Device for the medical care of a patient in an emergency

Report of the Invention Patent for A PATIENT MEDICAL ASSISTANCE DEVICE FOR AN EMERGENCY.

BACKGROUND OF THE INVENTION The present invention relates to a device for the medical care of a patient in an emergency. It further refers to a device for the medical care of a patient in an emergency.

BACKGROUND ART A vest that can be worn on a patient's body is known from European patent application EP 1 550 398 A1, which is provided with a plurality of sensors and therapeutic devices. A pressure sensor, a temperature sensor, a microphone and a biochemical sensor are provided, among others, as sensors. The sensors are designed to measure, among other things, blood pressure, body temperature, pulse, blood oxygen content and blood sugar content. An oxygen source, a pump, air pockets, a hypodermic syringe and an electric shock device are provided, among others, as therapeutic devices. The air pockets are designed, along with the pump, to correct the patient's posture, to fix a fractured bone in position, to stop bleeding or to perform cardiac resuscitation or a Heimlich maneuver.

US 5,544,661 describes a patient monitoring system comprising a portable device and a base station. The portable device comprises, among others, an electrocardiograph and a photoplethysograph. The system is capable of analyzing detected data and, if necessary, notifying a base station via a mobile phone network, transmitting physiological patient data and creating voice communication. In addition, the devices

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Therapeutic devices that are connected to the patient may be activated from the base station, for example, an external defibrillator, a pacemaker or an automatic drug infusion device. An external defibrillation and drug injection system is known from US 5,405,362, which is provided in particular for treating patients with heart disease outside the hospital. The system comprises a device that is capable of monitoring a plurality of the patient's physiological parameters, and a specialist system that makes recommendations for treating an operator. Furthermore, it comprises an external defibrillation device and a device for the automatic injection of a drug into the bone marrow, whereby the operator is able to treat the patient.

US Patent 5,156,148 describes a system for the automatic treatment of cardiac malfunction without human intervention. The system receives the physiological signals from the patient, which refers to the patient's circulatory system, and processes said signals using a microprocessor. The microprocessor controls the treatment devices, which include a defibrillator and an intravenous drug delivery device.

Finally, a system for the mobile monitoring of a patient's cardiac function is known from the German utility model DE 20 2005 02 525 Ul. In the system, electrodes for routing an electrocardiogram are connected via wireless communication. , or through electrodes that work on a garment, to a central control unit. The central control unit is capable of storing and processing the electrocardiogram data as well as transmitting a message to an external receiver and creating voice communication with it. It further comprises a GPS unit for positioning the system.

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An interface on the central control unit allows data transmission to an external medium.

BACKGROUND OF THE INVENTION The object of the invention is to provide an improved device for the medical care of a patient in an emergency.

SOLUTION ACCORDING TO THE INVENTION To meet the purpose, the invention teaches a device for medical care of a patient in an emergency. As the device comprises a defibrillator as an additional therapeutic device, defibrillation may also be performed in addition to cardiac compression to allow effective treatment of the patient in an emergency.

To meet the purpose, the invention additionally teaches a device for the medical care of a patient in an emergency. As the therapeutic device comprises a respiratory therapeutic device, in an emergency it may be performed by means of the invention to gain access to the patient's respiratory system, in particular to perform life-saving measures.

The invention may be used in particular in patients who are at increased risk, due to existing heart-circulatory diseases, of sudden cardiac arrest or cardiac movements that do not produce cardiac output (eg palpitations). or respiratory arrest. In particular, the emergency may be cardiac arrest or respiratory arrest. By the invention, the likelihood that a patient will die as a result of the emergency can be reduced.

As monitoring and therapeutic devices are arranged on the garment, it is possible to provide a

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4/22 device that can be worn on the body. In particular, this can contribute to increased patient mobility and improved patient quality of life. Through the invention, patient monitoring and treatment occur without the active involvement of the patient or third parties. As the monitoring device and therapeutic devices are operatively connected, the monitoring device, when determining an emergency, may trigger a treatment or different treatments in a logical medical sequence or, simultaneously, as a result, of the therapeutic devices. .

