Resuscitation complications encountered in forensic autopsy cases performed in XXX province.

Abstract

BACKGROUND:The purpose of this study was to determine complications of resuscitation seen during autopsies and evaluate the effectiveness of basic life support training.

Effects of the non-contact cardiopulmonary resuscitation training using smart technology

“… 1 Complications caused by the inaccurate CPR performance are rib fractures, sternal fractures, pericardial and pleural haemorrhages, internal organ injuries, and pulmonary hyperdilation. 6 , 7 …”

Retrospective study of gross and histopathologic lesions associated with closed chest cardiopulmonary resuscitation in dogs

“…In at least some of those cases, pneumothorax may have been the cause of arrest rather than a result of CPR. The reported incidence of pneumothorax in humans that have undergone manual CPR is 0.6 to 3.2% (Miller et al 2014, Beydilli et al 2015, Ondruschka et al 2018. Pneumothorax can also be a complication of rib fractures with CPR in humans (Darok 2004), although it was not identified in either dog with rib fractures in this study.…”

“…Liver fractures occurred in 8.9% of cases in this study, but the reported incidence for liver fractures in human patients that have undergone conventional CPR is 0.4-2% (Meron et al 2007, Beydilli et al 2015. Based on breed, most dogs (n=9) with liver fracture had a normal or deep chest conformation, with four mixed breed dogs where conformation could not be determined, and only three barrel-chested dogs.…”

“…This is in contrast to humans, where most CPR-associated liver fractures occur in the left lobe of the liver. This is thought to be due to contact between this lobe and the end of the sternum, which is sword-shaped (Beydilli et al 2015, Beydilli et al 2016. The weight of dogs with liver fractures ranged from 2 to 38 kg (mean ± SD=15.5 ± 12.2 kg).…”

“…Cardiopulmonary resuscitation (CPR) may be a lifesaving procedure that can provide oxygen delivery in patients with cardiac and respiratory arrest. Chest compressions or cardiac massage, positive pressure ventilation and pharmacological agents are the mainstay of re-establishing cardiac output and oxygen delivery to tric contents, lung laceration, bone marrow or fat emboli in the lungs, pericardial injury, haemopericardium, laceration or rupture of intrathoracic blood vessels, cardiac chamber laceration/ rupture, clavicle fracture, separation at the costochondral junction, lung herniation and endocardial, epicardial or myocardial haemorrhage (Miller et al 2014, Beydilli et al 2015.…”