Philips, long a leader in advancing the technology supporting saving more lives of sudden cardiac arrest patients, remains a driver of meaningful innovation in resuscitation solutions. For resuscitation emergencies, Philips offers a complete care cycle solution that combines advanced monitoring, superb diagnostics and rapid delivery of proven, evidence-based solutions. With our open data management approach, Philips also enables timely information exchange to and through the hospital in support of the resuscitation emergency to help give SCA patients the best chance of surviving and returning to active living.
Integrated monitoring, diagnosis and therapy
The HeartStart MRx Monitor/Defibrillator with Next-Generation Q-CPR Measurement and Feedback, seamlessly provides Philips advanced monitoring capabilities, superb diagnostic measurements and proven, evidence-based, life-saving therapies without wasting critical time.
Philips SMART Biphasic therapy
Philips pioneered the movement to external biphasic defibrillation, and today biphasic is the industry’s gold standard. While all manufacturers have followed our lead, each employs a distinctive approach. Philips SMART Biphasic therapy has been rigorously studied and is supported by substantial peer-reviewed, published data. It has been clinically proven to deliver high first shock efficacy for long downtime sudden cardiac arrest patients, as well as to effectively defibrillate across the full spectrum of patients, even those considered “difficult-to-treat.”1-5
Next-Generation Q-CPR Measurement and Feedback tool
Should CPR be required, Q-CPR is supported by more published data than any other CPR quality improvement tool. It has been demonstrated to improve CPR and patient outcomes.6 The Next-Generation Q-CPR Measurement and Feedback tool includes the innovative Q-CPR meter, which enables the caregiver to rapidly adjust performance by displaying dynamic, real-time feedback for each compression directly where the caregiver is focused – on the patient’s chest - and configurable voice prompts according to user preference.
Quick Shock for fast time-to-shock
The Philips Quick Shock feature delivers therapy in just 8 seconds (typical) after chest compressions. Delivering a shock quickly after chest compressions is critical as the benefits of quality CPR to deliver blood vital organs dissipate in seconds.7,8
Resuscitation data captured for review
HeartStart Event Review Pro captures and stores the entire code for post-event review to help a team reach its full potential for saving more lives. This breakthrough application provides a robust, insightful view of a resuscitation event, along with built-in, easy-to-use navigation to pinpoint areas in a specific patient's code event for learning and improvement.
Therapeutic hypothermia and continuous temperature monitoring for post-resuscitation care
When your patients arrive at the emergency department and through to the cath lab and/or ICU, Philips InnerCool endovascular and surface cooling products are there. Therapeutic Hypothermia has been shown to improve outcomes when delivered early after an ischemic event and the use of the post-resuscitation hypothermia for victims of out-of-hospital cardiac arrest is gaining broader acceptance.9-11 As such, the need to continuously monitor temperature is becoming more critical to support pre-hospital cooling protocols. The HeartStart MRx offers this important feature to support post-resuscitation hypothermia.
Integration into the Philips IntelliVue Clinical Network for added safety
While patients receive hypothermia therapy or other post-resuscitation interventions in the hospital, they can continue to be monitored with the HeartStart MRx, which has both wired and wireless networking capability to the Philips IntelliVue Clinical Network. As the first advanced networked monitor/defibrillator, the HeartStart MRx streams waveforms, vitals and alarms from in real-time to the IntelliVue Information Center and can be reviewed using a range of Clinical Review Applications. Not only for intra-hospital transport, patients monitored by the MRx in a chest pain room, in the emergency department, or at the Cath Lab for example, have the added safety of surveillance at the central station.
References
1. Schneider T, Martens PR, Paschen H, et al. Multicenter, randomized, controlled trial of 150-J biphasic shocks compared with 200- to 360-J monophasic shocks in the resuscitation of out-of-hospital cardiac arrest victims. Circulation. 2000;102:1780-1787.
2. Page RL, Joglar JA, Kowal RC, et al Use of automated external defibrillators by a U.S. airline. New England Journal of Medicine. 2000;343:1210-1216.
3. White RD, Blackwell TH, Russell JK, Jorgenson DB. Body weight does not affect defibrillation, resuscitation or survival in patients with out-of-hospital biphasic waveform defibrillator. Critical Care Medicine. 2004; 32() Supplement: S387-S32.
4. White RD, Blackwell TH, Russell JK, Snyder DE, Jorgenson DB. Transthoracic impedance does not affect defibrillation, resuscitation or survival in patients with out-of-hospital cardiac arrest treated with a non-escalating biphasic waveform defibrillator. Resuscitation. 2005 Jan; 64(1):63-6.
5. Hess EP, Russell JK, Liu PY, et al. A high peak current 150-J fixed-energy defibrillation protocol treats recurrent ventricular fibrillation (VF) as effectively as initial VF. Resuscitation. 2008 Oct;7(1):28- 33.
6. Edelson DP, Litzinger B, Arora V, et al. Improving in-hospital cardiac arrest process and outcomes with performance debriefing. Archives of Internal Medicine. 2008;168(10):1063-106.
7. Yu T, Weil MH, Tang W, et al. Adverse outcomes of interrupted precordial compression during automated defibrillation. Circulation. 2002; 106:368-372.
8. Eftestol T, Sunde K, Steen PA. Effects of interrupting precordial compressions on the calculated probability of defibrillation success during out-of-hospital cardiac arrest. Circulation. 2002;105:2270-2273.
9. Abella, B et al. "Intra-Arrest Cooling Improves Outcomes in a Murine Cardiac Arrest Model", Circulation. June 8, 2004. pg 270.
10. Nozari, A. et al "Critical time window for intra-arrest cooling with cold saline flush in a dog model of cardiopulmonary resuscitation" Circulation. 2006 Jun 13; 113(23):260-6.
11. Tanimoto, H et al "Rapidly Induced Hypothermia with extracorporeal lung and heart assist improves the neurological outcome after prolonged cardiac arrest in dogs" Resuscitation. 2006 Nov . PMID: 170774.
Q-CPR is trademark of Laerdal Medical