STRUCTURE AND DEVELOPMENT OF THE SOLUTION ACCORDING TO THE INVENTION Advantageous embodiments and developments which may be used individually or in combination with each other.

The device according to the invention preferably comprises a defibrillator as a therapeutic device. Preferably, the defibrillator is arranged on the garment. The preferred defibrillator may perform cardioversion and / or defibrillation. It preferably comprises at least two electrodes, which may be attached to the patient, preferably to the patient's chest wall, in order to provide the patient with a current pulse sufficient for defibrillation. The electrodes are preferably gel release electrodes which, prior to the application of the current pulse, release a conductive gel between the electrode and the chest wall or allow skin protection in a different way.

A preferred defibrillator is operatively connected to the monitoring unit. Preferably, the defibrillator performs defibrillation or cardioversion when the monitoring device detects cardiac arrest at certain time intervals and with increasing intensity until the monitoring device detects

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5/22 restoration of cardiac activity or until the defibrillator is deactivated externally, for example by a rescue service paramedic.

Preferably, the device according to the invention comprises as a therapeutic device a cardiac compression device for cardiac resuscitation. With this embodiment of the invention, minimal circulation can be obtained which is again produced and / or maintained in patients. Preferably, the monitoring device may trigger cardiac compression when it determines cardiac arrest and particularly it may preferably be performed for a sufficient period of time until it detects restoration of cardiac activity or until the cardiac compression device is externally disabled, for example by a rescue service paramedic.

The cardiac compression device is preferably controlled such that a resting phase follows, respectively, numerous predetermined cardiac compressions, wherein further therapeutic measures may preferably be performed by one or more different therapeutic devices. device (eg, artificial respiration, intraosseous drug delivery). The cardiac compression device is preferably controlled so that when the patient is also treated with the defibrillator, cardiac compressions occur, respectively, between individual defibrillations and / or cardioversions. The preferred frequency of cardiac compressions is between 30 and 200, preferably between 50 and 120 compressions per minute. The residence time in the maximum compressed position is preferably the same as in the relaxed position, that is, the pressure phase and the relaxed phase have the same length. A preferred cardiac compression device uses air pockets which are preferably inflated and emptied by a pump,

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6/22 for example as described in EP 1 550 398 A1. The relevant contents of the above mentioned document form part of the present description. Preferably, the cardiac compression device presses the sternum bone in the transition region from its center to the lower third against a spine, preferably by 2 to 12 cm, in particular, preferably approximately 6 cm. The preferred compression frequency is approximately 50 to 70, in particular preferably approximately 60 compressions per minute. A preferred cardiac compression device for this purpose is provided with a pneumatic piston or spring mechanism. The piston support surface is preferably between 2 and 10, in particular preferably approximately 5 centimeters wide and 5 to 20, in particular preferably approximately 10 centimeters in length. In order to allow sufficient pressure against the spine, the garment adopts a rigid state in the posterior region, at least over its duration of cardiac compression.

An additional preferred cardiac compression device operates according to the chest pump method. Preferably, it comprises a substantially tubular air pocket, for example similar to an oversized blood pressure glove, which is placed around the chest and is inflated and deflated by means of a pneumatic device. With this embodiment of the invention a substantially uniform compression of the entire chest and thus a genuine reduction of the cross section of the chest and in particular also the chest volume can be obtained. The preferred inflation pressure is between 150 and 350 ° C, in particular preferably approximately 250 millimeters of mercury. The preferred compression frequency is approximately 50 to 70, in particular, preferably approximately 60 compressions per minute. A van

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An achievable embodiment of this embodiment of the invention is that by compressing the chest, a compression of the lungs can also be performed. This can also contribute to the fact that in addition to minimal circulation, minimal breathing is also maintained.

