Pre-hospital cardiopulmonary resuscitation and pneumoperitoneum

A case is reported of pneumoperitoneum after prolonged ventilation of a smoke inhalation victim at the scene by a fireman using intermittent positive pressure ventilation. The clinical presentation, treatment and aetiology, when associated with cardiopulmonary resuscitation, are discussed. The need for adequate training in the use of resuscitation equipment is emphasized, especially for non-medical staff.