SI23964A - Cardiopulmonary resuscitation device for high quality external chest compression - Google Patents

Cardiopulmonary resuscitation device for high quality external chest compression Download PDF

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SI23964A
SI23964A SI201200025A SI201200025A SI23964A SI 23964 A SI23964 A SI 23964A SI 201200025 A SI201200025 A SI 201200025A SI 201200025 A SI201200025 A SI 201200025A SI 23964 A SI23964 A SI 23964A
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patient
cardiopulmonary resuscitation
chest
resuscitation device
rescuer
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Ivor Ković
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Ivor Ković
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H31/00Artificial respiration or heart stimulation, e.g. heart massage
    • A61H31/004Heart stimulation
    • A61H31/007Manual driven

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Abstract

Naprava za kardiopulmonalno oživljanje zaradi svoje zasnove spodnje ploskve naprave in zaradi vgrajenih naprav za dajanje povratnih informacij o KPO-ju omogoča reševalcu izvajanje visokokakovostnih kompresij prsnega koša z bolj naravnim in preprostejšim položajem rok in z manj možnosti za povzročitev poškodbe pacientu. Držali omogočata reševalcu, da izvaja kompresije prsnega koša z manj energije in z manj bolečinami, hkrati pa ne pride v neposreden stik s pacientom, zaradi česar lahko nadaljuje s kompresijami prsnega koša tudi med polnjenjem defibrilatorja in dajanjem šoka. Kompresije se izvajajo s spodnjo ploskvijo kompresijske škatle, ki lahko prilagodi svojo obliko v skladu z anatomijo pacientovega prsnega koša in vključuje elektrode za kontinuirano beleženje elektrokardiograma prizadete osebe.The device for cardiopulmonary resuscitation, due to its design of the lower surface of the device, and because of the built-in KPO feedback device, enables the rescuer to perform high-quality chest compressions with a more natural and simpler hand position and with less chance of causing injury to the patient. The holders allow the rescuer to perform compression of the chest with less energy and less pain, but does not come into direct contact with the patient, which makes it possible to continue chest compression even when filling the defibrillator and giving shock. The compressions are performed with the lower surface of the compression box, which can adapt its shape according to anatomy of the patient's chest and includes electrodes for the continuous recording of the electrocardiogram of the affected person.

Description

Naprava za kardiopulmonalno oživljanje za visokokakovostne zunanje kompresije prsnega košaCardiopulmonary resuscitation device for high quality external chest compressions

Področje izumaFIELD OF THE INVENTION

Pričujoči izum se nanaša na napravo za pomoč pri izvajanju kardiopulmonalnega oživljanja (KPO). izum se še zlasti nanaša na uporabo naprave, ki olajša dajanje visokokakovostnih zunanjih kompresij prsnega koša med KPO-jem.The present invention relates to a cardiopulmonary resuscitation (KPO) assisting device. In particular, the invention relates to the use of a device that facilitates the administration of high-quality external chest compressions during KPO.

STANJE TEHNIKEBACKGROUND OF THE INVENTION

Nenaden zastoj srca (NZS) je eden vodilnih vzrokov smrti po vsem svetu. Ocenjuje se, da se NZS v Evropi, ki združuje 46 držav in ima 730 milijonov prebivalcev, pojavlja med 0,4-krat do 1,0-krat na 1000 prebivalcev na leto, se pravi, da na leto prizadene med 350.000 in 700.000 ljudi. Kot glavni vzrok NZS-ja šteje kardiovaskularna bolezen, še zlasti ishemična bolezen srca, čeprav se lahko pojavi tudi zaradi električnega šoka, uporabe nedovoljenih mamil ali travme. Posledično nenadno srčno smrt (NSS) je mogoče pogosto preprečiti, če s kar najmanjšo zakasnitvijo izvedemo vrsto zaporednih dejanj, imenovanih veriga preživetja. Eno najpomembnejših dejanj v verigi preživetja je zgodnje KPO, ki prepreči poškodbo vitalnih organov, kot so možgani in srce ter je sestavljeno iz dveh dejanj: zunanjih kompresij prsnega koša in umetnega dihanja. Zunanje kompresije prsnega koša se izvajajo, ko prizadeta oseba leži na hrbtu na trdi površini, tako da reševalec ritmično pritiska prsnico (lat. sternum) prizadete osebe proti hrbtenici. To dejanje se imenuje tudi masaža srca, saj se z njo omogoči, da kri teče iz srca in po telesu. Prvič je bila uvedena v poznih 1950-ih letih in tehnika izvajanja masaže srca je ostala do danes praktično nespremenjena. Reševalec, ki izvaja KPO brez kakršnekoli dodatne opreme, izvaja masažo srca s svojimi rokami. Rob svoje dlani položi na sredino prsnega koša prizadete osebe, rob dlani druge roke pa na vrh prve. Z izravnanimi komolci se reševalec z rameni nagne naprej, tako da so neposredno nad prsnim košem prizadete osebe. Na ta način reševalec tvori navidezen trikotnik, tako da njegove roke in telo predstavljajo njegove stranice, njegova ramena in prekrižane roke pa predstavljajo vogale trikotnika. Kompresije prsnega koša se potem izvajajo tako, da se izvaja sila preko reševalčevih rok na prsnico prizadete osebe.Sudden cardiac arrest (NHS) is one of the leading causes of death worldwide. The NHS in Europe, which brings together 46 countries and has a population of 730 million, is estimated to occur between 0.4 times and 1.0 times per 1000 population per year, which is said to affect between 350,000 and 700,000 people a year. . The main cause of the NHS is cardiovascular disease, especially ischemic heart disease, although it can also be caused by electric shock, illicit drug use or trauma. Consequently, sudden cardiac death (NSS) can often be prevented by performing a series of sequential actions called the survival chain with as little delay as possible. One of the most important actions in the survival chain is early KPO, which prevents damage to vital organs such as the brain and heart and consists of two actions: external chest compressions and artificial respiration. External chest compressions are performed when the affected person lies on his or her back on a hard surface so that the rescuer rhythmically presses the affected person's spine (lat. Sternum) toward the spine. This action is also known as a heart massage because it allows blood to flow from the heart and throughout the body. It was first introduced in the late 1950s, and the technique of performing heart massage has remained virtually unchanged to this day. A rescuer who performs KPO without any additional equipment performs a heart massage with his hands. The edge of his hand is placed in the middle of the chest of the affected person, and the edge of the palm of the other hand is on top of the first. With the elbows straightened, the rescuer leans forward with his shoulders forward so that persons are directly affected by the chest. In this way, the solver forms a virtual triangle, so that his arms and body represent his sides, and his shoulders and crossed arms represent the corners of the triangle. The chest compressions are then performed by applying force through the lifeguard's hands to the affected person's chest.