A preferred cardiac compression device operates according to the principle of interposed abdominal counterpulsation (IAC CPR). In this case, during relaxation of the chest, the abdomen is compressed in the navel region, for example by means of a plunger or by a substantially tubular air pocket as described above in connection with the chest pump method. The abdominal compression pressure is preferably between 50 and 150 millimeters of mercury. Preferably, compression occurs according to the principle of interposed abdominal counterpulsation (IAC - CPR) with intubated patients. Additionally, the device according to the invention preferably comprises a suitable respiratory therapeutic device as described below. In a preferred modification of the interposed abdominal counterpulsation, there is continuous compression of the abdomen, i.e. also exerted during chest compression, also denoted as abdominal ligation.

In a preferred embodiment, the cardiac compression device comprises means for elevating the chest during the relaxed phase. Such cardiac compression device may operate according to the active compression-decompression (ACD-CPR) method. In this embodiment of the invention, an intrathoracic vacuum is produced in order to improve diastolic venous return. This can increase both intrathoracic blood volume and improve lung ventilation. Particularly preferably, the cardiac compression device combines active compression-decompression with

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8/22 interposed abdominal counterpulsation. For this purpose, for example, two pistons can be understood, respectively, one of which is capable of being connected to the chest and the other to the abdomen, and which are preferably connected to one another by a lever. Alternatively, then, like two weighing plates, the chest is compressed and the abdomen decompressed (systole) or vice versa.

In a preferred modification of the above mentioned method for cardiac compression, a higher compression rate is preferably used between 100 and 200, preferably particularly between 120 and 150 compressions per minute. An achievable advantage of this embodiment of the invention is a volume-increased cardiac flow over time.

A preferred device according to the invention comprises a piercing device which can deliver a drug in an intraosseous manner, preferably particularly in the bone marrow. Preferably, the piercing device comprises a cannula in order to pierce a bone, preferably particularly the sternum bone. In this embodiment of the invention, access to the bone marrow cavity is preferably gained through the cannula for administering injectable or infusible drugs from a drug reservoir. A similar mechanism, for example, may be used as the autoinjection mechanism described in US 5,405,362. The relevant content of the document mentioned above forms part of this description.

Instead of or beyond the endotracheal access of the respiratory therapeutic device, the piercing device according to the invention may provide a similarly advantageous intraosseous route of administration. The piercing device is preferably arranged on the garment. It is preferably operative

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9/22 connected to the monitoring device. In a preferred embodiment of the invention, the piercing device is at least partially integrated with a subassembly with the cardiac compression unit.

In a preferred embodiment, the invention comprises a respiratory therapeutic device that is capable of delivering oxygen and / or at least one drug endotracheally. The respiratory therapeutic device is preferably arranged on the item of clothing. It is preferably operatively connected to the monitoring device. A preferred respiratory therapeutic device comprises a piercing unit for piercing the trachea below the larynx. The monitoring device may trigger drilling when it determines an emergency.

A preferred piercing unit comprises a semicircular piercing cannula preferably having a diameter between 5 and 20 mm, preferably particularly between 8 and 16 mm. It further comprises a flap mechanism, preferably particularly a spring-loaded flap mechanism, to guide the perforation cannula towards the lungs in the trachea. A similar mechanism, for example, may be used as the autoinjection mechanism described in US 5,405,362.

Preferably, the respiratory therapeutic device comprises an oxygen reservoir, preferably particularly medical oxygen, or is connected to such reservoir in order to supply oxygen from the reservoir to the patient's respiratory system. It can be achieved by this embodiment of the invention that oxygen delivery to the patient during resuscitation is improved, in particular improved artificial respiration during the minimal passive breathing movements that occur during resuscitation.

