Exoskeletons as potential devices to support and enhance rescuers’ chest compression performance during out-of-hospital cardiac arrest
Exoskeletons are wearable structures that support and assist movement, or augment the capabilities of the human body. These functionalities could theoretically assist bystanders or rescuers performing manual chest compressions during out-of-hospital cardiac arrest, as this emergency procedure is pro...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-03-01
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| Series: | Resuscitation Plus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520425000086 |
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| author | Seamus Thierry Cyran Le Guennec Alexandre Le Falher Lola Lauby Laure Boyer Lucia Vicente Martinez Alexis Paillet Willy Allegre |
| author_facet | Seamus Thierry Cyran Le Guennec Alexandre Le Falher Lola Lauby Laure Boyer Lucia Vicente Martinez Alexis Paillet Willy Allegre |
| author_sort | Seamus Thierry |
| collection | DOAJ |
| description | Exoskeletons are wearable structures that support and assist movement, or augment the capabilities of the human body. These functionalities could theoretically assist bystanders or rescuers performing manual chest compressions during out-of-hospital cardiac arrest, as this emergency procedure is prone to physical exhaustion. Compressions are an intense muscular effort involving a dynamic muscular pattern with conflicting postural constraints. Rescuer fatigue sets in rapidly, leading to postural instability and a lack of mechanical power delivered by the arms to the patient’s torso, which affects hemodynamic efficiency.Physical augmentation and postural stabilization are two functions that could be provided by an exoskeleton during cardiopulmonary resuscitation. This device would combine the advantages of manual and mechanical chest compressions, bypassing anthropometric parameters such as the rescuer’s aerobic capacity and muscle mass to maintain efficient chest compressions, and avoiding the negative issues associated with over-assistance through a servomotor function. This concept paper examines the specifications of an ideal theoretical device in this context, noting the potential technical difficulties and barriers to implementation. |
| format | Article |
| id | doaj-art-eb6dec5903804748bf6e3cd87e15d889 |
| institution | Kabale University |
| issn | 2666-5204 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj-art-eb6dec5903804748bf6e3cd87e15d8892025-01-23T05:27:48ZengElsevierResuscitation Plus2666-52042025-03-0122100871Exoskeletons as potential devices to support and enhance rescuers’ chest compression performance during out-of-hospital cardiac arrestSeamus Thierry0Cyran Le Guennec1Alexandre Le Falher2Lola Lauby3Laure Boyer4Lucia Vicente Martinez5Alexis Paillet6Willy Allegre7Anesthesiology Department, Groupe Hospitalier de Bretagne Sud 56100 Lorient, France; Space Medicine Group, European Society of Aerospace Medicine, Germany; Corresponding author at: Anesthesiology Department, Groupe Hospitalier de Bretagne Sud, 56100 Lorient, France.Université de Bretagne Sud, UMR CNRS 6027, IRDL F-56321 Lorient, FranceKerpape Rehabilitation Center 56270 Ploemeur, France; CoWork’HIT Innovation Center 56270 Ploemeur, FranceKerpape Rehabilitation Center 56270 Ploemeur, France; CoWork’HIT Innovation Center 56270 Ploemeur, FranceInstitut de Médecine et Physiologie Spatiale (MEDES) – Spaceship FR, BP 74404, 31405, Toulouse CEDEX 4, FranceInstitut de Médecine et Physiologie Spatiale (MEDES) – Spaceship FR, BP 74404, 31405, Toulouse CEDEX 4, FranceCentre National d’Études Spatiales (CNES) – Spaceship FR, 18 Avenue Edouard Belin 31400 Toulouse, FranceKerpape Rehabilitation Center 56270 Ploemeur, France; CoWork’HIT Innovation Center 56270 Ploemeur, France; Université de Bretagne-Sud, Lab-STICC, UMR CNRS 6285 56100 Lorient, FranceExoskeletons are wearable structures that support and assist movement, or augment the capabilities of the human body. These functionalities could theoretically assist bystanders or rescuers performing manual chest compressions during out-of-hospital cardiac arrest, as this emergency procedure is prone to physical exhaustion. Compressions are an intense muscular effort involving a dynamic muscular pattern with conflicting postural constraints. Rescuer fatigue sets in rapidly, leading to postural instability and a lack of mechanical power delivered by the arms to the patient’s torso, which affects hemodynamic efficiency.Physical augmentation and postural stabilization are two functions that could be provided by an exoskeleton during cardiopulmonary resuscitation. This device would combine the advantages of manual and mechanical chest compressions, bypassing anthropometric parameters such as the rescuer’s aerobic capacity and muscle mass to maintain efficient chest compressions, and avoiding the negative issues associated with over-assistance through a servomotor function. This concept paper examines the specifications of an ideal theoretical device in this context, noting the potential technical difficulties and barriers to implementation.http://www.sciencedirect.com/science/article/pii/S2666520425000086Chest compressionsActive exoskeletonsOut-of-hospital cardiac arrestPhysical augmentationPerformance |
| spellingShingle | Seamus Thierry Cyran Le Guennec Alexandre Le Falher Lola Lauby Laure Boyer Lucia Vicente Martinez Alexis Paillet Willy Allegre Exoskeletons as potential devices to support and enhance rescuers’ chest compression performance during out-of-hospital cardiac arrest Resuscitation Plus Chest compressions Active exoskeletons Out-of-hospital cardiac arrest Physical augmentation Performance |
| title | Exoskeletons as potential devices to support and enhance rescuers’ chest compression performance during out-of-hospital cardiac arrest |
| title_full | Exoskeletons as potential devices to support and enhance rescuers’ chest compression performance during out-of-hospital cardiac arrest |
| title_fullStr | Exoskeletons as potential devices to support and enhance rescuers’ chest compression performance during out-of-hospital cardiac arrest |
| title_full_unstemmed | Exoskeletons as potential devices to support and enhance rescuers’ chest compression performance during out-of-hospital cardiac arrest |
| title_short | Exoskeletons as potential devices to support and enhance rescuers’ chest compression performance during out-of-hospital cardiac arrest |
| title_sort | exoskeletons as potential devices to support and enhance rescuers chest compression performance during out of hospital cardiac arrest |
| topic | Chest compressions Active exoskeletons Out-of-hospital cardiac arrest Physical augmentation Performance |
| url | http://www.sciencedirect.com/science/article/pii/S2666520425000086 |
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