NSW mechanical cardiopulmonary resuscitation (mCPR) clinical practice guide – adult patients

Published: April 2021. Next review: 2026.

Mechanical cardiopulmonary resuscitation (mCPR) is delivered using an automated device that provides the external chest compression component of cardiopulmonary resuscitation at a consistent depth and rate.

This clinical practice guide supports clinicians to provide safe, high-quality care when a decision is being made to use a mCPR device during in-hospital cardiac arrest.

Download the guide (PDF 379.4 KB)

At a glance

mCPR is used in the following areas of the hospital during in-hospital cardiac arrest:

  • emergency departments
  • intensive care units
  • cardiology units
  • cardiac catheter labs

Key points must be considered when deploying a mCPR device:

  • Good-quality manual chest compressions must remain the gold standard for the delivery of external chest compressions during CPR.
  • Early defibrillation of a shockable rhythm must not be delayed.
  • CPR must be commenced immediately for cardiac arrest, with no delay while waiting for a decision on the deployment of a mCPR device.

The decision to use an mCPR device during in-hospital cardiac arrest must take into account key considerations and recommendations to ensure patients receive appropriate care at the right time, and that clinicians are supported to provide safe, high-quality care during mCPR deployment.

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