Abstract: An apparatus includes a medical device that includes a cardiopulmonary resuscitation (CPR) treatment feedback device, a memory, and at least one processor and a plurality of electrodes configured to provide at least an electrical impedance signal to the processor. The electrical impedance signal correspond to an electrical impedance measured at a chest of a patient. The processor is configured to receive the electrical impedance signal, process the electrical impedance signal to determine information representative of chest compressions performed by a rescuer on the patient during the CPR treatment of the patient, based on the processing, determine corrective action for the CPR treatment, and provide CPR treatment feedback comprising the corrective action at the CPR treatment feedback device.

Abstract: A removeable and easily attachable/detachable rail system for use with chest compression devices and portable patient carrier boards. The rail system can include an elongated grooved structure providing multiple points of attachment for a chest compression device. The elongated grooved structure is removably affixed to the carrier board using one or more clamp mechanisms adapted to engage a side panel or hand hole of the board. The rail system allows first responders the ability to quickly and efficiently provide cardiopulmonary resuscitation assistance to a patient, while allowing for faster patient transport.

Abstract: An adjustable chest compression device that can adjust to accommodate a variety of patient sizes. The chest compression device can include adjustable support legs structured to support the chest compression mechanism at a distance from the base member and adjust to accommodate a patient size. Another adjustable chest compression device can include adjustable legs that can adjust to accommodate different patient sizes, as well as perform the chest compressions using the adjustable legs. An extension, such as a back plate and/or leg extension can be added to a chest compression device to make the chest compression device taller and/or wider to accommodate larger patients.

Abstract: A CPR chest compression device with a cooling exhaust flow path configured to direct cooling air flow through the device. A CPR chest compression device with a battery retainer interoperable with the control system to provide for controlled shut-down when an operator attempts to remove the battery during operation.

Abstract: The disclosed CPR devices, systems, and methods adjust a compression depth of a compression mechanism to account for chest collapse of the patient receiving CPR. Compression depth can be adjusted up to a maximum depth in some examples. The compression depth can also be adjusted linearly or non-linearly as the zero point or starting position of the patient's chest changes due to chest collapse. Other factors can also be used to adjust the compression depth such as patient parameters that can be observed by a rescuer or sensed by sensors wirelessly connected to or integrated into the system. CPR devices that include active decompression can also use the disclosed techniques for adjusting the chest compression depth as the patient's chest collapses.

Abstract: An external defibrillator system for assisting manual delivery of chest compressions and ventilations to a patient by a rescuer as cardiopulmonary resuscitation (CPR) includes a speaker, and a processor, memory, and associated circuitry coupled to the speaker. The processor is configured to initiate prompting for the chest compressions and the ventilations manually delivered to the patient by the rescuer as CPR, control the speaker to generate first auditory cues for the chest compressions, and control the speaker to generate second auditory cues for the ventilations with a different sound than the first auditory cues for the chest compressions. The first auditory cues and the second auditory cues assist the rescuer in timing the delivery of the chest compressions and the ventilations.

Abstract: The disclosed systems and methods provide a mobile defibrillator system that can include a mobile defibrillator (AED) unit configured to operatively connect to a device capable of running an application. The mobile AED unit can include circuitry for administering an electric shock to a subject; and one or more pads. Each pad can include one or more needles electrically connected to the circuitry and can be configured to pierce skin of the subject; reside within the subject; and deliver current from the electrical shock to the subject.

Abstract: An information processing apparatus including a controller that controls, based on a detected state of the apparatus, outputting of sound that is performed by the apparatus, wherein the controller sequentially changes, according to an amount of change in the state, a mode of outputting a synthetic sound that can be output by the apparatus in a normal state is provided. Furthermore, an information processing method including, by a processor, based on a detected state of an apparatus, controlling outputting of sound that is performed by the apparatus, wherein the controlling includes, according to an amount of change in the state, sequentially changing a mode of outputting a synthetic sound that can be output by the apparatus in a normal state is provided.

Abstract: A feedback device for an acute care provider includes: at least one motion sensor; a haptic output component for providing feedback having a varying haptic pattern to the acute care provider regarding performance of a resuscitation activity; and a controller. The controller can be configured to receive and process a signal representative of performance of the resuscitation activity from the at least one motion sensor, compare the acute care provider's performance of the resuscitation activity to a target performance of the resuscitation activity, and cause the haptic output component to provide haptic feedback to the acute care provider by changing the haptic pattern based, at least in part, on the signal from the at least one motion sensor and the comparison of the acute care provider's performance to the target performance of the resuscitation activity. The device can be adapted to be wrist-worn by the acute care provider.

