A 79-year-old male patient collapsed outside. A paramedic ambulance was first on scene, and manual CPR was commenced and continued for 11 minutes. After the arrival of the fire service, the LUCAS 2® and Oxylator® HD were attached.\nIn Figure 3 , the ventilator curve demonstrates ventilation with a frequency of 100 breaths per minute, which is identical to the compression rate. The periodic decrease in respiratory rate was mostly due to an airway leak. Oxygen saturation was recorded intermittently, however remained between 83% and 95%. The etCO2 was between 22–42 mmHg, which is consistent with good CPR. The increase at the end of the recording could be an early indicator of an ROSC. The patient was intubated by the physician and required defibrillation and intravenous epinephrine. After 40 minutes the patient had ROSC and was transported to a nearby hospital.
A 45-year-old unconscious male patient with cardiac arrest. The initial response and resuscitation was conducted by the ambulance service. The fire service arrived and attached an MCCD and resuscitator to the inserted laryngeal mask.\nFigure 5 illustrates the period of continuous resuscitation between 18 and 25 minutes. The ventilation frequency was constant at 100 breaths per minute. Between 18 and 23 minutes, etCO2 was 21–30 mmHg, indicating good-quality CPR. After 23 minutes etCO2 increased to 43 mmHg, which might be an early indicator of ROSC. Pulse oximetry was not performed or was unable to adequately measure saturation. Initial rhythm strip analysis demonstrated ventricular fibrillation. The patient was defibrillated eight times and received multiple doses of intravenous epinephrine. After 25 minutes, the patient had ROSC and was transported to a nearby hospital.