perfusion pressure to greater than 70% of normal when 2 minutes of priming in the lowered position preceded slowly raising the head and thorax to the elevated positions over a two-minute period;2,3,4
- immediately and significantly reduced intracranial pressure,2,5,6 mitigating the “brain concussion with every compression”3,4,5,6 seen in standard CPR. Conventional (head flat) CPR increases ICP, effectively causing a concussion with every compression.
Human cadaver studies with ACD-CPR with an ITD and with mechanical CPR devices with an ITD show physiologic results that are consistent with these preclinical animal studies.7 In addition, first user evaluations show an achieved ROSC rate in PEA and Asystole patients of 43% when using this method compared to 30% with simple rapid head elevation.8
8. Scheppke, et al., Prehospital Emergency Medicine, 2020