Abstract: A system for assisting a rescuer in performing cardio-pulmonary resuscitation (CPR) on a patient includes: a proximity sensor configured to be positioned at a location corresponding to a location of a rescuer's hand when delivering compressions to a patient's chest, the proximity sensor configured to produce a signal indicative of the rescuer's hands being released from the patient's chest; a medical device operatively coupled with the proximity sensor and configured to provide resuscitative treatment to the patient; and a controller communicatively coupled with the medical device and the proximity sensor. The controller is configured to: determine, based upon the signal from the proximity sensor, if the rescuer's hands have been released from the patient's chest, and trigger an action by the medical device in response to a determination that the rescuer's hands have been released from the patient's chest.

Abstract: An example of a system for providing emergency care to a patient includes an automated chest compression device configured to engage the patient at the patient's sternum to provide multiple chest compression cycles to the patient's sternum, an automated mechanical ventilation device to induce negative pressure ventilation, and a controller operably coupled to the automated chest compression device and the automated mechanical ventilation device and including one or more processors configured to control the automated chest compression device to cyclically perform chest compressions, and control the automated mechanical ventilation device to cyclically induce the negative pressure ventilation out-of-phase with the chest compressions such that the automated mechanical ventilation device cyclically induces the negative pressure ventilation prior to each compression of the patient's sternum.

Abstract: Methods and devices are described, such as for chest compression depth measurement for CPR performed on infants and for allowing active decompression of a patient's chest during a release phase of a chest compression cycle. An anterior segment of a resilient wrap-around structure may be positioned on the patient's sternum, including a first motion sensor. A posterior segment of the resilient wrap-around structure may be positioned on the patient's back, including a second motion sensor. Chest compressions may be provided such that the first motion sensor moves in fixed relation with the patient's sternum and the second sensor moves in fixed relation with the patient's back. Active decompression may be allowed for, including the resilient wrap-around structure exerting an expansive force on the patient's chest wall during a release phase of a chest compression cycle and hastening expansion of the patient's chest during the release phase.

Abstract: A system for assisting with a cardiopulmonary resuscitation (CPR) treatment being administered to a patient. In one aspect, the system includes electrodes to provide an ECG signal of the patient, one or more sensors configured to measure an intrinsic myocardial wall movement of the patient, and one or more processors. The one or more processors are configured to perform operations including: during the CPR treatment being administered to the patient, receiving an input from the sensor(s), processing the input from the sensor(s) and the ECG signal, determining, based on processing, whether the intrinsic myocardial wall movement is indicative of a perfusion movement of the patient's heart, and providing an indication to a user of the system based on the determination.

Abstract: Systems and methods are provided for ultrasound imaging with real-time feedback for cardiopulmonary resuscitation (CPR) compressions. Ultrasound images generated based on received echo ultrasound signals during cardiopulmonary resuscitation (CPR) of a patient may be processed, and based on the processing of the ultrasound images, real-time information relating to the cardiopulmonary resuscitation (CPR) may be determined. Feedback for assisting in conducting the cardiopulmonary resuscitation (CPR) may be generated based on the information. The feedback may include information and/or indications relating to compressions applied during the cardiopulmonary resuscitation (CPR). The feedback may be configured for outputting during displaying of the generated ultrasound images.

Abstract: In embodiments, a CPR chest compression system includes a retention structure that can retain the patient's body, and a compression mechanism that can perform automatically CPR compressions and releases to the patient's chest. The compression mechanism can pause the performing of the CPR compressions for a short time, so that an attendant can check the patient. The CPR system can include a user interface that can output a human-perceptible check patient prompt, to alert an attendant to check the patient during the pause. The compression mechanism can during a CPR session retreat a distance away from the patient's chest whereby the patient's chest can expand without active decompression of the patient's chest beyond the chest's natural resting position.

