Abstract: The system and method provide for electrocardiogram analysis and optimization of patient-customized cardiopulmonary resuscitation and therapy delivery. An external medical device includes a housing and a processor within the housing. The processor can be configured to receive an input signal for a patient receiving chest compressions and to select at least one filter mechanism and to apply the filter mechanism to the signal to at least substantially remove chest compression artifacts from the signal. A real time dynamic analysis of a cardiac rhythm is applied to adjust and integrate CPR prompting of a medical device. Real-time cardiac rhythm quality is facilitated using a rhythm assessment meter.

Abstract: Systems, devices, and methods for determining a condition of a subject during cardiopulmonary resuscitation (CPR) are described herein. In an example method, a measurement of a physiological parameter of an individual is filtered and/or gated based on identifying a treatment administered to the individual. A condition of the subject is identified based on filtering and/or gating the physiological parameter. The example method can be implemented into a mechanical chest compression device or another portable medical device. Together, the methods can improve the monitoring and treatment of subjects receiving CPR.

Abstract: Implementations for detecting blood flow through one or more blood vessels of a patient may include a flow monitor suited to detect blood flow to the brain during emergency situations. The flow monitor may be disposed on the skin of a patient and may emit an incident beam (e.g., ultrasound and/or infrared light) at an angle that is non-parallel to the blood vessel(s). The flow monitor may determine the velocity of blood flowing through the blood vessel(s) by detecting a Doppler shift in a reflection of the incident beam from the blood.

Abstract: An example method includes detecting blood flow in an artery of a subject and detecting blood flow in a vein of the subject. The example method further includes determining whether blood is spontaneously flowing through the body of the subject by comparing the blood flow through the artery and the blood flow through the vein.

Abstract: An example method is performed by a medical device and includes detecting, during a time interval, a sound indicative of cardiac activity of a subject; generating audio indicative of a pulse of the subject by analyzing the sound; and simultaneously outputting: the audio indicative of the pulse of the subject; and a visual signal indicating an additional physiological parameter of the subject detected during the time interval.

Abstract: Ultrasound transducers optimized to detect blood flow are described. An example transducer includes a non-cubic piezoelectric crystal. An emitting side of the crystal is configured to emit ultrasound toward a blood vessel. A receiver is configured to detect a reflection of the ultrasound from blood in a blood vessel.

Abstract: The system and method provide for electrocardiogram analysis and optimization of patient-customized cardiopulmonary resuscitation and therapy delivery. An external medical device includes a housing and a processor within the housing. The processor can be configured to receive an input signal for a patient receiving chest compressions and to select at least one filter mechanism and to apply the filter mechanism to the signal to at least substantially remove chest compression artifacts from the signal. A real time dynamic analysis of a cardiac rhythm is applied to adjust and integrate CPR prompting of a medical device. Real-time cardiac rhythm quality is facilitated using a rhythm assessment meter.

Abstract: Technologies and implementations for a defibrillator electrode having communicative capabilities are generally disclosed.

Abstract: An electrode assembly that is adjustable in size, as well as systems, and methods of use thereof are described. The electrode assembly includes multiple electrode portions including at least a first electrode portion and a second electrode portion, the second electrode portion disposed on the first electrode portion at an edge of the first electrode portion, wherein the second electrode portion has a cutout, and wherein the first electrode portion spans the cutout. The electrode assembly is configured to be used with a medical device, such as an external defibrillator. A process of automatically selecting a usage mode of a medical device based on detecting which electrode portion(s) has been removed from an electrode storage tray is also described.

Abstract: An example system for monitoring and delivering therapy to a patient includes a monitor module with patient monitoring capability, and a manifold that is operable to provide an electrical connection between the monitor module and cables connecting to sensors for collecting physiologic monitoring data of a patient, and to provide a gas connection between the monitor module and tubing for delivering treatment to or collecting additional physiologic monitoring data from the patient. The manifold includes a connector for mechanically connecting the manifold to the monitor module, and the connector also for mechanically disconnecting the manifold from the monitor module while maintaining the cables and the tubing coupled to the patient. In some examples, the system can also include a cot including a second set of monitoring electronics with patient monitoring capability, the cot including a port for coupling with the connector of the manifold.

Abstract: An example system for monitoring and delivering therapy to a patient includes a monitor module with patient monitoring capability, and a manifold that is operable to provide an electrical connection between the monitor module and cables connecting to sensors for collecting physiologic monitoring data of a patient, and to provide a gas connection between the monitor module and tubing for delivering treatment to or collecting additional physiologic monitoring data from the patient. The manifold includes a connector for mechanically connecting the manifold to the monitor module, and the connector also for mechanically disconnecting the manifold from the monitor module while maintaining the cables and the tubing coupled to the patient. In some examples, the system can also include a cot including a second set of monitoring electronics with patient monitoring capability, the cot including a port for coupling with the connector of the manifold.

