Related Experiment Video

Updated: Aug 4, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

514

Compression-associated injuries using CLOVER3000 device in non-survivor patients of OHCA: A retrospective cohort

Minoru Hayashi1, Shinsuke Tanizaki1, Naru Nishida1

  • 1Department of Emergency Medicine, Fukui Prefectural Hospital, Fukui, Japan.

The American Journal of Emergency Medicine
|March 30, 2023
PubMed

Insights

This study found similar rates of chest compression injuries between the CLOVER3000 mechanical device and manual cardiopulmonary resuscitation (CPR) in out-of-hospital cardiac arrest patients. Further research is needed due to the small sample size.

Area of Science:

  • Emergency Medicine
  • Cardiology
  • Traumatology

Background:

  • Mechanical cardiopulmonary resuscitation (CPR) devices like CLOVER3000 are increasingly used.
  • Data on compression-associated injuries from mechanical CPR in out-of-hospital cardiac arrest (OHCA) is limited.
  • Understanding these injuries is crucial for patient safety and device development.

Purpose of the Study:

  • To compare the incidence and types of compression-associated injuries between the CLOVER3000 mechanical CPR device and manual CPR.
  • To evaluate the safety profile of the CLOVER3000 in the context of OHCA resuscitation.

Main Methods:

  • A single-center, retrospective cohort study was conducted using post-mortem CT data of adult non-survivor OHCA patients.
  • Data was collected from April 2019 to August 2022.
  • Logistic regression models, adjusted for relevant covariates, were used to analyze compression-associated injuries.

Main Results:

  • A total of 189 patients were analyzed (42.3% CLOVER3000, 57.7% manual CPR).
  • Overall incidence of compression-associated injuries was similar between groups (92.5% vs. 94.54%).
  • Anterolateral rib fractures and sternal fractures were the most common injuries, with no significant difference between the CLOVER3000 and manual CPR groups.

Conclusions:

  • The incidence of compression-associated injuries was comparable between the CLOVER3000 mechanical CPR device and manual CPR in this study.
  • The findings suggest that CLOVER3000 may be a safe alternative regarding chest trauma, but the small sample size warrants caution.
  • Further investigation with larger cohorts is recommended to confirm these findings.
Abstract

Keywords:
Cardiac arrestCardiopulmonary resuscitationComplicationsMechanical chest compressionsPost-mortem computed tomography

More Related Videos

Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock06:30

Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock

Published on: May 19, 2022

6.1K
A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury06:18

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

Published on: March 26, 2019

9.1K

Related Concept Videos

Cardiopulmonary Resuscitation III: AED Use01:23

Cardiopulmonary Resuscitation III: AED Use

Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
45
Cardiopulmonary Resuscitation IV: Pharmacological Management01:25

Cardiopulmonary Resuscitation IV: Pharmacological Management

Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
48
Cardiopulmonary Resuscitation I: Adult01:21

Cardiopulmonary Resuscitation I: Adult

Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
26
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
17
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
219
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
16