Za najuspešnejše izvajanje KPO-ja je bistvenega pomena, da ga izvajamo v skladu z mednarodnimi smernicami za KPO, ki temeljijo na trenutnih znanstvenih dognanjih. Mednarodne smernice za KPO so se doslej ažurirale vsakih pet let. Najnovejše smernice iz leta 2010 priporočajo, naj bo hitrostIt is essential for the most successful implementation of the KPO that it is implemented in accordance with international KPO guidelines, based on current scientific knowledge. So far, the international guidelines for KPO have been updated every five years. The latest 2010 guidelines recommend speed

-2kompresij vsaj 100, a ne več kot 120 na minuto, prsnico pri odrasli prizadeti osebi pa je treba pritiskati za 5 do 6 cm (približno eno tretjino globine prsnega koša pri otrocih). Izkazalo se je, da se lahko s tako visokokakovostnim KPO-jem možnosti preživetja osebe z NZS podvojijo ali celo potrojijo.-2compressions of at least 100 but not more than 120 per minute, and the sternum in the adult affected should be pressed 5 to 6 cm (about one-third of the depth of the chest in children). It turns out that with such a high-quality KPO, the chances of surviving the NHS can be doubled or even tripled.

Pri izvajanju zunanjih kompresij prsnega koša na način, kot je bil prej opisan, pa se pojavi veliko problemov, ki zmanjšujejo njegovo učinkovitost. Pomembno je povedati, da je izvajanje kompresij prsnega koša samo po sebi zmerno težka naloga, ki postane za reševalca še bolj utrudljiva zaradi nenaravnega položaja rok, ki povzročajo bolečino v dlaneh, zapestjih in prstih. Ko se reševalec utrudi, in študije so pokazale, da se to lahko zgodi v prvih dveh minutah KPO-ja, kakovost kompresij prsnega koša upade in reševalec je prisiljen delati odmore za počitek, kar ima zelo negativen učinek na možnosti za preživetje prizadete osebe in za dobro nevrološko okrevanje. Poleg tega med izvajanjem masaže srca brez dodatnih naprav reševalec nima nikakršnega vpogleda v svoja dejanja in ne more biti prepričan, ali izvaja KPO v skladu z mednarodnimi smernicami. Raziskave so pokazale, da znanje o KPO in spretnosti hitro upadajo po tečajih KPO-ja in vajah. Reševalci, celo najbolj izkušeni profesionalci, niso sposobni popolnoma upoštevati smernic KPO-ja že v nekaj tednih po usposabljanju na sodobnih KPO-lutkah. Brez povratne informacije o globini kompresij reševalci včasih radi premočno pritiskajo prsnico, kar lahko privede do poškodb prizadete osebe, kot so poškodba prsnice in zlomi reber. Do poškodbe lahko pride tudi zaradi nepravilnega položaja reševalčevih rok in dejstva, da se vsa sila, ki se prenaša na prsni koš bolnika, izvaja preko majhne površine reševalčevih rok. Nedavne raziskave na področju oživljanja so pokazale, da ima izvajanje kompresij prsnega koša na veliki površini za posledico višje vaskularne tlake v pacientovih žilah. To se v glavnem nanaša na višji tlak v koronarnih arterijah, kar je povezano z večjim preživetjem in boljšim nevrološkim okrevanjem prizadete osebe. Masaža srca je lahko tudi nepravilna zaradi naslanjanja reševalca, kar ima za posledico nepopolno sproščanje prsnega koša med dvema kompresijama. To pogosto vidimo pri reševalcih, ki imajo slabo tehniko, ali pri tistih, ki so utrujeni. Naslanjanje na prsni koš zmanjšuje količino krvi, ki se vrača v pacientovo srce med fazo sproščanja, zato je na voljo manj krvi, ki se porazdeli v vitalne organe med naslednjo kompresijo.However, when performing external chest compressions as previously described, there are many problems that reduce its effectiveness. It's important to say that performing chest compressions is a moderately difficult task in itself, which becomes even more tedious for the rescuer because of the unnatural position of the hands that cause pain in the hands, wrists and fingers. When a lifeguard gets tired, and studies have shown that this can happen in the first two minutes of CPO, the quality of chest compressions declines and the lifeguard is forced to take breaks for rest, which has a very negative effect on the survivor's and good neurological recovery. In addition, while performing a heart massage without additional devices, the ambulance has no insight into his or her actions and cannot be sure whether he or she is performing CPR in accordance with international guidelines. Research has shown that KPO knowledge and skills are declining rapidly through KPO courses and exercises. Rescuers, even the most experienced professionals, are not able to fully comply with the KPO guidelines within weeks of training on modern KPO dolls. Without feedback on the depth of compression, rescuers sometimes like to press the sternum too hard, which can lead to injuries to the affected person, such as a sternum injury and fractures of the ribs. Damage can also be due to the improper position of the lifeguard's hands and the fact that all force transmitted to the patient's chest is exerted over the small surface of the lifeguard's hands. Recent resuscitation research has shown that performing large-area chest compressions results in higher vascular pressures in the patient's veins. This is mainly due to higher pressure in the coronary arteries, which is associated with greater survival and better neurological recovery of the affected person. Cardiac massage may also be irregular due to the leaning of the ambulance, resulting in incomplete relaxation of the chest between the two compresses. This is often seen in rescuers with poor technique or those who are tired. The leaning on the chest reduces the amount of blood returning to the patient's heart during the release phase, so there is less blood available to be distributed to the vital organs during subsequent compression.

