Active compression decompression and upper body elevation system
An elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation includes a base and an upper support operably coupled to the base. The upper support is configured to elevate an individual's upper back, shoulders and head. The elevation device also includes a chest compression device coupled with the base. The chest compression device is configured to compress the chest and to actively decompress the chest.
1. An elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation, comprising:
a rigid base configured to sit upon a support surface and to support an individual's lower body, including an abdomen of the individual;
an upper support operably coupled to the base, wherein the upper support comprises a predefined head-receiving region and a predefined thorax-receiving region, the upper support being configured to support and elevate the individual's upper back, shoulders and head such that a central portion of the brain is positioned above the heart and shoulders relative to a horizontal plane at all angular positions of the upper support including both an elevated and a lowered position of the upper support when the individual's head is supported by the predefined head-receiving region and the individual's chest is supported by the predefined thorax-receiving region;
a support mechanism that is configured to maintain the upper support at a desired elevated position that is elevated relative to the lowered position, wherein at the desired position the upper support elevates a center of the heart to a first height of between about 3 cm and 8 cm above the support surface and elevates the center of the brain to a second height of between about 10 cm and 40 cm relative to the support surface;
a chest compression device mount positioned proximate the predefined thorax-receiving region; and
a chest compression device operably coupled with the base using the chest compression device mount, the chest compression device being configured to compress the chest and to actively decompress the chest.
2. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 1 , wherein:
the chest compression device is spring biased in a decompression direction to actively decompress the chest following a chest compression.
3. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 2 , further comprising:
an arm configured to be coupled with the chest compression device, wherein the chest compression device being configured to compress the chest and to actively decompress the chest.
4. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 2 , wherein:
the chest compression device comprises a spring to bias the chest compression device away from the base.
5. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 2 , further comprising:
an arm configured to be coupled with the chest compression device, wherein the chest compression device is spring biased by a spring extending between the arm and the chest compression device.
6. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 2 , wherein:
the chest compression device comprises a manually operated active chest compression decompression device having a coupling mechanism configured to be removably attached to the patient's anterior chest, thereby enabling the chest compression device to actively compress the chest and decompress the chest.
7. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 1 , further comprising:
an impedance threshold device configured to interface with the individual's airway during CPR.
8. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 1 , wherein:
the base defines a first plane and the upper support defines a second plane that is at an angle relative to the first plane; and
an angle of the second plane changes relative to the first plane as the upper support is elevated.
9. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 8 , wherein:
the upper support further defines a third plane that is at an angle relative to the first plane and the second plane; and
an angle of the third plane changes relative to one or both of the first plane and the second plane as the upper support is elevated.
10. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 8 , wherein:
the upper support comprises an upper thoracic support;
the upper thoracic support defines a third plane that is at an angle relative to the first plane and the second plane; and
an angle of the third plane changes relative to one or both of the first plane and the second plane as the upper support is elevated.
11. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 1 , wherein:
at least a portion of the upper support has a curved profile such that a medial section of the portion of the upper support is lower relative to end sections of the portion of the upper support.
12. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 1 , wherein:
the chest compression device is positioned such that a portion of the chest compression device is between the individual's sides and the individual's arms.
13. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 1 , further comprising:
a defibrillator that is coupled with the base.
14. An elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation, comprising:
a rigid base configured to sit upon a support surface and to support an individual's lower body;
an upper support operably coupled to the base, wherein the upper support comprises a predefined head-receiving region and a predefined thorax-receiving region, the upper support being configured to elevate the individual's upper back, shoulders and head such that a central portion of the brain is positioned above the heart and shoulders relative to a horizontal plane at all angular positions of the upper support when the individual's head is supported by the predefined head-receiving region and the individual's chest is supported by the predefined thorax-receiving region;
a support mechanism that is configured to maintain the upper support at a desired elevated position that is elevated relative to the lowered position, wherein at the desired position the upper support elevates a center of the heart to a first height of between about 3 cm and 8 cm above the support surface and elevates the center of the brain to a second height of between about 10 cm and 40 cm relative to the support surface;
a chest compression device mount positioned proximate the predefined thorax-receiving region; and
a chest compression device that is coupleable with one or both of the base or the upper support via the chest compression device mount, the chest compression device being configured to compress the chest.
15. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 14 , further comprising:
an impedance threshold device configured to interface with the individual's airway during CPR.
16. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 14 , wherein:
the chest compression device is removably coupled with one or both of the base or the upper support.
17. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 14 , wherein:
the base defines a first plane and the upper support defines a second plane that is at an angle relative to the first plane; and
an angle of the second plane changes relative to the first plane as the upper support is elevated.
18. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 17 , wherein:
the upper support comprises a thoracic plate;
the thoracic plate defines a third plane that is at an angle relative to the first plane and the second plane; and
an angle of the third plane changes relative to one or both of the first plane and the second plane as the upper support is elevated.
19. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 14 , wherein:
at least a portion of the upper support has a curved profile such that a medial section of the portion of the upper support is lower relative to end sections of the portion of the upper support.
20. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 14 , wherein:
the chest compression device is positioned such that a portion of the chest compression device is between the individual's sides and the individual's arms.
21. An elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation, comprising:
a first support surface that is generally aligned with a first plane, the first support surface being rigid and configured to support an individual's upper chest and heart, the first support surface comprising a predefined thorax-receiving region and at least one mounting site for a chest compression device; and
a second support surface that is generally aligned with a second plane and comprising a predefined head-receiving region, the second support surface being pivotally coupled with the first support surface, the second support surface being configured to support the individual's shoulders and head such that a central portion of the brain is positioned above the heart and shoulders relative to a horizontal plane at all angular positions of the second support surface when the individual's head is supported by the predefined head-receiving region and the individual's chest is supported by the predefined thorax-receiving region; and
a support mechanism that is configured to maintain the second support surface at a desired elevated position that is elevated relative to the lowered position, wherein at the desired position the second support surface elevates a center of the heart to a first height of between about 3 cm and 8 cm above the first support surface and elevates the center of the brain to a second height of between about 10 cm and 40 cm relative to the first support surface.
22. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 21 , further comprising:
a support post configured to maintain the second support surface at an elevated position relative to the first support surface.
23. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 21 , wherein:
the mounting site is positioned such that the chest compression device is mounted just below the individual's armpits.
24. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 21 , wherein:
at least a portion of the second support has a curved profile such that a medial section of the portion of the second support is lower relative to end sections of the portion of the second support.
25. The elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation of claim 21 , wherein:
the chest compression device is positioned such that a portion of the chest compression device is between the individual's sides and the individual's arms.
26. A method of elevating an individual during the performance of cardiopulmonary resuscitation (CPR), comprising:
positioning an individual on an elevation device such that:
the individual's upper chest and heart are supported by a first support surface that is generally aligned with a first plane; and
the individual's shoulders and head are supported by a second support surface that is generally aligned with a second plane such that a central portion of the brain is positioned above the heart and shoulders at all angular positions of the upper support, the second support surface being pivotally coupled with the first support surface;
coupling a chest compression device with at least one mounting site on the first support surface such that that the chest compression device is mounted just below the individual's armpits;
pivoting the second support surface relative to the first support surface, thereby raising the individual's shoulders and head relative to the heart; and
performing chest compressions using the chest compression device while the individual's shoulders and head are raised relative to the heart.
27. The method of elevating an individual during the performance of cardiopulmonary resuscitation (CPR) of claim 26 , wherein:
performing chest compressions comprises actively performing chest compressions and decompressions using the chest compression device while the individual's shoulders and head are raised relative to the heart.
28. The method of elevating an individual during the performance of cardiopulmonary resuscitation (CPR) of claim 26 , wherein:
pivoting the second support surface relative to the first support surface comprises a user grasping the second support surface and pulling upward to raise the second support surface relative to the first support surface.
29. A method of elevating an individual during the performance of cardiopulmonary resuscitation (CPR), comprising:
positioning an individual on an elevation device such that:
the individual's lower body is supported by a first support surface that is generally aligned with a first plane; and
the individual's upper chest, shoulders, and head are supported by a second support surface that is generally aligned with a second plane such that a central portion of the brain is positioned above the heart and shoulders at all angular positions of the second support surface, the second support surface being pivotally coupled with the first support surface;
coupling a chest compression device with at least one mounting site on the elevation device such that that the chest compression device is mounted just below the individual's armpits;
pivoting the second support surface relative to the first support surface, thereby raising the individual's upper chest, shoulders, and head relative to the heart; and
performing chest compressions using the chest compression device while the individual's upper chest, shoulders, and head are raised relative to the heart.