Abstract: A system including a simulated respiratory sub-system and a simulated airway subsystem. The simulated respiratory sub-system comprises simulated lung(s) and, optionally, a lung compliance assembly and a compliance motor. The lung compliance assembly has a backing plate and a pressure plate between which the simulated lungs are positioned. The compliance motor is configured to adjust a clamping force exerted by the pressure plate on the simulated lungs to simulate clinical presentation of lung compliance. The simulated airway subsystem comprises an airway unit and, optionally, a trachea tube and a trachea tubing depth sensor. The airway unit has a mouth cavity and an internal airway via which the mouth cavity communicates with the simulated lung(s). The trachea tube is in communication with the internal airway and operably coupled to the airway unit. The trachea tubing depth sensor ensures proper execution of an intratracheal training procedure.

Abstract: A medical device uses UWB units to infer a position of an adjunct positioned in proximity to an exterior portion of a patient's body. The position information can be used to provide CPR feedback to a rescuer. In other applications, the position information can be used to provide prompts to a user to change the position of the adjunct.

Abstract: A pressure control system for providing an interventional pressure to be applied to a defined area of a patient during a pre-interventional imaging process with an imaging system is provided. Therein, the interventional pressure corresponds to an interventional pressure applied to the defined area of the patient during an intervention via a medical technology device. The pressure control system includes a pressure plate, a force module, and a positioning apparatus. Therein, the force module is configured to apply a force on the pressure plate. Therein, the force on the pressure plate generates the interventional pressure. Therein, the positioning apparatus is configured to position the pressure plate and the force module relative to the patient.

Abstract: A medical apparatus provides resuscitative therapy to a patient. The apparatus includes an electrocardiogram (ECG) input, a defibrillation output configured to provide an electrical defibrillation shock treatment, and an applicator body configured to provide active compression decompression therapy to the patient's chest. The applicator body includes a rescuer end configured for hands of the rescuer to press and pull on the applicator body, a coupling surface configured to adhere to the patient's chest to provide active compression decompression therapy, a capacitor, and processor(s) configured to receive and analyze the ECG signal of the patient, determine whether the patient is in need of defibrillation, and administer the defibrillation shock treatment to the patient.

Abstract: An elevation device used in the performance of cardiopulmonary resuscitation (CPR) includes a base and an upper support pivotably coupled to the base. The upper support is configured to elevate the individual's upper back, shoulders and head when pivoted. The upper support is expandable lengthwise. The upper support includes a neck support that is configured to support the individual's spine in a region of the individual's C7 and C8 vertebrae throughout elevation of the upper back, shoulders and head.

Abstract: According to an aspect, there is provided a cardiopulmonary resuscitation, CPR, device (1) for enhancing the delivery of CPR to a patient. The device (1) comprises: a patient side (3) for engagement with the chest of the patient; and a user side (2) for engagement with the hands of a user delivering CPR to the patient. One or more of the surface of the patient side (3) and the surface of the user side (2) is at least partially formed of a material with variable contact characteristics configured to be controlled so as to regulate the lateral force distribution profile at the one or more of the surface of the patient side (3) and the surface of the user side (2) from a force applied to the device (1) by the user and transferred through the device (1) to the patient.

Abstract: A cardiopulmonary resuscitation (CPR) positioning apparatus, having a support structure with a plurality of elements, each having a variable length, hingedly connected one to another at respective ends thereof, wherein the support structure is configured to be unfolded from a compactly folded configuration, in which the plurality of elements are arranged one against another, to an operable configuration, in which the elements are arranged end-to-end around a patient's chest; and a CPR chest compressor movably mounted to a first of the plurality of elements, wherein the CPR chest compressor is configured to be moved along the first of the plurality of elements, such that, when the support structure is in the operable configuration, the chest compressor can be positioned precisely above the patient's chest.

Abstract: A device for compressing the chest of a cardiac arrest victim.

Abstract: A method to increase the overall hemodynamic efficacy of cardiopulmonary resuscitation (CPR) by alternating between chest compression-decompression cycles optimized to either cardiac output or venous return. The phases of cardiac output and venous return enhancement may themselves by adjusted in their duration and character. The method may enhance mechanical and manual techniques delivered to the anterior or circumferential chest, and be synchronized to adjunctive techniques such as airway, ventilatory or abdominal therapies.