Poleg osnovne podpore življenju, ki obsega masažo srca in umetno dihanje, KPO vključuje tudi uporabo defibrilatorja, naprave, ki prekine nepravilen srčni ritem, ki se imenuje ventrikularna fibrilacija (VF) s pomočjo električnega šoka. Ko se analizira ritem in ugotovi, da je defibrilacija potrebna, se defibrilator napolni in skozi pacientovo srce se spusti električni šok preko lopatic ali blazinic, nameščenih na gol prsni koš pacienta. Medtem, ko se defibrilator polni in še zlasti med izvajanjem šoka, se reševalci ne smejo dotikati pacienta zaradi nevarnosti elektrokucije. Celo kadarIn addition to basic life support, which includes heart massage and artificial respiration, KPO also includes the use of a defibrillator, a device that interrupts an irregular heart rhythm called ventricular fibrillation (VF) through electric shock. After analyzing the rhythm and finding that defibrillation is necessary, the defibrillator is charged and an electric shock is released through the patient's heart via the shoulder blades or pads placed on the patient's bare chest. While the defibrillator is being charged and especially during the course of shock, rescuers should not touch the patient because of the risk of electrocution. Even when

-3defibrilatorje uporablja ekipa dobro izurjenih poklicnih reševalcev, traja premor pri izvajanju kompresij prsnega koša zaradi polnjenja defibrilatorja in izvajanja šoka vsaj 30 sekund. V tem času se pacientov krvni obtok ustavi zaradi neizvajanja kompresij prsnega koša.-3defibrillators are used by a team of well-trained professional lifeguards, and it takes a pause to perform chest compressions to fill the defibrillator and perform shock for at least 30 seconds. During this time, the patient's bloodstream stops due to failure to perform chest compressions.

Nekaj omenjenih težav pri izvajanju KPO-ja relativno dobro rešujejo mehanske naprave za kompresije prsnega koša. Znane tovrstne naprave pa so prevelike in pretežke, kar omejuje njihovo uporabo na specializirane medicinske ustanove. Še nadaljnja ovira za njihovo širšo uporabo so njihove visoke cene. Kljub vsemu pa take naprave še vedno ne rešujejo vseh zgoraj opisanih problemov s KPO-jem. Da bi ugotovili, ali je defibrilacija potrebna, je ključnega pomena, da se med KPO-jem kontinuirano beleži elektrokardiogram (EKG) pacientovega srca. EKG se beleži z uporabo elektrod ali blazinic, ki so nameščene na pacientovo golo kožo. Ne glede na to, ali kompresije izvaja reševalec ali mehanska naprava, pa med kompresijami srca EKG ne kaže dejanskega beleženja električne aktivnosti srca ampak artefakte, ki jih proizvaja gibanje prsnega koša. Da bi lahko avtomatski zunanji defibrilator ali reševalec analiziral srčni ritem, kar se izvaja med KPO-jem vsaki dve minuti, je treba kompresije prsnega koša prekiniti, zaradi česar pride do popolne ustavitve dotoka krvi v pacientove vitalne organe. Po vsakem premoru je potrebnih veliko kakovostnih kompresij prsnega koša, da se vzpostavi pretok krvi na nivojih, kakršni so bili doseženi pred premorom.Some of the problems mentioned above when performing KPO are relatively well solved by mechanical chest compressors. The known devices of this type are, however, too large and too heavy, which limits their use to specialized medical institutions. A further barrier to their widespread use is their high prices. However, such devices still do not solve all of the KPO problems described above. In order to determine whether defibrillation is necessary, it is crucial to continuously record the electrocardiogram (ECG) of the patient's heart during the KPO. The ECG is recorded using electrodes or pads that are placed on the patient's bare skin. Whether compression is performed by a rescuer or a mechanical device, however, during ECG compression, the ECG shows no actual recording of the electrical activity of the heart but the artifacts produced by the movement of the chest. In order for the automatic external defibrillator or ambulance to analyze the heart rhythm, which is performed during a KPO every two minutes, chest compressions must be interrupted, resulting in complete stoppage of blood flow to the patient's vital organs. After each break, many quality chest compressions are required to restore blood flow to levels reached before the break.

V stanju tehnike je poznana uporaba različnih reanimacijskih naprav. Ameriški patent št. 5,295,481 opisuje napravo za pomoč pri KPO-ju, ki je sestavljena iz stebra, para držal in sesalne čaše. Cilj te naprave je olajšati kompresije prsnega koša in omogočiti aktivno širjenje prsnega koša, ko se čaša umakne od prsi. Ta izum ne vključuje sistema za odkrivanje kakovosti KPO-ja (globine, hitrosti in sile kompresij), niti mu takih sistemov ni mogoče dodati. Prav tako ne vključuje elektrod za kontinuirano beleženje EKG-ja. Pri uporabi te naprave je položaj reševalčevih rok podoben položaju pri vožnji s kolesom. To privede k hitrejši utrujenosti in slabemu nadzoru nad položajem naprave na pacientovih prsih. Poleg tega je ta naprava velika in kot taka neprimerna za delo na terenu. Med izvajanjem umetnega dihanja pa ta naprava tudi ne more stati sama na pacientovih prsih. Pri napravi, opisani v patentni prijavi EP 0 623 334 Al, je uporabljena podobna zasnova, kot je opisano zgoraj. Ravno tako ima sesalno črpalko, ki se pritrdi na pacientove prsi, in držalo. Njegovo držalo je oblikovano kot krožnik, ki ga reševalec prime na nasprotnih straneh. Reševalčeve dlani so obrnjene druga proti drugi, a sta zelo blizu, tako da reševalec še vedno tvori navidezen trikotnik s svojimi rokami in telesom. Na sredi krožnika po izumu je naprava za merjenje tlaka, ki pomaga pri omejevanju prekomerne sile, ki se izvaja na pacienta. Informacija o tlaku pa ima omejeno vrednost in ne dajeThe use of various resuscitation devices is known in the art. U.S. Pat. No. 5,295,481 describes a KPO help device consisting of a pillar, a pair of holders and a suction cup. The goal of this device is to facilitate chest compressions and to allow the chest to actively expand as the cup withdraws from the breast. This invention does not include a KPO quality detection system (depth, velocity and compression force), nor can such systems be added to it. It also does not include electrodes for continuous ECG recording. When using this device, the position of the ambulance arm is similar to that of cycling. This leads to faster fatigue and poor control over the position of the device on the patient's chest. In addition, this device is large and as such unsuitable for field work. However, while performing artificial respiration, this device also cannot stand alone on the patient's chest. The apparatus described in EP 0 623 334 Al uses a similar design as described above. It also has a suction pump that attaches to the patient's breast and a holder. Its holder is shaped like a plate, which the ambulance receives on opposite sides. The rescuer's hands are facing each other, but they are very close together so that the rescuer still forms a virtual triangle with his hands and body. In the middle of the plate of the invention is a pressure measuring device that helps limit the excessive force exerted on the patient. Pressure information, however, is of limited value and does not give

-4natančne informacije o globini in hitrosti kompresij. Poleg tega nima elektrod za beleženje EKG-ja. Nekatere druge KPO-naprave jih vključujejo, te so opisane v: U.S. pat. št. 5,634,886; U.S. pat. prijava št. 2009/0234255 Al; U.S. pat. št. 4,019,501; U.S. pat. št. 5,738,637 in U.S. pat. št. 4,664,098.-4 Precision depth and compression rate information. In addition, it does not have ECG recording electrodes. Some other KPO devices include these, which are described in: U.S. Pat. pat. no. 5,634,886; U.S. pat. application no. 2009/0234255 Al; U.S. pat. no. 4,019,501; U.S. pat. no. No. 5,738,637 and U.S. Pat. pat. no. No. 4,664,098.