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10/22 cardiac compression. Preferably, the oxygen supply is triggered by the monitoring device. A specific amount of medical oxygen is endotracheally inflated from the oxygen reservoir, preferably particularly between 4 and 16 liters per minute, preferably particularly between 6 and 10 liters per minute.

A preferred respiratory therapeutic device also uses an oxygen artificial respiration pump or an oxygen-containing mixture, preferably an oxygen-air mixture, whereby a preferably predetermined artificial respiration volume may be used. be inflated at a predetermined pressure and at a predetermined frequency in the resting stages of cardiac compression for pulmonary resuscitation.

A preferred respiratory therapeutic device comprises an endotracheally positioned tube which is preferably guided through the perforation cannula. In this embodiment of the invention, the oxygen or oxygen containing mixture may preferably be controlled by means of a pump or by adjusting the pressure of the oxygen reservoir provided as individual artificial respiration movements through the tube.

In a preferred embodiment of the invention, it is assumed that as soon as the detection of the device determines respiratory arrest after a certain latency period, the trachea is pierced by means of the perforation unit below the larynx and a breathing tube. The artificial pressure is endotracheally pressed through the cannula lumen into the lungs. The artificial respiration tube is preferably only slightly smaller in diameter than the cannula. It is pressed towards the lungs, preferably between 5 and 15 centimeters, in particular preferably approximately 10 centimeters. Preferably in the upper third of the tube a cuff is

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11/22 provided. By filling the cuff with oxygen, the trachea wall is sealed. As a result, aspiration of foreign bodies, such as vomiting, can be avoided.

Preferably, the respiratory therapeutic device comprises at least one reservoir with at least one drug or is connected to such a reservoir in order to deliver the drug from the reservoir to the patient's respiratory system. Preferably, the respiratory therapeutic device may particularly provide a plurality of drugs and, for this purpose, comprise one or more drug reservoirs and / or be connected thereto, as, for example, in US 5,405,362, all relevant contents thereof form part of the present disclosure to refer to them. The drug delivery is preferably triggered by the monitoring device. Preferably the drug is in solution.

In a preferred embodiment, the respiratory therapeutic device has a thin catheter which is preferably particularly capable of being automatically pressed through the lumen of the endotracheally located tube or through the lumen of the perforation cannula into the trachea. The catheter, for example, may be used to deliver the drug or, by activating a vacuum, may be used to aspirate aspirated material. Preferably, the catheter is pressed toward the lungs, approximately 10 to 30, in particular, preferably approximately 20 centimeters in the trachea. The active substance, adrenaline, is considered as a drug, for example. In this embodiment of the invention, it is advantageously feasible to dispense the drug through the catheter deep into the trachea and / or aspirate the aspirated material in order to optimize mechanical resuscitation attempts. The mown material is preferably collected in a sealed container.

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The article of clothing is or preferably comprises a harness, belt, waistcoat or shirt. The harness, for example, may be a shoulder harness or a shoulder or armpit case. The vest, for example, can be configured in a similar manner to commercially available LifeShirt. In addition, the components of the invention (e.g. power sources) or parts thereof may be accommodated in other clothing items (e.g. shoe soles) or auxiliary items that are carried (e.g. a cane).

The monitoring device is preferably provided with means for determining cardiac and / or respiratory arrest, preferably particularly at least one means for the group of means comprising: ECG unit, ultrasound unit, stethoscope, infrared, expansion sensor. The ECG unit comprises at least two electrodes for receiving an electrocardiogram. The ultrasound unit may preferably receive a sonogram. With the stethoscope, for example, heartbeat and / or lung activity can be monitored. The preferred stethoscope consists of an electronic stethoscope, which is capable of converting the heartbeat into an electrical signal, preferably by means of a microphone. Breath-related chest movements can be detected by means of the expansion sensor.

