18G
Paramedic
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Most recent data on the LUCAS is that it's as good but no better than perfect-quality manual compressions.
It is well recognized that chest compressions performed by all levels of health care providers has been lacking. In a field environment where patient's are taken down three flights of stairs or carried a long distance out of the woods or just in a single story home, it is near impossible to maintain quality compressions without interruptions.
If we could guarantee perfect manual chest compressions that would be one thing but we can't. This is why automatic compressions devices are great.