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International Journal of Legal Medicine

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01.09.2015 | Original Article

Traumatic injuries after mechanical cardiopulmonary resuscitation (LUCAS™2): a forensic autopsy study

verfasst von: Christelle Lardi, Coraline Egger, Robert Larribau, Marc Niquille, Patrice Mangin, Tony Fracasso

Erschienen in: International Journal of Legal Medicine | Ausgabe 5/2015

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Abstract

Aim

The aim of our study was to compare traumatic injuries observed after cardiopulmonary resuscitation (CPR) by means of standard (manual) or assisted (mechanical) chest compression by Lund University Cardiopulmonary Assist System, 2nd generation (LUCAS™2) device.

Methods

A retrospective study was conducted including cases from 2011 to 2013, analysing consecutive autopsy reports in two groups of patients who underwent medicolegal autopsy after unsuccessful CPR. We focused on traumatic injuries from dermal to internal trauma, collecting data according to a standardised protocol.

Results

The study group was comprised of 26 cases, while 32 cases were included in the control group. Cardiopulmonary resuscitation performed by LUCAS™2 was longer than manual CPR performed in control cases (study group: mean duration 51.5 min; controls 29.4 min; p = 0.004). Anterior chest lesions (from bruises to abrasions) were described in 18/26 patients in the LUCAS™2 group and in 6/32 of the control group. A mean of 6.6 rib fractures per case was observed in the LUCAS™2 group, but this was only 3.1 in the control group (p = 0.007). Rib fractures were less frequently observed in younger patients. The frequency of sternal factures was similar in both groups. A few trauma injuries to internal organs (mainly cardiac, pulmonary and hepatic bruises), and some petechiae (study 46 %; control 41 %; p = 0.79) were recorded in both groups.

Conclusion

LUCAS™2-CPR is associated with more rib fractures than standard CPR. Typical round concentric skin lesions were observed in cases of mechanical reanimation. No life-threatening injuries were reported. Petechiae were common findings.

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Titel: Traumatic injuries after mechanical cardiopulmonary resuscitation (LUCAS™2): a forensic autopsy study
verfasst von: Christelle Lardi
Coraline Egger
Robert Larribau
Marc Niquille
Patrice Mangin
Tony Fracasso
Publikationsdatum: 01.09.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: International Journal of Legal Medicine / Ausgabe 5/2015
Print ISSN: 0937-9827
Elektronische ISSN: 1437-1596
DOI: https://doi.org/10.1007/s00414-015-1146-x

Springer Medizin

Traumatic injuries after mechanical cardiopulmonary resuscitation (LUCAS™2): a forensic autopsy study

Abstract

Aim

Methods

Results

Conclusion

Neu im Fachgebiet Rechtsmedizin

Molekularpathologische Untersuchungen im Wandel der Zeit

Vergleichende Pathologie in der onkologischen Forschung

Gastrointestinale Stromatumoren

Personalisierte Medizin in der Onkologie

Springer Medizin

Abstract

Aim

Methods

Results

Conclusion

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