Primarni tehnični problem, ki ga ta izum rešuje, je, kako izvajati visokokakovostno KPO med izvajanjem zunanjih kompresij prsnega koša s primerno površino za izvajanje sile na pacientovo prsnico, z uporabo naravnega in ergonomskega položaja rok, zaradi česar reševalec izvaja boljše KPO, hkrati pa se manj utrudi in čuti manj bolečin.The primary technical problem solved by the present invention is how to perform high-quality CPR while performing external chest compressions with a suitable surface to exert force on the patient's sternum, using a natural and ergonomic arm position, which makes the rescuer perform better CPR less tired and less pain.

Drugi tehnični problem, ki ga ta izum rešuje, je, kako zmanjšati tveganje poškodb pri pacientu, kot so zlom prsnice in reber ali pretrganje notranjih organov, med doseganjem višjih vaskularnih perfuzijskih tlakov v koronarnih arterijah pacientovega srca.Another technical problem solved by the present invention is how to reduce the risk of injury to a patient, such as a sternum fracture and ribs or tearing of the internal organs, while achieving higher vascular perfusion pressures in the coronary arteries of the patient's heart.

Tretji tehnični problem, ki ga ta izum rešuje, je, kako kontinuirano izvajati kompresije prsnega koša med polnjenjem defibrilatorja in dovajanjem šoka, ne da bi reševalec bil v nevarnosti elektrokucije, in kako kontinuirano izvajati kompresije prsnega koša med analizo srčnega ritma s kontinuiranim beleženjem EKG-ja brez artefaktov prsnih kompresij.A third technical problem solved by the present invention is how to continuously perform chest compressions while defibrillator filling and shock delivery without the rescuer being in danger of electrocution, and how to continuously perform chest compressions during heart rate analysis with continuous ECG recording. yes no chest compressions artifacts.

Četrti tehnični problem, ki ga ta izum rešuje, je, kako omogočiti preprostejšo, lažjo, varnejšo in boljšo uporabo razpoložljivih naprav za KPO, vključno naprav s pospeškometrom ali drugimi sistemi za sledenje gibanja, elektrokardiografi ali avtomatskimi zunanjimi defibrilatorji, ki jih je možno trajno ali začasno vgraditi v izum. S takimi napravami izum omogoča kontinuiran vpogled v natančnost zunanjih kompresij prsnega koša ob uporabi povratnih informacij glede globine in hitrosti kompresij in tudi odkrivanja nepopolnega sproščanja prsnega koša.A fourth technical problem solved by the present invention is how to make the KPO devices available, including devices with accelerometer or other motion tracking systems, electrocardiographs or automatic external defibrillators, permanently or easily accessible, easier or safer temporarily incorporated in the invention. With such devices, the invention provides continuous insight into the accuracy of external chest compressions using feedback on the depth and velocity of compression as well as the detection of incomplete chest release.

OPIS IZUMADESCRIPTION OF THE INVENTION

Glavni namen tega izuma je izboljšati reševalčevo izvajanje kardiopulmonalnega oživljanja (KPO). Ta izum primarno omogoča reševalcu, da se počasneje utrudi med izvajanjem kompresij prsnega koša, tako da drži svoje roke v naravnem položaju Reševalec prime napravo za držali 2, ki omogočata obračanje reševalčevih rok, tako da se lahko njegove dlani obrnejo proti njegovemu telesu, stran od njegovega telesa ali druga proti drugi (Slika 2). Med izvajanjem kompresij prsnega koša lahko reševalec spremeni položaj svojih rok, ne da bi pri tem moral prekiniti s kompresijami prsnega koša. Zaradi velikosti naprave in razdalje med dvema držaloma 2 reševalec tvori navidezen pravokotnik sThe main purpose of the present invention is to improve the rescuer cardiopulmonary resuscitation (KPO). This invention primarily enables the rescuer to become more tired while performing chest compressions by holding his or her hands in a natural position. The rescuer holds a device for holding 2 rescuers so that his / her hands can be turned against his / her body away from his / her body. his body or against each other (Figure 2). While performing chest compressions, the rescuer can change the position of his or her hands without having to interrupt the chest compressions. Due to the size of the device and the distance between the two holders 2, the solver forms a virtual rectangle s

-5svojimi rokami in telesom in ne navideznega trikotnika kot pri izvajanju kompresij prsnega koša z golimi rokami (Slika 1). Izvajanje visokokakovostnih kompresij prsnega koša na tak način terja manj energije, zato se reševalec počasneje utrudi. Ergonomska oblika držal 2 omogoča lažje izvajanje kompresij prsnega koša, saj zmanjšuje bolečino v prstih, dlaneh in zapestjih. Zaradi teh prednosti lahko reševalec izvaja visokokakovostne kompresije prsnega koša dlje časa, kar je izjemno pomembno, saj je včasih KPO uspešno šele po več kot 60 minutah.-5 with their own hands and body and not the virtual triangle as when performing chest compressions with their bare hands (Figure 1). Performing high-quality chest compressions in this way requires less energy, so the rescuer gets tired more slowly. The ergonomic shape of the retainers 2 makes it easier to perform chest compressions as it reduces pain in the fingers, palms and wrists. Because of these benefits, the rescuer can perform high-quality chest compressions for a long time, which is extremely important, as KPO is sometimes successful after just over 60 minutes.

Pri uporabi predstavljenega izuma reševalec ne pride v neposreden stik s prizadeto osebo, ampak pritiska njegovo prsnico z napravo, ki ne prevaja elektrike. Zaradi tega lahko reševalec nadaljuje s kompresijami prsnega koša med polnjenjem defibrilatorja in dovajanjem šoka, saj je zaščiten pred elektrokucijo. Spodnja ploskev 6 naprave, ki se namesti na pacientov prsni koš, je lahko izdelana v različnih oblikah in velikostih. V primeru, ko se naprava uporablja na odraslem, je površina spodnje ploskve 6 velika vsaj toliko kot povprečna človeška dlan, prednostno pa večja, da se zmanjša tveganje poškodbe pacienta in povečajo vaskularni tlaki v srcu.When using the present invention, the rescuer does not come in direct contact with the affected person, but presses his or her breast with a non-electrical device. Because of this, the rescuer can continue to compress the chest while filling the defibrillator and delivering shock, as it is protected against electrocution. The lower face 6 of the device, which is mounted on the patient's chest, can be made in various shapes and sizes. In the case of the device being used on an adult, the surface of the lower surface 6 is at least as large as the average human palm, and preferably larger, to reduce the risk of injury to the patient and increase vascular pressure in the heart.

