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Patterns of facial resuscitation injury in infancy

J A Kaplan1, R M Fossum

  • 1Office of the Chief Medical Examiner, Concord, NH 03301.

The American Journal of Forensic Medicine and Pathology
|September 1, 1994
PubMed

Insights

Pediatric cardiopulmonary resuscitation (CPR) can cause minor soft-tissue injuries, particularly to the face and neck. These medically trivial injuries hold forensic significance and require careful investigation during infant CPR analysis.

Area of Science:

  • Forensic pathology
  • Pediatric emergency medicine
  • Medical investigation

Background:

  • Cardiopulmonary resuscitation (CPR) in infants can lead to complications.
  • Soft-tissue injuries from CPR, especially facial and neck injuries, are often overlooked despite their forensic importance.

Purpose of the Study:

  • To describe and analyze medically trivial soft-tissue injuries resulting from infant CPR.
  • To correlate these injuries with specific pediatric rescue maneuvers.
  • To suggest methods for investigating and interpreting these injuries.

Main Methods:

  • Review of 25 consecutive infant CPR cases.
  • Documentation of soft-tissue injuries, focusing on the face and neck.
  • Correlation of observed injuries with documented CPR techniques.

Main Results:

  • Nine out of 25 infants (36%) exhibited soft-tissue injuries.
  • Injuries were predominantly observed on the face and neck.
  • Specific CPR maneuvers were associated with particular injury patterns.

Conclusions:

  • Medically insignificant soft-tissue injuries in infants undergoing CPR have forensic implications.
  • Understanding the relationship between CPR techniques and injury patterns is crucial for accurate forensic interpretation.
  • Standardized investigative approaches are needed for these specific injuries.

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