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[Resuscitation injuries].

T Klöss, K Püschel, F Wischhusen

    Anasthesie, Intensivtherapie, Notfallmedizin
    |August 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

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    Resuscitation procedures like cardiac massage can cause severe complications, including rib fractures in nearly half of cases, particularly in older patients. In rare instances, these resuscitation injuries can be fatal.

    Area of Science:

    • Medical Science
    • Forensic Pathology

    Background:

    • This study analyzes autopsy data from 140 unsuccessful resuscitation attempts.
    • Focuses on complications arising from injections and closed-chest cardiac massage.

    Observation:

    • Excludes patients with thoracic or abdominal trauma.
    • Documents severe complications: vertebral fracture, flail chest, hemothorax, pneumothorax, kidney/spleen rupture.
    • One case attributed lethal outcome to resuscitation injuries.

    Findings:

    • Rib and/or sternum fractures occurred in 45.9% of cases.
    • Fracture frequency increased with patient age.
    • Typically 3-8 ribs fractured, predominantly between parasternal and axillary lines; rare fractures of rib 1 and 8-12.

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    Implications:

    • Highlights the potential iatrogenic risks associated with cardiopulmonary resuscitation.
    • Suggests age as a factor influencing complication rates.
    • Contrasts fracture patterns with those from blunt thoracic trauma.