Vgradnja elektrokardiografa in elektrod 7 EKG-ja v spodnjo ploskev 6 naprave omogoča kontinuirano beleženje električne aktivnosti pacientovega srca, ne da bi se beležili artefakti, ki jih proizvajajo kompresije prsnega koša. Reševalcu tako ni treba prekiniti kompresij prsnega koša, da bi analiziral srčni ritem pacienta in potrebo po defibrilaciji. Zaradi samega položaja in velikosti elektrod 7 kot tudi pravega načina izvajanja kompresij prsnega koša z napravo se lahko odpravi potreba po filtriranju zabeleženega EKG-ja, saj že kaže visokokakovostno beleženje pacientovega ritma srca. Naprava vključuje prikladen predal 8 za shranjevanje samolepljivih blazinic defibrilatorja, zaščitnih rokavic, obraznega ščita za umetno dihanje, obrazne maske za umetno dihanje in druge manjše opreme, ki se običajno uporablja med KPO-jem.The incorporation of an electrocardiograph and electrodes 7 of the ECG into the lower surface 6 of the device allows continuous recording of the electrical activity of the patient's heart without recording the artifacts produced by chest compressions. The rescuer does not need to interrupt chest compressions to analyze the patient's heart rhythm and the need for defibrillation. The very location and size of the electrodes 7, as well as the right way to perform chest compressions with the device, can eliminate the need to filter the recorded ECG, as it already shows high quality recording of the patient's heart rhythm. The apparatus includes a convenient compartment 8 for storing self-adhesive defibrillator pads, protective gloves, face shield for artificial respiration, face mask for artificial respiration, and other minor equipment commonly used during KPO.

Naprava po izumu omogoča začasno ali trajno namestitev drugih naprav vanjo. Zato se lahko uporablja kot nosilec za elektronske naprave, ki vključujejo pospeškometer, merilnik nagiba, laser, infrardeče senzorje, elektromagnetni oddajnik in sprejemnik ali drug sistem za sledenje gibanja med izvajanjem kompresij prsnega koša, umetnega dihanja ali spontanega dihanja pacienta. Elektronska naprava z vgrajenim pospeškometrom ali drugim zgoraj omenjenim sistemom za sledenje gibanja, kot so mobilni telefon, ura, daljinski upravljalnik ali samostoječa naprava za KPO lahko sledi gibanju med izvajanjem kompresij prsnega koša in omogoča povratno informacijo glede pravilnosti izvajane naloge. Z uporabo pospeškometra ali drugih sistemov lahko take naprave ugotovijo hitrost in globino kompresij. Z dodatkom naprave za merjenje tlaka se lahko meri tudi sila, ki se izvaja na pacientovThe device according to the invention allows temporary or permanent installation of other devices in it. Therefore, it can be used as a carrier for electronic devices that include an accelerometer, tilt meter, laser, infrared sensors, electromagnetic transmitter and receiver, or other motion tracking system while performing chest compressions, artificial respiration, or spontaneous patient breathing. An electronic device with an accelerometer or other aforementioned motion tracking system, such as a cellphone, clock, remote control or a standalone KPO device, can track movement while performing chest compressions and provide feedback on the correctness of the task performed. By using an accelerometer or other systems, such devices can determine the speed and depth of compression. With the addition of a pressure gauge, the force exerted on patients can also be measured

-6prsni koš, s čimer se dobi povratna informacija o popolnosti sproščanja prsnega koša med dvema zaporednima kompresijama. Vse informacije, ki jih zbirajo KPO-naprave, so lahko kontinuirane in se posredujejo reševalcu v dejanskem času z vidno, slišno in tipno povratno informacijo. Ekran elektronskih naprav lahko kaže vizualne informacije o reševalčevih dejanjih pa tudi referenčne vrednosti. Slišne informacije in zvočni ukazi se lahko uporabljajo za dajanje nadaljnjih navodil in alarmov reševalcu. Taka povratna informacija omogoča reševalcu, da prilagodi svoja dejanja v skladu z mednarodnimi smernicami za KPO, katerim je zelo pomembno slediti, saj temeljijo na najnovejših znanstvenih dognanjih, ki zagotavljajo najboljše preživetje in dobre možnosti okrevanja. Dodatna prednost uporabe takih naprav v kombinaciji s predstavljenim izumom je zmanjšano tveganje poškodb pri pacientu. Pri izvajanju kompresij prsnega koša brez povratne informacije o KPO reševalci včasih radi preveč pritiskajo na prsni koš, kar pogosto vodi k poškodbi na pacientu, vključno k zlomu prsnice in rebra ali pretrganju notranjih organov. Uporaba predstavljenega izuma že sama po sebi zmanjšuje tako tveganje, ker se sila, ki se izvaja na prsni koš, porazdeli na veliko večjo površino naprave. Spodnja ploskev 6 naprave je zasnovana brez ostrih robov in je lahko dodatno prekrita s slojem mehkega materiala, ki lahko prilagodi svojo obliko prsnemu košu posameznega pacienta. Če v izum dodamo še KPO-napravo za povratne informacije, se še dodatno zmanjša tveganje pred izvajanjem prekomerne sile in s tem poškodovanja pacienta.-6 chest, giving feedback on the completeness of chest release between two consecutive compressions. All information collected by KPO devices can be continuous and forwarded to the solver in real time with visible, audible and type feedback. The screen of electronic devices can show visual information about the rescuer's actions as well as reference values. Audible information and audio commands can be used to give further instructions and alarms to the rescuer. Such feedback enables the rescuer to tailor their actions in accordance with the international CPD guidelines, which is very important to follow as they are based on the latest scientific knowledge that provides the best survival and good recovery options. An additional advantage of using such devices in combination with the present invention is the reduced risk of injury to the patient. When performing chest compressions without feedback on KPO, rescuers sometimes like to put too much pressure on the chest, often leading to injury to the patient, including fracture of the sternum and ribs or rupture of the internal organs. The use of the present invention in itself reduces such a risk because the force exerted on the chest is distributed over a much larger surface area of the device. The lower face 6 of the device is designed without sharp edges and can be further covered with a layer of soft material that can adjust its shape to the individual patient's chest. Adding a KPO feedback device to the invention further reduces the risk of exerting excessive force and thus damaging the patient.