Abstract: According to an aspect, there is provided a cardiopulmonary resuscitation, CPR, device (1) for enhancing the delivery of CPR to a patient. The device (1) comprises: a patient side (3) for engagement with the chest of the patient; and a user side (2) for engagement with the hands of a user delivering CPR to the patient; and an actuator configured to at least partially alter the external form of one or more of the patient side (3) and the user side (2) so as to regulate a shape profile of the one or more of the patient side (3) and the user side (2). According to other aspects, there is provided a control method for a cardiopulmonary resuscitation, CPR, device and a computer program which, when executed on a computing device, carries out a control method for a cardiopulmonary resuscitation, CPR, device.

Abstract: Among other things, in one aspect, we describe a system for assisting with cardiopulmonary resuscitation (CPR). The system includes at least one sensor; and one or more processors configured for calculating a chest compliance relationship based on data received from the at least one sensor, and determining a neutral position of chest compression based at least in part on a feature of the chest compliance relationship. The system can take the form of an active compression-decompression device.

Abstract: Automated CPR systems incorporating biological feedback can include an automated compression piston system, a data acquisition system, computer systems for running various control algorithms, ventilation control systems, and/or drug delivery systems. Automated CPR systems can be used as stand-alone systems for treating patients in cardiac arrest, or they can be used to administer pretreatment to a patient prior to defibrillation.

Abstract: An apparatus for assisting in providing patient ventilations includes electrodes configured to provide airflow activities signals, chest compression sensors configured to provide chest displacement signals due to chest compressions, a processor and a memory configured to receive the airflow activities and chest displacement signals, identify a presence of chest compressions based on the chest displacement signals, subsequently confirm an absence of chest compressions applied to the patient based on the chest displacement signals, adjust signal processing parameters for the airflow activities signals in response to the confirmed absence of chest compressions, and process the airflow activities signals using the adjusted signal processing parameters to determine feedback for providing the patient ventilations in the absence of chest compressions, and an output device coupled to the processor and the memory and configured to provide the ventilation feedback.

Abstract: The device according to the invention is used for a cardiopulmonary massaging and/or resuscitation of a patient and is provided with a massage stamp (17) which can be reversibly driven by a drive device in an actuation direction (18) and which has a pressure surface (31) that can be positioned at a contact region on the chest (12) of a patient (11). In order to ensure that the chest compressions are interrupted upon reaching a specified compression force, the massage stamp (17) has a stamp upper part (19) and a stamp lower part (20) which is operatively connected to the stamp upper part (19). The stamp upper part (19) and the stamp lower part (20) can be adjusted relative to each other in the actuation direction (18) at least between a first position which defines a working length (L) and a second position in which an effective length (1) of the massage stamp (17) is shortened compared to the working length (L).

Abstract: A resuscitation management system for a manual resuscitator may include a radio frequency identification (RFID) tag that may be configured to be mounted on a first side of a bag of the manual resuscitator. The RFID tag may be configured to transmit information indicative of the presence of the RFID tag. The system may further include an RFID reader that may be configured to be mounted on an opposite second side of the bag. The RFID reader may be configured to generate an output signal corresponding to the presence of the RFID tag responsive to receiving the information transmitted by the RFID tag. The RFID reader may be configured to receive the information transmitted by the RFID tag responsive to the RFID tag being at a distance from the RFID reader smaller than a predetermined threshold.

Abstract: In embodiments, a CPR chest compression system includes a retention structure that can retain the patient's body, and a compression mechanism that can perform automatically CPR compressions and releases to the patient's chest. The compression mechanism can pause the performing of the CPR compressions for a short time, so that an attendant can check the patient. The CPR system can include a user interface that can output a human-perceptible check patient prompt, to alert an attendant to check the patient during the pause. The compression mechanism can during a CPR session retreat a distance away from the patient's chest whereby the patient's chest can expand without active decompression of the patient's chest beyond the chest's natural resting position.

Abstract: An apparatus for promoting shallow breathing of a patient includes a paddle, a belt, and a bladder. The paddle may be configured to contact the body of the patient. The belt may be configured to secure the paddle against the body of the patient. Finally, the bladder may be interposed between the belt and the paddle in the installed condition, such that inflating the bladder urges the paddle toward the body of the patient so as to apply pressure to the abdomen of the patient. A method of promoting shallow breathing is also provided that includes attaching a paddle and a bladder to a belt, such that the bladder is between the paddle and the belt, positioning the paddle on the patient, and inflating the bladder to urge the paddle toward the body of the patient such that the paddle applies pressure to the abdomen of the patient.