Abstract: The present disclosure encompasses an “artifact score” derived from the signal characteristics of an acquired 12-lead ECG, (2) a “patient context score” derived from key elements of the patient's history, presentation, and pre-hospital emergency care, and (3) techniques for integrating these scores into an emergency medical care system.

Abstract: Techniques are described for pacing assistance and automation. For example, a pacing device, such as an external defibrillator, provides electrical stimulations to an external surface of a patient based on a determination as to whether capture has been achieved. The pacing device determines whether capture has been achieved using multiple types of sensor data and/or historical sensor data. These techniques effect a particular treatment (e.g., pacing using an external pacing system) for a medical condition (e.g., bradycardia). In some examples, the pacing device provides notifications to assist with pacing to a healthcare provider that is administering pacing to a patient. Notifications may include an indication that multiple representations corresponding to different biological parameters of a patient may assist with pacing, that the patient has an internal pacemaker, and so forth.

Abstract: Defibrillators providing enhanced recommendations of whether to administer a defibrillation shock to patients are described. An example defibrillator determines an analysis factor, such as whether a patient has previously exhibited high-amplitude or “coarse” ventricular fibrillation (VF) during a particular time period. The defibrillator generates a shock index based on an electrocardiogram (ECG) of the patient and determines whether the patient is exhibiting a shockable rhythm by comparing the shock index to a threshold. The defibrillator generates the shock index and/or the threshold based on the analysis factor. The defibrillator outputs a recommendation based on the determination of whether the patient is exhibiting the shockable rhythm.

Abstract: Defibrillators with enhanced functionality during cardiopulmonary resuscitation (CPR) periods are described. The enhancements include predicting a length of a charging period of a capacitor of the medical device so that capacitor is shock charged at the end of the CPR period. The enhancements also include re-assessing an electrocardiogram (ECG) signal for continued presence of a shockable rhythm during the CPR period and before administration of a defibrillation shock. Together the enhancements can improve the timing and recommended administration of defibrillation therapy.

Abstract: Systems, devices, and methods for detecting and addressing irregular motion to improve defibrillation shock recommendations are described. In an example method performed by a medical device, an electrocardiogram (ECG) of an individual receiving chest compressions is detected. In addition, irregular motion of the individual is detected. If a magnitude of the irregular motion is greater than or equal to a threshold, a remedial action is performed. In some examples, the medical device refrains from generating a recommendation indicating whether the ECG includes a shockable rhythm and/or whether a defibrillation shock is recommended. In some instances, the medical device outputs the recommendation with a certainty of the recommendation. In some cases, the medical device outputs a warning and generates the recommendation in response to receiving an input signal indicating a manual override.

Abstract: Systems, devices, and methods provide up-to-date defibrillation shock recommendations. In an example method, multiple segments of an electrocardiogram (ECG) of an individual are detected from an individual receiving chest compressions. The multiple segments are evaluated to determine whether the individual is exhibiting a shockable heart rhythm. A medical device outputs a recommendation indicating whether a defibrillation shock is advised based on the most recent determination of the individual's heart rhythm. For example, the medical device outputs an up-to-date recommendation on-demand in response to an input signal from a user. In some examples, the medical device updates the recommendation based on ongoing analysis of the ECG.

Abstract: The present disclosure encompasses an “artifact score” derived from the signal characteristics of an acquired 12-lead ECG, (2) a “patient context score” derived from key elements of the patient's history, presentation, and pre-hospital emergency care, and (3) techniques for integrating these scores into an emergency medical care system.

Abstract: Technologies and implementations for a defibrillator electrode having communicative capabilities are generally disclosed.

Abstract: An example system for monitoring and delivering therapy to a patient includes a monitor module with patient monitoring capability, and a manifold that is operable to provide an electrical connection between the monitor module and cables connecting to sensors for collecting physiologic monitoring data of a patient, and to provide a gas connection between the monitor module and tubing for delivering treatment to or collecting additional physiologic monitoring data from the patient. The manifold includes a connector for mechanically connecting the manifold to the monitor module, and the connector also for mechanically disconnecting the manifold from the monitor module while maintaining the cables and the tubing coupled to the patient. In some examples, the system can also include a cot including a second set of monitoring electronics with patient monitoring capability, the cot including a port for coupling with the connector of the manifold.