Kot nosilec za druge elektronske naprave prinaša predstavljeni izum številne prednosti za njihovo uporabo. V primeru sodobnega pametnega telefona, ki ima vgrajen sistem za sledenje gibanja, predstavljeni izum omogoča njegovo preprostejšo in lažjo uporabo. Pri uporabi izuma reševalcu ni treba držati pametnega telefona v svojih rokah in dodatno izvajati naloge izvajanja kompresije prsnega koša bolj oteženo in utrujajoče. Ker je pametni telefon nameščen znotraj izuma, reševalec jasno vidi njegov ekran in sliši zvoke, ki jih oddaja, glasneje, saj izum ojača njegovo glasnost z uporabo posebno zasnovanih utorov 4, ki usmerjajo zvok proti reševalčevim ušesom. Predstavljeni izum omogoča tudi boljšo zaščito naprav, ki so v njem nameščene, pred udarci, telesnimi tekočinami in drugimi silami ali elementi, tako da so čvrsto pritrjeni znotraj trdega ohišja po izumu.As a carrier for other electronic devices, the present invention has many advantages for their use. In the case of a modern smartphone that has a built-in motion tracking system, the present invention makes it simpler and easier to use. When using the invention, the rescuer does not have to hold the smartphone in his hands and perform the task of performing chest compressions more difficult and fatiguing. As the smartphone is housed within the invention, the ambulance can clearly see its screen and hear the sounds it emits, louder as the invention amplifies its volume by using specially designed slots 4 that direct the sound towards the ambulance's ears. The present invention also provides better protection of the devices housed therein from impacts, body fluids and other forces or elements by being firmly attached within the rigid housing of the invention.

Izum bo nadalje opisan s pomočjo izvedbenih primerov iz slik:The invention will be further described by way of example examples from the figures:

Slika 1: Prikaz uporabe prednostne naprave za kardiopulmonalno oživljanje.Figure 1: Demonstration of the use of a preferred cardiopulmonary resuscitation device.

Slika 2: Prikaz možnih drugačnih položajev reševalčevih rok med uporabo prednostne naprave za kardiopulmonalno oživljanje.Figure 2: Demonstration of possible different positions of the rescuer's hands while using a preferred cardiopulmonary resuscitation device.

-7Slika 3: Perspektivni pogled na prednostno napravo za kardiopulmonalno oživljanje od zgoraj.-7Figure 3: Perspective view of the preferred cardiopulmonary resuscitation device from above.

Slika 4: Perspektivni pogled na prednostno napravo za kardiopulmonalno oživljanje od spodaj.Figure 4: Perspective view of the preferred cardiopulmonary resuscitation device from below.

Izvedbeni primer 1Example 1

Slika 3 prikazuje KPO-napravo v perspektivnem pogledu od zgoraj, prikazani so njen zgornji del in stranske ploskve. Ohišje 1 naprave je jasno vidno, ravno tako držali, ki ju reševalec med izvajanjem kompresij prsnega koša prime z rokami. Ergonomsko oblikovani držali 2 omogočata izvajanje kompresij prsnega koša tako, da so manj fizično zahtevne za reševalca. Držali 2 se proti prednji strani zožita z rahlo konveksno zgornjo ploskvijo, konkavno spodnjo ploskvijo in zaobljenimi robovi, kar jima omogoča, da ju reševalec prime z rokami na naraven in udoben način. Dve držali 2 sta nameščeni od 10 do 20 centimetrov narazen, s čimer se reševalčeva ramena in roke poravnajo, kar še dodatno zmanjša njegovo utrujenost med izvajanjem kompresij prsnega koša. K ergonomski obliki držal 2 na koncu prispeva še zunanji sloj mehkega in penastega materiala, ki zmanjšuje napor in bolečino v reševalčevih rokah zaradi pritiskov med KPO-jem.Figure 3 shows the KPO device in perspective view from above, showing its upper part and side faces. The case 1 of the device is clearly visible, as are the grips that the rescuer holds with his hands while performing chest compressions. Ergonomically shaped grips 2 allow chest compressions to be made less physically demanding for the rescuer. The grips 2 taper towards the front with a slightly convex upper surface, a concave lower surface and rounded edges, allowing them to be gripped by the lifesaver in a natural and comfortable way. Two grips 2 are positioned 10 to 20 inches apart, allowing the rescuer's shoulders and arms to align, further reducing his fatigue while performing chest compressions. The ergonomic shape of the grips 2 is further enhanced by the outer layer of soft and foamy material, which reduces the effort and pain in the rescue hands due to the pressure during the KPO.

Slika 1 prikazuje uporabo naprave, pri kateri reševalka kleči poleg prizadete osebe. Reševalka, ki drži napravo, tvori navidezen pravokotnik s svojimi rokami in telesom. Njene roke so v celoti iztegnjene in njena ramena so poravnana z njenimi rokami, medtem ko izvaja silo prek svojih dlani.Figure 1 shows the use of a device in which an ambulance kneels beside the affected person. The ambulance holding the device forms a virtual rectangle with its arms and body. Her arms are fully extended and her shoulders are aligned with her arms while she exerts force through her palms.

Slika 2 prikazuje različne načine, na katere lahko reševalec prime držali 2 naprave, da bi izvajal silo na prsni koš prizadete osebe. Držali 2 omogočata obračanje reševalčevih rok, tako da se lahko njegove dlani obrnejo proti njegovemu telesu ali druga proti drugi, medtem ko lahko prsti primejo držali 2 ali so prosto iztegnjeni med izvajanjem kompresij prsnega koša. Reševalec lahko izmenjuje različne položaje svojih rok med izvajanjem kompresij prsnega koša, ne da bi moral izvajanje prekiniti.Figure 2 shows the different ways in which an ambulance can hold 2 devices to exert a force on the chest of an affected person. The grips 2 allow the lifesaver to rotate so that his or her palms can face his or her body or each other, while the fingers can hold the grips 2 or are freely extended while performing chest compressions. The rescuer can alternate different positions of his or her hands while performing chest compressions without having to interrupt.