Abstract: A system and method for determining CPR induced chest compression depth using two sensors while accounting for different orientations of the two sensors. The system may include a first motion sensor operable to generate motion signals corresponding to motion in a first coordinate frame defined by a first set of axes and a second motion sensor operable to generate motion signals corresponding to motion in a second coordinate frame defined by a second set of axes and a control system operable to receive the motion signals from the first motion sensor and the second motion sensor, rotate the motion signals from the first motion sensor into the second coordinate frame to obtain rotated motion signals corresponding to the motion signals from the first motion sensor, and combine the rotated motion signals with the motion signals from the second motion sensor to generate an output indicative of said displacement.

Abstract: A chest compression device with a chest compression belt assembly including guards and sensors operable with a control system to control operation of the system depending on detection of proper installation of the guards.

Abstract: A feedback device for an acute care provider includes: at least one motion sensor; a haptic output component for providing feedback having a varying haptic pattern to the acute care provider regarding performance of a resuscitation activity; and a controller. The controller can be configured to receive and process a signal representative of performance of the resuscitation activity from the at least one motion sensor, compare the acute care provider's performance of the resuscitation activity to a target performance of the resuscitation activity, and cause the haptic output component to provide haptic feedback to the acute care provider by changing the haptic pattern based, at least in part, on the signal from the at least one motion sensor and the comparison of the acute care provider's performance to the target performance of the resuscitation activity. The device can be adapted to be wrist-worn by the acute care provider.

Abstract: A method for assisting respiration by electrical stimulation includes: acquiring a time parameter of a target respiratory process; and outputting a phrenic nerve stimulating signal to a diaphragm stimulating electrode within a time period corresponding to inspiration and outputting an abdominal muscle stimulating signal to an abdominal muscle stimulating electrode within a time period corresponding to expiration, according to the time parameter of the target respiratory process.

Abstract: A compression device particularly suited for DVT prophylaxis includes a disposable wrap and a re-usable controller removably mounted on the wrap to apply a tensioning force to the wrap when it is encircling the limb of a patient. The wrap includes an RF chip with a unique identifier and the controller includes an RF sensor and processor to authenticate the wrap before commencing a compression cycle. A kiosk is provided for storing a plurality of wraps for use by patients and a plurality of controllers to be used with any of the wraps. The processor of each controller can control an electric motor in the controller to tighten and loosen the wrap according to a three-stage DVT prophylaxis protocol that produces an optimum blood flow velocity. An accelerometer and software/firmware in the controller can also measure and summarize patient activity while wearing the device.

Abstract: There is provided herein a decision support system for cardiopulmonary resuscitation (CPR), the system comprising: a medical monitoring device configured to produce CO2 waveforms of exhaled breath of a subject undergoing CPR, and a computing unit configured to extract one or more features related to the CO2 waveforms and/or a trend thereof produced by said device, obtain one or more parameters/variables selected from a group of one or more background parameters, one or more physiological variables and one or more baseline parameters related to the subject undergoing CPR, and determine effectiveness of CPR and/or CPR outcome based at least on the one or more features and/or the trend thereof and on the one or more parameters/variables.

Abstract: A method for measuring strokes of CPR and a system using the method are disclosed. The system includes at least one permanent magnet and stroke detecting device which has a magnetic sensor, an accelerometer, a CPR detector, a controller, a power unit, and a housing. The system can measure strokes of CPR without a detector making patients uncomfortable. Meanwhile, the system is tiny and can be used to cooperate with AED.

Abstract: Systems and methods of processing raw electrocardiogram (ECG) waveform data of a patient into estimated real-time ECG waveform data. The method includes sensing at least one physical non-cardiac influence on the raw ECG waveform data, constructing a time domain computer model of the at least one physical, non-cardiac influence on the raw ECG waveform data, and adaptively filtering the raw ECG waveform data in the time domain using the constructed time domain computer model of the at least one physical non-cardiac influence on the raw ECG waveform data to form the estimated real-time ECG waveform data. The system can include an ECG device for collecting raw ECG waveform data, at least two ECG electrodes positioned on the patient and electrically coupled to the ECG device, and a processor coupled to the ECG device and configured to compute a time domain model of an artifact created by chest compressions.