Preferably, the device according to the invention comprises a memory device for storing data provided by other devices, in particular the monitoring device. The memory device preferably stores data that is provided from one or more means for determining cardiac or respiratory arrest, for example the ECG unit, ultrasound unit, stethoscope, infrared unit or the expansion sensor. A preferred memory device

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13/22 comprises sufficient memory capacity to store signals for a period of up to 24 hours. The memory device is preferably arranged on the garment.

In a preferred embodiment of the invention, the device for a patient's medical care in an emergency comprises a positioning device in order to detect the user's current position coordinates. The positioning device, for example, may comprise a means that may be located by a steering location transmitter and / or receiver . It may also comprise a position determining device using a satellite aided positioning system, for example, the GPS positioning system or the future Galileo system. Advantageously, the positioning device comprises a means for positioning by means of a mobile radio network, for example, a GSM (Global System for Mobile Communications) network. This type of placement utilizes the fact that the mobile radio transmitter and / or receiver is registered for use of the mobile radio service in a cell whose range is known. Although this type of positioning is possible, it does not have the accuracy of satellite-assisted positioning, for example, when due to a lower number of transmitter towers in one area, a radio cell encompasses a large area; Mobile radio can be used as an additional possibility for positioning, when more accurate satellite-assisted positioning is not capable of being implemented, for example, in enclosed spaces and tunnels.

Advantageously, the positioning device comprises means for associating the detected position coordinates with generally understandable location information, for example, location, road, house number and floor level. A device for

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Preferred positioning comprises means for identifying a rescue service point that is geographically closer to the user. The positioning device is preferably arranged on the garment.

Preferably, the device according to the invention comprises a communication device for transmitting a message to a remote receiver, for example a rescue service point. The communication device is preferably routed to an alarm device to automatically send an alarm to the receiver and preferably over the telephone, for example via a mobile radio network. The communication device for this purpose is suitably provided with a mobile radio transmitter and / or receiver which uses, for example, GSM services or UMTS services. The mobile radio transmitter and / or receiver at the same time may be the largest for GSM positioning or form a unit therewith. The system according to the invention, however, is not limited to current conventional mobile radio services (GSM and UMTS); but a transmitter and / or receiver for any kind of comprehensive wireless communication is conceivable.

Preferably, the communication device may communicate to the receiver information about the patient's condition. The message transmitted to the external receiver may transmit information about the patient's cardiac malfunction and / or electrocardiographic signals, preferably electrocardiographic signals over a period of time, which includes at least three and at most 60 minutes. As a result of this embodiment of the invention, the recipient has been previously informed about the type of cardiac malfunction, so that he can take appropriate action more quickly. Preferably, the communication device communicates the receiver about the patient's identity, preferably

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15/22 particularly in accordance with data protection laws. The message to the receiver, for example, may contain a patient identification number.

Preferably, the communication device communicates the receiver about the patient's location, preferably by automatic speech synthesis. For this purpose, the communication device is preferably operatively connected to the positioning device. Reasonably, the message transmitted to the receiver includes the result of satellite-aided positioning, the result of positioning via a mobile radio network and / or other location information, to enable quick and accurate communication. possible with the external receiver about the patient's location. Reasonably, the message sent to the receiver comprises information about whether the message has been triggered manually or automatically. The communication device preferably has a self-test function which regularly, for example once a day, creates a test connection with the external receiver and preferably particularly exhibits this process through a visual display as well. or unsuccessful. This test function can also preferably be performed manually at any time by the user at the touch of a button.

In a further preferred embodiment of the present invention, the communication device comprises a means for manual activation by which transmission of a message to the external receiver, preferably a rescue service, is triggered. Manual activation provides the possibility for the patient to transmit a message to the external receiver when, for example, the patient is in an emergency situation that is not recognized by the system according to the invention, and / or not,

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For example, an emergency situation that was not triggered by cardiac malfunction can be recognized, or even when the patient has doubts whether the system according to the invention is operating correctly.

