LETTER TO THE EDITORActive compression–decompression CPR necessitates follow-up post mortem
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Conflict of interest
None.
Acknowledgements
The authors thank autopsy technicians Leif Olofsson and Lars Olofsson and Dr. Charles Walther, MD, all at the Department of Pathology at the University Hospital in Lund.
References (4)
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Evaluation of LUCAS, a new device for automatic mechanical compression and active decompression resuscitation
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Skeletal chest injuries secondary to cardiopulmonary resuscitation
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Cited by (28)
Cardiopulmonary resuscitation-related injuries in forensic autopsies: Worksheet of the Clinical and Pathological Registry of Tarragona (ReCaPTa)
2016, Revista Espanola de Medicina LegalForensic imaging findings by post-mortem computed tomography after manual versus mechanical chest compression
2015, Journal of Forensic Radiology and ImagingCPR-related injuries after manual or mechanical chest compressions with the LUCAS™ device: A multicentre study of victims after unsuccessful resuscitation
2014, ResuscitationCitation Excerpt :The LUCAS™ device, which delivered mechanical chest compressions (mechanical CPR), was introduced in 2002. Indications of injuries associated with the device's use revealed the need for further studies looking into its safety.9,10 Preliminary data from two as yet unpublished studies had diverging results and a pilot study revealed no difference in incidence of injuries between the two methods of chest compressions in CPR.11–13
A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic injuries
2014, ResuscitationCitation Excerpt :Other significant cardiac complications of CPR including intracavitary hematoma,35 prosthetic valve dehiscence,30 papillary muscle rupture,36 and conductions system injuries that occurred in up to 10% of patients in one report.37 Major vascular complications (Table 2) including aneurysm, pseudoaneurysm, dissection, laceration or rupture to the coronary vasculature,37–42 coronary bypass grafts,43 aorta,8,10,11,17,32,44–47 subclavian artery and vein, and the vena cava6 may also occur following both manual and ACD-CPR (Fig. 2). Notably, among patients that fail to recover from cardiac arrest after CPR, fractures of the coronary arteries, often at multiple sites have been described.39