Letter to the EditorAutopsy is more sensitive than computed tomography in detection of LUCAS-CPR related non-dislocated chest fractures☆
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References (5)
- et al.
European Resuscitation Council Guidelines for Resuscitation 2010 Section 2. Adult basic life support and use of automated external defibrillators
Resuscitation
(2010) - et al.
Increased frequency of thorax injuries with ACD-CPR
Resuscitation
(1999)
Cited by (21)
Cardiopulmonary resuscitation-related injuries in forensic autopsies: Worksheet of the Clinical and Pathological Registry of Tarragona (ReCaPTa)
2016, Revista Espanola de Medicina LegalManual versus Mechanical Chest Compressions on Surfaces of Varying Softness with or without Backboards: A Randomized, Crossover Manikin Study
2016, Journal of Emergency MedicineCitation Excerpt :Mechanical CPR was rated properly when performed correctly, but mechanical chest compressions that were deeper than recommended were not recognized (Tables 1–3)—for example, 7 rescuers malpositioned LUCAS2 on the standard mattress without detecting this misplacement (Figure 2). Misjudging compression depth may not only reduce efficacy but also increase the incidence of adverse events (23–25). Therefore, regular training of rescuers to avoid mechanical CPR device misplacement is of utmost importance.
Frequency and number of resuscitation related rib and sternum fractures are higher than generally considered
2015, ResuscitationCitation Excerpt :Such assumption is in accordance with the findings of two recent studies which compared diagnostic value of CT with that of autopsy and proved superiority of the latter. In the first, Oberladstaetter et al.21 established that autopsy disclosed minor and non-dislocated SCI in all 13 female cadavers to which chest compressions were delivered by means of LUCAS for only one minute, while CT revealed none of them. In the second, Schulze et al.22 reported that radiologist found 491 fractures in 49 cases (1–39; mean 10) while forensic pathologist disclosed 690 fractures (2–45; mean 14).
Computed tomography findings of complications resulting from cardiopulmonary resuscitation
2015, ResuscitationCitation Excerpt :There were some previous studies comparing the sensitivity of detecting complications related to CPR between autopsy and CT. CT was reported to have less sensitivity to detect injuries related to CPR, especially dislocated rib fractures, than autopsy 6,23. The incidence of non-displaced fractures may have been underestimated.
CPR-related injuries after manual or mechanical chest compressions with the LUCAS™ device: A multicentre study of victims after unsuccessful resuscitation
2014, ResuscitationCitation Excerpt :There was also no difference in the number of multiple rib fractures or sternal fractures. In this study, sternal fractures were more frequent than shown before (1.3–43.3%) and rib fractures were at the higher end of what has been described previously (8.1–96.6%).4,15–21 Due to the heterogeneity of the previously published results, we cannot draw definitive assumptions when comparing our results with those previously presented.
Comparison between postmortem CT scan and autopsy to identify lesions according to anatomical sites
2014, Revue de Medecine Legale
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A Spanish translated version of the summary of this article appears as Appendix in the final online version at doi:10.1016/j.resuscitation.2011.12.003.