Preferably, the communication device is designed to form a device for producing a speech connection between the patient and / or environment thereof and the external receiver, preferably the rescue service or an additional external receiver. An achievable advantage of this embodiment of the invention is that a consultation between the patient and the rescue service point is possible in order to eliminate, for example, false alarms or, in order to talk to third parties, for example a first assistant, passerby or relative, where patient is located, for example, to specify the location of the attack, to communicate the sequence of events or to communicate information if immediate measurements are required. For this purpose, the communication device is expediently provided with a hands-free means. In one embodiment of the invention, hands-free means are developed so that passersby may be aware of the user's condition. The communication device is preferably arranged on the item of clothing.

The device according to the invention preferably comprises at least one interface device for transmitting data provided from other device equipment to an external medium, preferably particularly the monitoring device. Reasonably, an interface device is an interface that conforms to the standard USB (Universal Serial Bus) and / or the standard Bluetooth. The interface device is preferably arranged on the garment.

In a preferred embodiment, the device according to the invention has a visual and / or acoustic display device and / or

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17/22 vibration to display status information, warnings, and / or system information. For example, power source status information, system information regarding correct electrode placement and / or correct electrode connection to the central control unit, and possibly warnings when obvious specific cardiogram or respiratory signals occur or imminent expiration date of drugs or oxygen may be displayed. By means of the visual and / or acoustic display device and / or vibration the patient can be informed in an expedient manner, for example about possible errors of occurrence and in particular about irregularities determined by the monitoring device which may be attributed to cardiac and / or respiratory malfunction. The display device is preferably arranged on the item of clothing.

The device according to the invention preferably comprises a power device for supplying the other equipment of the device with power. The power device, for example, may comprise a rechargeable battery or a fuel cell. The power device is preferably arranged on the garment. The electrical conductors of the other devices are also preferably arranged on the garment.

In a preferred embodiment of the device according to the invention, one or more devices or parts of one or more devices in the device group comprising: the monitoring device, power device, memory device, positioning device , steering location device, communication device, interface device, display device, power device are accommodated in one central control unit. The control unit need not necessarily be arranged on the garment or worn directly on the body. For example, it is

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It is conceivable that the control unit is configured so that a patient when, for example, lies on the bed is able to position the control unit in the vicinity thereof. As a result of this embodiment of the invention, a visit of paramedical units may also be facilitated for the patient as the patient does not need to carry the control unit. In a further preferred embodiment, the control unit is releasably attached, for example, to a belt, whereby the control unit may be fixedly connected, so that the weight of the central control unit will disrupt and / or overload the patient as little as possible.

The device equipment according to the invention and the components thereof may be in communicative connection with each other in a wired or wireless manner. Reasonably, the wireless connection is a bluetooth connection, a different radio frequency connection, or an infrared connection. However, other wireless connections are also conceivable, such as, for example, a newly developed standard for short-range radio connections. Preferably, devices or components, for example, electrodes connected to the patient's body, communicate acoustically, visually or vibrantly, when the range of the wireless connection on a different device or component to which it is connected is exceeded.

In a preferred embodiment, the device according to the invention comprises a programmable device, preferably at least one microprocessor, for controlling therapeutic devices based on the psychological parameters detected by the monitoring device. The programmable device is preferably accommodated in the monitoring device. A control program is preferably operated on the device, for example mutation

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Tis mutandis, as described in US 5,156,148. The relevant contents of the above mentioned document form part of the present description by referring to it.

BRIEF DESCRIPTION OF THE DRAWINGS The invention will be described in more detail hereinafter with reference to the drawings and schematic embodiments with further details, wherein:

Figure 1 shows a schematic block diagram of a device according to the invention for medical care of a patient in an emergency;

Figure 2 shows a schematic view of a tracheal perforation unit.

