Frequency and number of resuscitation related rib and sternum fractures are higher than generally considered

Resuscitation
Eduard KraljJože Balažic

Abstract

This study aimed to establish the incidence, number and location of CPR-related skeletal chest injuries (SCI) and to investigate the influence of age, gender, changes in resuscitation guidelines and technique of resuscitation. We analysed SCI in 2148 patients who had undergone resuscitation for non-traumatic cardiac arrest, as shown by autopsies performed at the Institute of Forensic Medicine in Ljubljana in the period 2004-2013. External cardiac massage caused SCI in 86% of males and in 91% of females; sternum fractures occurred in 59% of males and 79% of females, rib fractures in 77% of males and 85% of females and sternocostal separations in 33% of males and 12% of females. The average number of all SCI per person was thus almost the same in males and females: 10.95 vs. 10.96. The percentage of patients injured and the number of SCI increased with age. Changes in resuscitation guidelines were also identified as a factor contributing to the incidence and number of SCI. No adverse effect of the use of LUCAS was found. It is generally considered that at least 1/3 of resuscitated patients sustain rib fractures and at least 1/5 sustains sternum fractures. However, our study showed that these injuries are much more frequent and th...Continue Reading

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Citations

Jan 20, 2016·Resuscitation·Charles D Deakin
Dec 26, 2015·Resuscitation·Kouichiro MinamiShingo Hibino
Apr 21, 2016·Resuscitation·Lucia Ihnát RudinskáIgor Dvořáček
Nov 11, 2017·European Radiology·Gregor M DunhamKen F Linnau
Jul 16, 2019·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Hyung Il KimSung Oh Hwang
Jun 29, 2017·The American Journal of Forensic Medicine and Pathology·Louise MillingBirgitte Schmidt Astrup
Feb 23, 2020·Circulation·Kelly N SawyerUNKNOWN American Heart Association Emergency Cardiovascular Care Committee; Council on Cardiovascular and Stroke Nursing; Council on
Aug 22, 2020·International Journal of Older People Nursing·Anne L Myers, Marianne S Matthias
Dec 20, 2019·PloS One·Christian LiebschHans-Joachim Wilke
Jul 12, 2017·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Georg TrummerChristoph Benk
Sep 23, 2018·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Christian SpiesMichael Metze
Jul 6, 2018·Case Reports in Emergency Medicine·Christos KoutserimpasIoannis Karanikas
Mar 2, 2019·BMC Emergency Medicine·Aspasia DeliligaPolychronis Voultsos
Dec 29, 2020·Legal Medicine·Shingo MoriguchiMasahito Hitosugi
Apr 12, 2021·The American Journal of Emergency Medicine·Jui-Yi TsouChih-Hsien Chi
May 11, 2021·Acute Medicine & Surgery·Yasuaki KoyamaYoshiaki Inoue
Jun 7, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Robert RuemmlerErik Kristoffer Hartmann
Jul 13, 2021·Journal of Forensic Sciences·Fabiola A RighiPeter T Lin

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