New ITD Benefits Breathing Patients by ProQuest


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									              New ITD Benefits Breathing Patients
                 Medics with Ohio’s Lucas County EMS have used the ResQPOD impedance threshold
             device (ITD) since 2005, and have been pretty happy about it. Between the ITD and recent
             refinements in CPR, the service’s ROSC rate more than tripled.
                 So when the makers of the ResQPOD came out with the ResQGARD—an ITD designed for
             spontaneously breathing patients—and asked them to trial it, department leaders leaped
             at the chance.
                 “We’ve seen a significant benefit from the ResQPOD,” says Brent Parquette, the service’s
             training and quality assurance manager. “So when they came out with another ITD, we
             jumped right in, knowing what kind of results that kind of device can have.”
                 Both devices are manufactured by Advanced Circulatory Systems and distributed
             exclusively by Bound Tree Medical. But while the ResQPOD is intended for apneic patients
             and works during the chest wall recoil phase of CPR, the ResQGARD works during inspiration, partially impeding gases from entering
             the lungs until a threshold of -7 cm H2O is reached.
                 “It essentially allows the patient to suck their own blood pressure back up,” says Parquette. “By placing impedance on the
             inspiratory side, it creates more of a vacuum in the chest, and improves forward blood flow.”
                 Lucas County initially got 50 to trial. In roughly a year, they’ve amassed data on 23 cases. Early results were presented at the
             NAEMSP conference in January. In those cases, there was a rise in systolic blood pressure of roughly 30% when the ResQGARD was
             used, even in patients not getting other therapies.
             “It’s easy to understand and quick to apply,” Parquette says, “and if medics think about it soon enough, it can augment blood
             pressure very quickly, even prior to getting an IV established. That was one of the things we wanted to see, and it seems like it’s
             working very well.”
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