DESCRIPTION Referring to the Modalities A device for the care of a patient in an emergency in accordance with the present invention is schematically shown in Figure 1. Device 1 comprises a liner 2 that fits firmly to the body of the patient. user. In the jacket 2 in the transition region from the central to the lower third of the user's sternal bone a tubular air pocket 3 of a cardiac compression device 4 is sewn into the jacket 2 in order to perform a cardiac compression in an emergency. , according to the chest pump method to maintain minimum circulation. The air bag 3 may be inflated and emptied by means of a pump such as, for example, that described in EP 1 550 398 A1. In a further embodiment of the invention, through a pneumatic plunger or spring mechanism with a support surface of approximately 5 x 10 cm along the sternum bone, the sternum bone is pressed in the transition region from the central part to the third. lower at a frequency of approximately 100 by approximately 6 cm per minute against the spine. The length of stay

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20/22 at the maximum compressed position, thus, is same as that of the relaxed position, so that the compression and relaxed phases have the same duration. In order to allow pressure against the spine, the harness and / or shirt must adopt a rigid state in the posterior region for the respective duration of cardiac compression, for example by means of air pockets disposed at this point. In addition, through this unit, access can be created to the sternal bone marrow through a perforation cannula for administration of injectable or infusible drugs.

In addition, two electrodes 5, 6 of a defibrillator 7 are sewn into the jacket 2 which, if required, release gel or otherwise allow skin protection and may then perform cardioversion. In addition, an expansion sensor 8 of a monitoring device 9 is fitted to the jacket to monitor the user's respiratory activity.

At the top of the jacket 2 disposes the piercing device 10a, 10b of a respiratory therapeutic device 11 which can pierce the patient's trachea 18 with a semicircular piercing cannula 17 of approximately 14 mm diameter as a piercing unit. For this purpose pneumatic means or a pre-tensioned spring are provided, similar to the autoinjector described in US 5,405,362. An oxygen unit 12 of the respiratory therapy unit uses a sealed reservoir 19 in which medical oxygen is stored. The reservoir is accommodated in the piercing device 10a, 10b or an oxygen unit 12 of the central control unit. As soon as the monitoring device 9 detects a respiratory arrest after a certain latency time, the user's trachea is punctured below the larynx via the semicircular perforation cannula 17 through the perforation device which is pneumatically moved by force. spring on

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21/22 direction of arrow 20 from position 10a to position 10b.

Subsequently, an artificial respiration tube 21 having a diameter slightly smaller than the perforation cannula is pressed through a spring 23 and a plunger 24 through the cannula lumen approximately 10 cm endotracheally towards the lungs. . After the tube has been fully pressed forward, a cuff is filled with oxygen to seal the tube 21 from the trachea wall and thus prevent aspiration, for example, of vomiting. From oxygen reservoir 19, as indicated by arrow 22, approximately 8 liters of medical oxygen per minute is inflated to supply the minimal passive respiratory movements that occur during cardiac compression with oxygen. In the resting stages of compression, oxygen and / or oxygen-containing gas mixture is inflated by a pump, not shown, at a predetermined frequency in the form of individual artificial breathing movements.

A medical device 13 uses a sealed reservoir in which different emergency drugs (e.g. adrenaline) are present, separated from each other in the solution. Through a thin catheter, which in an emergency is automatically pressed through the lumen of the endotracheally located tube 21, approximately 20 cm into the trachea, drugs can be automatically delivered deep into the trachea to optimize mechanical resuscitation attempts. . The aspirated material can also be sucked through the catheter via a pump as a vacuum source and collected in a sealed container.

Oxygen and drug reservoirs, pumps and control and evaluation devices, as well as a power device 14, a GSM transmitter and receiver, a steering location device and a GPS positioning device 15 are combined into one another.

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22/22 a central control unit 16, which is also sewn to the jacket 2. By means of conductors and tubes sewn to the jacket 2, the central control unit 16 is connected to the other device components mentioned above.

[0056] The features described in the above-mentioned description may be important, both individually and also in any combination for the development of the invention in its different embodiments.