Efficient cardiopulmonary resuscitation (CPR) contributes to improved outcome after cardiac arrest. New mechanical devices improve cardiac output. We present a case-report with a male patient who was admitted after 55 minutes of out-of-hospital CPR which was followed by 45 minutes of in-hospital CPR with a mechanical device (LUCAS). Cardiac arrest was due to severe electrolyte disorders with plasma potassium: 2.0 mmol/L and ionized calcium: 0.87 mmol/L. There were no signs of coronary artery disease. The patient was later discharged without neurological deficits. Adequate mechanical massage during CPR may improve survival. However, randomised clinical trials are warranted.
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