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Published on: April 26, 2015
KneePR--Substantial injuries caused by unorthodox resuscitation technique
Brian L Peterson1, Kimberly Rossi
1From the *Department of Pathology, Medical College of Wisconsin, Milwaukee, WI; and †Kenosha County Medical Examiner's Office, Kenosha, WI.
This case study highlights severe injuries from knee chest compressions during resuscitation. Careful investigation prevented misattributing these injuries as the cause of death.
Area of Science:
- Emergency Medicine
- Forensic Pathology
Background:
- Cardiopulmonary resuscitation (CPR) is a critical life-saving procedure.
- Standard CPR techniques aim to restore circulation and oxygenation.
- Unconventional methods may carry significant risks.
Observation:
- A case involving chest compressions performed using a rescuer's knee during resuscitation is detailed.
- This unorthodox technique resulted in substantial physical trauma.
Findings:
- The injuries inflicted by the knee compressions were severe.
- Thorough scene investigation and meticulous documentation were crucial.
- These efforts distinguished the iatrogenic injuries from the actual cause of death.
Implications:
- Highlights the potential for severe iatrogenic injury from non-standard CPR techniques.
- Emphasizes the critical role of forensic investigation in differentiating trauma.
- Underscores the importance of adhering to established CPR guidelines to prevent harm.
Related Concept Videos
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Cardiopulmonary Resuscitation II: ACLS Airway Management
Cardiopulmonary Resuscitation I: Adult
Cardiopulmonary Resuscitation IV: Pharmacological Management
Cardiopulmonary Resuscitation III: AED Use

