CPR related injuries after manual or mechanical chest compressions with the LUCAS™ device: A multicentre study in victims after unsuccessful resuscitation

Smekal, David,1971-Uppsala universitet,Anestesiologi och intensivvård (författare)

CPR related injuries after manual or mechanical chest compressions with the LUCAS™ device : A multicentre study in victims after unsuccessful resuscitation

AIM: The reported incidence of injuries due to cardiopulmonary resuscitation using manual chest compressions (manual CPR) varies greatly. Our aim was to elucidate the incidence of CPR-related injuries by manual chest compressions compared to mechanical chest compressions with the LUCAS device (mechanical CPR) in non-survivors after out-of-hospital cardiac arrest.METHODS: In this prospective multicentre trial, including 222 patients (83 manual CPR/139 mechanical CPR), autopsies were conducted after unsuccessful CPR and the results were evaluated according to a specified protocol.RESULTS: Among the patients included, 75.9% in the manual CPR group and 91.4% in the mechanical CPR group (p=0.002) displayed CPR-related injuries. Sternal fractures were present in 54.2% of the patients in the manual CPR group and in 58.3% in the mechanical CPR group (p=0.56). Of the patients in the manual CPR group, there were 64.6% with at least one rib fracture versus 78.8% in the mechanical CPR group (p=0.02). The median number of rib fractures among patients with rib fractures was 7 in the manual CPR group and 6 in the mechanical CPR group. No CPR-related injury was considered to be the cause of death.CONCLUSION: In patients with unsuccessful CPR after out-of-hospital cardiac arrest, rib fractures were more frequent after mechanical CPR but there was no difference in the incidence of sternal fractures. No injury was deemed fatal by the pathologist.

Lindgren, ErikUppsala universitet,Anestesiologi och intensivvård(Swepub:uu)erili635 (författare)
Sandler, HåkanUppsala universitet,Rättsmedicin(Swepub:uu)hakasand (författare)
Johansson, JakobUppsala universitet,Anestesiologi och intensivvård(Swepub:uu)jakojoha (författare)
Rubertsson, StenUppsala universitet,Anestesiologi och intensivvård(Swepub:uu)stenrube (författare)
Uppsala universitetAnestesiologi och intensivvård (creator_code:org_t)

Av författaren/redakt...: Smekal, David, 1 ...; Lindgren, Erik; Sandler, Håkan; Johansson, Jakob; Rubertsson, Sten

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