Predstavljena KPO-naprava je zasnovana tako, da vključuje zibko 3 za začasno ali trajno vgradnjo elektronskih naprav, ki obsegajo pospeškometer ali drug sistem za sledenje gibanja, elektrokardiograf ali defibrilator. Vgrajene elektronske naprave so pričvrščene in zaščitene znotraj zibke 3, ki ima lahko tudi dodaten pokrov, ki daje dodatno zaščito pred silami, udarci, tekočinami in elementi. Predstavljena KPO-naprava je lahko zasnovana tudi tako, da vključuje zamenljive adapterje za različne elektronske naprave, vključno pametne telefone. Zibka 3 je opremljena s posebno oblikovanimi utori 4, ki imajo dvojno vlogo, namreč usmerjajo zvočne signale iz elektronske napraveThe presented KPO device is designed to include a cradle 3 for the temporary or permanent installation of electronic devices comprising an accelerometer or other motion tracking system, electrocardiograph or defibrillator. Built-in electronic devices are attached and secured inside cradle 3, which may also have an additional cover that provides additional protection against forces, shocks, fluids and elements. The introduced KPO device can also be designed to include interchangeable adapters for various electronic devices, including smartphones. Cradle 3 is provided with specially designed grooves 4, which play a dual role, namely directing audio signals from an electronic device

-8proti reševalcu in omogočajo preprostejše odstranjevanje začasno vgrajene elektronske naprave, kot je na primer pametni telefon, iz zibke 3. Zaradi oblike utorov 4 je glasnost glasovnih KPO-informacij in usmerjevalnih signalov iz zvočnikov elektronske naprave večja. Ti zvočni signali usmerjajo reševalca, da popravi svoja dejanja, na primer da pritiska hitreje, počasneje, globlje ali plitveje. Zvočni signali vključujejo tudi metronom, ki igra pri hitrosti od ΙΟΟ-krat do 120-krat na minuto in daje reševalcu pravilen ritem za izvajanje kompresij prsnega koša.-8 Against an ambulance and make it easier to remove a temporarily built-in electronic device, such as a smartphone, from the cradle 3. Due to the shape of the slots 4, the volume of voice KPO information and routing signals from the speakers of the electronic device is increased. These beeps direct the rescuer to correct their actions, such as pushing faster, slower, deeper or shallower. The audio signals also include a metronome that plays at a speed of ΙΟΟ times up to 120 times per minute and gives the rescuer the correct rhythm to perform chest compressions.

Slika 4 kaže KPO-napravo v perspektivnem pogledu od spodaj s kompresijsko škatlo 5 in njegovo spodnjo ploskvijo 6, ki je nameščena na pacientovih prsih med izvajanjem kompresij prsnega koša. Velikost spodnje ploskve 6 je nekoliko večja od povprečne človeške roke in temelji na povprečni velikosti prsnice ženskega telesa. Robovi kompresijske škatle 5 so zaobljeni, da preprečujejo morebitno poškodbo pacienta. Celoten zunanji sloj kompresijske škatle 5 je lahko dodatno ojačan, da je še manj travmatičen za pacienta, kar se doseže z ergonomsko obliko in uporabo na pritisk občutljivih materialov, ki se lahko hitro prilagodijo obliki telesa, na katerega pritiskajo.Figure 4 shows the KPO device in perspective perspective from below with a compression box 5 and its lower surface 6, which is mounted on the patient's chest while performing chest compressions. The size of the lower face 6 is slightly larger than the average human arm and is based on the average breast size of the female body. The edges of the compression box 5 are rounded to prevent possible injury to the patient. The entire outer layer of the compression box 5 can be further reinforced to make it even less traumatic for the patient, which is achieved by an ergonomic design and the use of pressure sensitive materials that can quickly adapt to the shape of the body being pressed.

Anatomija prsnega koša se med posameznimi pacienti močno spreminja, vse od dvignjenih do ugreznjenih prsnic. Prilagoditev zunanjega sloja kompresijske škatle 5 vsakemu posameznemu pacientu bi izboljšala kakovost kompresij prsnega koša pa tudi zmanjšala tveganje poškodb. Velikost in oblika spodnje ploskve 6 je lahko v različnih izvedbenih primerih različna glede na različne velikosti pacientov (odrasli in otroci) pa tudi glede bodočih znanstvenih dognanj glede najboljše prakse pri izvajanju kompresij prsnega koša. Po enem od izvedbenih primerov so elektrode 7 EKG vgrajene v spodnjo ploskev, da omogočajo kontinuirano beleženje pacientovega EKG-ja. S tem se lahko kontinuirano izvajajo kompresije prsnega koša brez potrebe po prekinitvi zaradi analize ritma.The anatomy of the chest varies greatly between patients, from raised to recessed breasts. Adjusting the outer layer of compression box 5 to each individual patient would improve the quality of chest compressions and also reduce the risk of injury. The size and shape of the lower surface 6 may be different in different embodiments depending on the different patient sizes (adults and children) as well as future scientific findings regarding best practice in performing chest compressions. According to one embodiment, the ECG electrodes 7 are embedded in the lower surface to allow continuous recording of the patient's ECG. This allows chest compressions to be continuously performed without the need for interruption due to rhythm analysis.

V nadaljnjem izvedbenem primeru kompresijska škatla 5 vključuje poseben predal 8 za shranjevanje samolepljivih blazinic defibrilatorja, zaščitnih rokavic, obraznega ščita za umetno dihanje, obrazne maske za umetno dihanje in druge manjše opreme, ki se uporablja med KPO-jem.In a further embodiment, the compression box 5 includes a special compartment 8 for storing self-adhesive defibrillator pads, protective gloves, face shield for artificial respiration, face mask for artificial respiration, and other minor equipment used during the KPO.

Zgoraj omenjeni izvedbeni primeri se lahko kombinirajo v kakršnikoli kombinaciji glede na želeno stopnjo kompleksnosti naprave in se med seboj ne izključujejo.The abovementioned embodiments may be combined in any combination according to the desired degree of complexity of the device and are not mutually exclusive.

Naprava je izdelana iz materialov, ki so lahki, a hkrati elastični in dovolj trdni, da vzdržijo sile, ki se razvijajo med izvajanjem kompresij prsnega koša (5-50 kilogramov). Poleg tega mora biti naprava lahka za čiščenje in odporna na udarce, telesne tekočine in naravne elemente.The device is made of materials that are lightweight yet resilient and strong enough to withstand the forces that develop while performing chest compressions (5-50 pounds). In addition, the device must be easy to clean and resistant to shock, body fluids and natural elements.

