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After sudden cardiac arrest, high-quality chest compressions (CCs) are required to improve the chance of restoring spontaneous circulation [1,2]. Unfortunately, even health care professionals have difficulty in performing effective CC. According to Wik et al [3], CCs are often too shallow, and hands-off time is to long. This is also confirmed from a research conducted by Kurowski et al [4]. Because mechanical CC devices may improve the efficiency of CC, in this study we use a new mechanical CC device—LifeLine ARM (ARM; DefibTech, Guilford, CT)—which was designed to deliver compressions of consistent rate and depth according to European Resuscitation Council guidelines [1,2].

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Conflict of interest statement: None to declare.

☆☆Authors' contributions: L.S., M.M., T.E., A.K., Z.T., and L.C.—the conception and design of the study; L.S., Z.T., L.C.—acquisition of data, analysis and interpretation of data; L.S., L.C.—drafting the article or revising it critically for important intellectual content; L.S., M.M., T.E., A.K., Z.T., L.C.—final approval of the version to be submitted.

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