Abstract: A resuscitation device for assisting a rescuer in resuscitating a patient. A handheld computing/communication device may be configured for performing a non-resuscitation function during time periods when resuscitation is not required, the handheld device may be further configured to provide CPR prompts during time periods when used by a rescuer to assist in resuscitation, and a sensor may be provided to measure a parameter (e.g., chest acceleration) relevant to resuscitation. A CPR-assistance element may be configured to be applied to the patient and to communicate with the handheld computing/communication device.

Abstract: An automatic cardiopulmonary resuscitation device includes a movable chest compressor for repeatedly pressing a patient's chest at a preset depth and cycle, a cardiac output measurement unit for measuring a cardiac output of the patient in accordance with the pressurization of the chest compressor and a processor for changing pressing locations by performing control such that the chest compressor moves according to a preset method.

Abstract: A yaw brake apparatus includes a first surface disposed on an end of a yaw piston for a wind turbine, the first surface including a first pattern formed by one or more of a plurality of first recesses and a plurality of first protrusions. The yaw brake apparatus may also include a yaw pad including a second surface structurally configured to engage with the first surface and a third surface opposite the second surface that is structurally configured to engage with a slew ring of the wind turbine, the second surface including a second pattern formed by one or more of a plurality of second recesses and a plurality of second protrusions corresponding to one or more of the plurality of first recesses and the plurality of first protrusions on the first pattern such that the first pattern and second pattern fit together when aligned in a predetermined orientation.

Abstract: Devices and methods for CPR chest compression with active decompression.

Abstract: In embodiments, a WCD system includes electrodes with which it senses an ECG signal of the patient. A processor may detect sequential peaks within the ECG signal, measure durations of time intervals between the peaks, including between non-sequential peaks, and identify a representative duration that best meets a plausibility criterion. The plausibility criterion may be that the representative duration is the one that occurs the most often, i.e. is the mode. Then a heart rate can be computed from a duration indicated by the representative duration and, if the heart rate meets a shock condition, the WCD system may deliver a shock to the patient. An advantage can be that the representative duration can be close to a good R-R interval measurement of a patient, notwithstanding noise in the ECG signal that is in the shape of peaks.

Abstract: There is provided a method of controlling a mechanical ventilator. The method may include the steps of receiving a measurement of transthoracic impedance of a patient obtained during chest compressions, determining a timing for a mechanical ventilator to provide a ventilation based on the measurement of transthoracic impedance, and sending a signal to control the mechanical ventilator based on the determined timing. There is also provided an apparatus for performing the method.

Abstract: An autonomous mechanical CPR device is disclosed having a CPR unit attached to a free-standing support assembly. In operation, a victim is placed in the support assembly such that the CPR unit can compress the victim's chest. The CPR device is preferably portable, and it provides the recommended depth of chest compression at the recommended rate. The CPR unit has a quick disconnect locking system with an insert that fits into a lock.

Abstract: An external defibrillator system is provided. The system includes: a graphical display; one or more sensors for obtaining data regarding chest compressions performed on a patient; and a controller configured to display on the graphical display numeric values for depth and/or rate of the chest compressions based upon the data from the one or more sensors. A method for using an external defibrillator including the steps of: obtaining data regarding chest compressions performed on a patient; and displaying on a graphical display screen of the defibrillator numeric values for depth and/or rate of the chest compressions based upon the data is also provided.

Abstract: A cardiopulmonary resuscitation (“CPR”) device that includes a chest compression mechanism, a support structure, and a plurality of inflatable support pads. The chest compression mechanism is configured to deliver CPR chest compressions to a patient. The support structure includes a base member configured to be placed underneath a patient, and a leg configured to support the chest compression mechanism at a distance from the base member. The plurality of inflatable support pads are configured to provide lateral support to a patient's chest during use of the CPR device. Each support pad within the plurality of support pads includes a holder configured to retain and at least partially surround the adjacent support pad.

Abstract: A medical device is disclosed that includes a service component for use in detecting patient data, at least one processor coupled with the service component, a care protocol module executable by the at least one processor to provide healthcare to a patient at least in part by generating a request for processing by the service component, and a resource module executable by the at least one processor to manage access to the service component by identifying a level of service associated with the care protocol module and responding to the request by managing the service component to meet the level of service. The care protocol module implements a patient care protocol that includes a sequence of actions directed to the patient. The level of service indicates a level of performance that the patient care protocol requires of the resource module. Selective offloading of modular functions is also enabled.