Claims (10)

ZAHTEVKIREQUIREMENTS 1. Naprava za kardiopulmonalno oživljanje, ki obsega:1. Cardiopulmonary resuscitation device, comprising: - ohišje (1), ki vključuje dve držali (2) in po izbiri zibko (3) za elektronske naprave;- a housing (1) comprising two grips (2) and optionally a cradle (3) for electronic devices; - kompresijsko škatlo (5).- compression box (5). 2. Naprava za kardiopulmonalno oživljanje po zahtevku 1, označena s tem, da sta ohišje (1) in kompresijska škatla (5) med seboj povezana, tako da se sila navzdol, ki jo izvaja reševalec na držali (2), prenaša preko spodnje ploskve (6) naprave na pacientov prsni koš.Cardiopulmonary resuscitation device according to claim 1, characterized in that the housing (1) and the compression box (5) are interconnected so that the downward force exerted by the rescuer on the holder (2) is transmitted through the lower surface (6) devices on the patient's chest. 3. Naprava za kardiopulmonalno oživljanje po zahtevku 1 in 2, označena s tem, da sta držali (2) razmaknjeni za vsaj 10 cm, da omogočata, da so reševalčeva ramena in roke v isti ravnini in držali (2) lahko reševalec z rokami prime na naraven in udoben način, prednostno zato, ker se proti prednjemu delu zožita, z rahlo konveksno zgornjo ploskvijo, konkavno spodnjo ploskvijo in zaobljenimi robovi.Cardiopulmonary resuscitation device according to Claims 1 and 2, characterized in that the grips (2) are at least 10 cm apart to allow the rescuer's shoulders and arms to be in the same plane and grips (2) that the ambulance can handle in a natural and comfortable way, preferably because they narrow towards the front, with a slightly convex upper surface, a concave lower surface and rounded edges. 4. Naprava za kardiopulmonalno oživljanje po zahtevku 1 in 2, označena s tem, da lahko zibka (3) za elektronske naprave vsebuje izmenljivo ali hkrati eno ali več naprav, ki imajo pospeškometer, merilnik nagiba, laser, infrardeče senzorje, elektromagnetni oddajnik in sprejemnik ali drug sistem za sledenje gibanja med izvajanjem kompresij prsnega koša, umetnega dihanja ali spontanega dihanja pacienta in so začasno ali trajno vgrajene v napravi.Cardiopulmonary resuscitation device according to claims 1 and 2, characterized in that the cradle (3) for electronic devices can comprise interchangeably or simultaneously one or more devices having an accelerometer, tilt meter, laser, infrared sensors, electromagnetic transmitter and receiver or other motion tracking system while performing chest compressions, artificial respiration or spontaneous breathing of the patient and are temporarily or permanently installed in the device. 5. Naprava za kardiopulmonalno oživljanje po zahtevkih 1-4, označena s tem, da lahko zibka (3) za elektronske naprave vsebuje naprave, ki dovajajo električni šok v pacientovo srce in so začasno ali trajno vgrajene v napravi.Cardiopulmonary resuscitation device according to claims 1-4, characterized in that the cradle (3) for electronic devices can comprise devices that deliver an electrical shock to the patient's heart and are temporarily or permanently installed in the device. 6. Naprava za kardiopulmonalno oživljanje po zahtevkih 1-4, označena s tem, da lahko zibka (3) za elektronske naprave vsebuje mobilni telefon z zaslonom, ki je v celoti viden, ko je vstavljen v napravo in dva utora (4) za usmerjanje zvoka proti reševalčevim ušesom in za lažjo odstranitev mobilnega telefona po uporabi.Cardiopulmonary resuscitation device according to claims 1-4, characterized in that the cradle (3) for electronic devices may comprise a mobile phone with a screen fully visible when inserted into the device and two grooves (4) for routing sound against the ambulance ears and to facilitate removal of the mobile phone after use. -107. Naprava za kardiopulmonalno oživljanje po zahtevkih 1-4, označena s tem, da so lahko v zibki (3) za elektronske naprave shranjene naprave, ki merijo sile, ki se izvajajo preko kompresijske škatle (5) in njene spodnje ploskve (6) na pacientov prsni koš med izvajanjem kompresij prsnega koša.-107. Cardiopulmonary resuscitation device according to claims 1-4, characterized in that in the cradle (3) electronic devices can be stored measuring the forces exerted through the compression box (5) and its lower surface (6) on the patient the chest while performing chest compressions. 8. Naprava za kardiopulmonalno oživljanje po zahtevkih 1 in 2, označena s tem, da ima kompresijska škatla (5) obliko pravokotne škatle z zaobljenimi robovi in je narejena iz materiala, ki prilagaja obliko svoje spodnje ploskve (6) velikosti prsnice povprečnega ženskega telesa v skladu z anatomijo pacientovega prsnega koša.Cardiopulmonary resuscitation device according to claims 1 and 2, characterized in that the compression box (5) has the shape of a rectangular box with rounded edges and is made of a material that adjusts the shape of its lower surface (6) to the size of the breast of the average female body in consistent with the anatomy of the patient’s chest. 9. Naprava za kardiopulmonalno oživljanje po zahtevkih 1 in 2, označena s tem, da je kompresijska škatla (5) visoka vsaj 3 centimetre, zaradi česar reševalec ne pride v neposreden stik s pacientom, medtem ko izvaja silo navzdol na držali (2).Cardiopulmonary resuscitation device according to claims 1 and 2, characterized in that the compression box (5) is at least 3 centimeters high, so that the ambulance does not come into direct contact with the patient while exerting downward force on the retainers (2). 10. Naprava za kardiopulmonalno oživljanje po predhodnih zahtevkih, označena s tem, da ima kompresijska škatla (5) v svoji spodnji ploskvi (6) vgrajene EKG-elektrode (7), ki pridejo v stik s pacientovo kožo med izvajanjem kompresij prsnega koša.Cardiopulmonary resuscitation device according to the preceding claims, characterized in that the compression box (5) has ECG electrodes (7) in its lower surface (6) which come into contact with the patient's skin while performing chest compressions. 11. Naprava za kardiopulmonalno oživljanje po predhodnih zahtevkih, označena s tem, da kompresijska škatla (5) vključuje predal (8) za shranjevanje samolepljivih blazinic defibrilatorja, zaščitnih rokavic, obraznega ščita za umetno dihanje, obrazne maske za umetno dihanje in druge manjše opreme, ki se uporablja med KPO-jem.Cardiopulmonary resuscitation device according to the preceding claims, characterized in that the compression box (5) includes a drawer (8) for storing self-adhesive defibrillator pads, protective gloves, face shield for artificial respiration, face mask for artificial respiration and other small equipment, used during KPO.
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