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AUTOMATED-CPR MACHINE

GUIDED BY, PRESENTED BY,

MR. AJEESH FREDERICK SAM


ASST. PROFFESOR S7 ME 2
MBCET ROLL NO:20

1
AIM:

To design and fabricate an automated CPR machine

OBJECTIVE:

Minimize cost
Convenient to use

2
Action plan
Sl.no Activity Target Date
1 Selection of topic June 2016
2 Literature Survey July 2016
3 Feasibility study September 2016
4 Identification of Ongoing
material
5 Finalisation of design Ongoing

6 Collection of materials November 2016

7 Assembling and December 2016


fabrication of
materials
8 Testing of product January 2017
9 Presentation of Project January 2017
Shock outcome prediction before and after
CPR: A
comparative study of manual and automated
active
compressiondecompression CPR
By:-
M.S. Box , J.N. Watson , P.S. Addison ,
G.R. Clegg , C.E. Robertson
Department of Accident and Emergency Medicine, The Royal Infirmary of
Edinburgh, Scotland, UK
Received 18 September 2007; received in revised form 2 March 2008; accepted
14 March 2008
Introduction
Clinical studies which indicate that pre-shock CPR can improve the rates of return of
spontaneous circulation and survival to hospital discharge.
It is known that manual chest compressions do not always achieve the recommended
performance levels in terms of rate, depth and hands off time.
All devices provide active compression of the chest at a set rate and compression
depth. The LUCAS device is used in this study.
A shock outcome prediction metric-COP is computed from the ECG immediately before
and just after episodes of CPR compressions.
The COP marker pairs (pre- and post-CPR) are computed both for manual and
automated CPR and the results then compared.
The COP marker
The CPR study is done using four segments of ECG signals.
The shock outcome prediction measures are derived from ECG
signals.
The COP marker is based on wavelet transform signal processing
technology.
wavelet transform analysis is particularly valuable for analysing
problematic signals across a wide variety of areas in science,
engineering and medicine.
Result of COP marker

Outcomes that corresponding to return of spontaneous


circulation(ROSC) & the non-ROSC are that the result of the marker
is obtained in two properties, they are :-sensitivity and specificity.
Sensitivity-proportion of patients successfully defibrillated
specificity-proportion of patients that do not respond to defibrillation
A ROC curve can be plotted for
specificity values against their
associated sensitivities .
The area under the ROC curve
summarizes diagnostic performance.
But this ROC curve has only too few
ROSC outcomes to understand its
statistical significance
CPR STUDY
Pre- or post-CPR traces is analyzed with patients of different
heart conditions.
Out of the total 212 traces,114 corresponds to manual CPR and

98 to automated CPR.
The ECG shown in the upper plot shows VF waveform for CPR

between 276 to 303 s.


The lower plot shows the associated chest compression for the

same time period.


The effectiveness of the two types of CPR, then were quantified

using the COP marker.


Results of the CPR analysis
The initial distribution of COP scores, for the two CPR types are
similar in median and mean values.
In both forms of CPR, a significant reduction in COP values is

obtained corresponding to different patients.


In all cases, the post-CPR COP median value is greater than

the pre-CPR value.


The significant difference in the two CPR COP values decrease

for longer CPR periods.


Fewer data points available per group makes it difficult to

understand the change when a comparison is done


A log transformation data showing the majority of points near the

diagonal line for both groups indicates that a similar changes from

pre- to post CPR happens regardless whether it is manual or

automated.

A noticeable difference between manual and automated CPR when the

pre-CPR COP value is less than around 2 10^6 value corresponding

to post-CPR values which are much higher in the manual group.

When performance of the two groups were compared in the pre-CPR

by adjusting the log scale data,they were found different.

But the manual and automated CPR does not differ in post-CPR value.
- Manual CPR

- Automated CPR
Conclusions
COP measure

COP shock outcome prediction measurement


showed changes in ECG on CPR.
The result of the marker were obtained in two

properties sensitivity and specificity


A graph was plotted to show the diagnostic test

performance.
CPR analysis
Mean COP values for both CPR types showed that CPR increases the chances

of successful defibrillation.
The original COP distributions for both sets were similar and the resulting levels
of significance obtained for the change in distributions showed that effect of
CPR was high .
This increase is more for Automated CPR.
An increase in COP value for both CPRs were noted and these were found
varying between CPR types and for longer periods a decrease in COP was
observed.
References
THANK YOU