Chest injury following cardiopulmonary resuscitation: A prospective computed tomography evaluation

Resuscitation complications encountered in forensic autopsy cases performed in XXX province.

“…Additionally, injuries to internal organs such as the heart, lung, liver, and stomach, occur frequently. [6][7][8][9][10] Complication rate can vary depending on the individual performing the chest compression (e.g., medical personnel vs. lay people at the scene), the surface on and location at which it is performed (in the hospital vs. outside), and the education level and capability of the individual applying it. [6][7][8][9][10] Thus, we believe that continuous development of BLS training strategies and high-quality training in cardiopulmonary resuscitation can reduce resuscitation-related complications.…”

“…Regardless, in general, an autopsy is the best method for detecting resuscitation complications. [6,11,12] According to the above mentioned studies, detailed autopsy is still the most sensitive method.…”

“…[6][7][8][9][10][11][12][13] However, in a prospective CT study performed in patients who were resuscitated as a result of successful BLS, the incidence of rib fractures amounted to 31% and that of sternum fractures to 4%. [6] The third, fourth, and fifth ribs, especially on the left side of the sternum, were fractured most often. In our autopsy study, the rates of rib and sternum fractures were similar and amounted to 71% for rib fractures and 32% for sternum fractures.…”

Liver laceration related to cardiopulmonary resuscitation.

“…The European Resuscitation Council (ERC) and The American Heart Association, are recognized as important institutions, and recommend chest compressions of 4e5 cm at a rate of 100e120 beats/min. 3 Chest compression is a traumatic procedure and any complication more serious than soft tissue trauma (rib-sternum fractures, internal organ injuries, etc.) is undesirable.…”

Successful Management of a Patient with Refractory Ventricular Fibrillation (VF) due to Acute Myocardial Infarction (AMI) and Lung Injury by Transition from Percutaneous Cardiopulmonary Support (PCPS) to Veno-Venous Extracorporeal Membrane Oxygenation (ECMO)

“…However, CPR has several complications, which include rib fracture, sternal fracture, mediastinal hemorrhage, hemothorax, pneumothorax, and lung contusion (1). We herein describe the successful management of an acute myocardial infarction (AMI) patient with lung injury due to CPR by transition from percutaneous cardiopulmonary support (PCPS) to a veno-venous extracorporeal membrane oxygenation (ECMO).…”