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World J Cardiol. Feb 26, 2023; 15(2): 45-55
Published online Feb 26, 2023. doi: 10.4330/wjc.v15.i2.45
Cardiac arrest and cardiopulmonary resuscitation in “hostile” environments: Using automated compression devices to minimize the rescuers’ danger
George Latsios, Marianna Leopoulou, Andreas Synetos, Antonios Karanasos, Angelos Papanikolaou, Pavlos Bounas, Evangelia Stamatopoulou, Konstantinos Toutouzas, Kostas Tsioufis
George Latsios, Antonios Karanasos, 1st University Department of Cardiology, "Hippokration" University Hospital, Athens Medical School, Athens 11527, Greece
Marianna Leopoulou, 1st Cardiology Clinic, 'Hippokration' University Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens 11527, Greece
Marianna Leopoulou, Department of Cardiology, "Elpis" Athens General Hospital, Athens 11522, Greece
Andreas Synetos, 1st Department of Cardiology, Athens Medical School, University Athens, Hippokrat Hospital, Athens 11527, Greece
Angelos Papanikolaou, 1st Cardiology Department Athens Medical School, Hippokration General Hospital, Athens 11527, Greece
Pavlos Bounas, Department of Cardiology, “Thriasio” General Hospital, Thriasio General Hospital, Elefsina 19600, Greece
Evangelia Stamatopoulou, CathLab, 2nd Department of Cardiology, Medical School, National and Kapodistrian University of Athens, “Attikon” University Hospital, Attikon University Hospital, Athens 12462, Greece
Konstantinos Toutouzas, The First Department of Cardiology, Athens Medical School, Athens 11527, Greece
Kostas Tsioufis, 1st Department of Cardiology, Medical School, National and Kapodistrian University of Athens, “Hippokration” General Hospital, "Hippokration" University Hospital, Athens 11527, Greece
Author contributions: Latsios G and Leopoulou M contributed equally to this work; Latsios G, Leopoulou M, Synetos A, Karanasos A, designed the research study; Latsios G, Leopoulou M, Synetos A, Karanasos A Papanikolaou A, Βounas P, Stamatopoulou E contributed with bibliographic research; Latsios G, Leopoulou M, Synetos A, Karanasos A Papanikolaou A, Βounas P, Stamatopoulou E, Tsioufis K Toutouzas K analyzed the data wrote / proofread the manuscript; All authors have read and approve the final manuscript.
Conflict-of-interest statement: all authors declare no relevant conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: George Latsios, MD, PhD, Academic Fellow, Attending Doctor, Lecturer, President, 1st University Department of Cardiology, "Hippokration" University Hospital, Athens Medical School, Working Group of Cardiopulmonary Resuscitation and Acute Cardiac Care, Hellenic Cardiological Society, Athens 11527, Greece. glatsios@gmail.com
Received: December 3, 2022
Peer-review started: December 3, 2022
First decision: January 20, 2023
Revised: January 25, 2023
Accepted: February 15, 2023
Article in press: February 15, 2023
Published online: February 26, 2023
Processing time: 79 Days and 20.7 Hours
Core Tip

Core Tip: The use of automated compression devices in ‘hostile’ environments, both in in- and out-of- hospital cases of cardiac arrest, seems to be beneficial both regarding compressions’ quality but especially the rescuers’ safety. So far, while experimental data is extensive, real-life studies examining their use in non-friendly situations are still limited. Since high-quality cardiopulmonary resuscitation remains the key to a successful resuscitation, their use such difficult and “hostile” situations should be seriously taken into consideration. Noteworthy, such a use is indeed implied by guidelines.