Research Article
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Year 2023, , 15 - 9, 15.01.2023
https://doi.org/10.37990/medr.1159304

Abstract

References

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  • 2. Ceylan S, Açıkel CH, Dündaröz R, et al. Determining the prevalence and trauma features of the patients which applied to the emergency service of a training hospital because of trauma. J Med Sci. 2002;22:156-61.
  • 3. Gül HS, Armağan HH, Karaman K, et al. Evaluation of Fall Cases Presenting To The Emergency Department. Med J SDU. 2019;26:430-4.
  • 4. Oktay C. Approach to the multi-trauma patient and recent developments. Anatolian Journal of Emergency Medicine October 2000;73-95.
  • 5. Avşar A, Okdemir E, Keten A, Karanfil R, Tree falling related death. Dicle Medical Journal. 2015; 42:331-4.
  • 6. Kim MJ, Park YS, Kim SW, et al. Chest injury following cardiopulmonary resuscitation: a prospective computed tomography evaluation. Resuscitation. 2013;84:361–4.
  • 7. Boz B, Erdur B, Acar K, et al. Frequency of skeletal chest injuries associated with cardiopulmonary resuscitation: forensic autopsy. (Article in Turkish) Ulus Travma Acil Cerrahi Derg. 2008;14:216–20. 8. Özer E, Şam B, Tokdemir MB, et al. Complications of cardiopulmonary resuscitation. Cumhuriyet Medical Journal. 2010;32:315–22.
  • 9. Black CJ, Busuttil A, Robertson C. Chest wall injuries following cardiopulmonary resuscitation. Resuscitation. 2004;63:339–43.
  • 10. Krischer JP, Fine EG, Davis JH, et al. Complications of cardiac resuscitation. Chest. 1987;92:287–91.
  • 11. Cech DJ, Martin ST. Body Systems Contcostauting to Functional Movement, 3rd edn. St Louise Missouri. Elsevie. 2012;105–28.
  • 12. Deliliga A, Chatzinikolaou F, Koutsoukis D, et al. Cardiopulmonary resuscitation (CPR) complications encountered in forensic autopsy cases. BMC Emerg Med. 2019;19:23.
  • 13. Hashimoto Η, Μoriya F, Furumiya J. Forensic aspects of complications resulting from cardiopulmonary resuscitation. Legal Med. 2007;9:94–9.
  • 14. Rabl W, Baubin M, Haid C, et al. Review of active compression-decompression cardiopulmonary resuscitation (ACD-CPR). Analysis of iatrogenic complications and their biomechanical explanation. Forensic Sci Int. 1997;89:175–83.
  • 15. Baubin M, Rabl W, Pfeiffer KP, et al. Chest injuries after compression-decompression cardiopulmonary resuscitation (ACD-CPR) in cadavers. Resuscitation. 1999;43:9-15.
  • 16. Miller AC, Rosati SF, Suffredini AF, et al. A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic Injuries. Resuscitation. 2014;85:724–31.
  • 17. Şam B, Saka E, Süner Ç. Resuscitation complications in forensic autopsies. The Bulletin of Legal Medicine. 2003;8:5-8.

Evaluation of Thoracic Region Complications Associated With Cardiopulmonary Resuscitation Applied To Cases of Fall From Height

Year 2023, , 15 - 9, 15.01.2023
https://doi.org/10.37990/medr.1159304

Abstract

Aim: The most common causes of blunt trauma are traffic accidents and falls from height. Thoracic region complications may be seen in cardiopulmonary resuscitation (CPR). The aim of this study was to examine thoracic complications developing in cases applied with CPR following a fall from height with no direct chest trauma.
Materials and Methods: The thoracic complications of CPR were examined in cases with CPR applied after a fall from height following the exclusion of cases where death occurred and an autopsy was performed.
Results: Evaluation was made of 109 cases who met the study criteria, comprising 82 males and 27 females. Fractures of the sternum and costa were seen at a higher rate than reported in studies in literature. No statistically significant difference was determined between the genders in respect of fracture rates. As age increased, there was found to be a statistically significant increase in fractures.
Conclusion: This is the first study to have examined CPR complications following a fall from height. Just as there are direct effects of trauma on the body in general, there are also known to be some indirect effects. The results of this study showed an in increase in thoracic region complications developing after CPR applied to cases who developed cardiac arrest following a fall from height.

References

  • 1. Hoyt DB, Potenza BM, Cryer HG, et al. Surgery: scientific principles and practise. 2nd edn. Philadelphia: Lippincott-Raven; 1997;267–421.
  • 2. Ceylan S, Açıkel CH, Dündaröz R, et al. Determining the prevalence and trauma features of the patients which applied to the emergency service of a training hospital because of trauma. J Med Sci. 2002;22:156-61.
  • 3. Gül HS, Armağan HH, Karaman K, et al. Evaluation of Fall Cases Presenting To The Emergency Department. Med J SDU. 2019;26:430-4.
  • 4. Oktay C. Approach to the multi-trauma patient and recent developments. Anatolian Journal of Emergency Medicine October 2000;73-95.
  • 5. Avşar A, Okdemir E, Keten A, Karanfil R, Tree falling related death. Dicle Medical Journal. 2015; 42:331-4.
  • 6. Kim MJ, Park YS, Kim SW, et al. Chest injury following cardiopulmonary resuscitation: a prospective computed tomography evaluation. Resuscitation. 2013;84:361–4.
  • 7. Boz B, Erdur B, Acar K, et al. Frequency of skeletal chest injuries associated with cardiopulmonary resuscitation: forensic autopsy. (Article in Turkish) Ulus Travma Acil Cerrahi Derg. 2008;14:216–20. 8. Özer E, Şam B, Tokdemir MB, et al. Complications of cardiopulmonary resuscitation. Cumhuriyet Medical Journal. 2010;32:315–22.
  • 9. Black CJ, Busuttil A, Robertson C. Chest wall injuries following cardiopulmonary resuscitation. Resuscitation. 2004;63:339–43.
  • 10. Krischer JP, Fine EG, Davis JH, et al. Complications of cardiac resuscitation. Chest. 1987;92:287–91.
  • 11. Cech DJ, Martin ST. Body Systems Contcostauting to Functional Movement, 3rd edn. St Louise Missouri. Elsevie. 2012;105–28.
  • 12. Deliliga A, Chatzinikolaou F, Koutsoukis D, et al. Cardiopulmonary resuscitation (CPR) complications encountered in forensic autopsy cases. BMC Emerg Med. 2019;19:23.
  • 13. Hashimoto Η, Μoriya F, Furumiya J. Forensic aspects of complications resulting from cardiopulmonary resuscitation. Legal Med. 2007;9:94–9.
  • 14. Rabl W, Baubin M, Haid C, et al. Review of active compression-decompression cardiopulmonary resuscitation (ACD-CPR). Analysis of iatrogenic complications and their biomechanical explanation. Forensic Sci Int. 1997;89:175–83.
  • 15. Baubin M, Rabl W, Pfeiffer KP, et al. Chest injuries after compression-decompression cardiopulmonary resuscitation (ACD-CPR) in cadavers. Resuscitation. 1999;43:9-15.
  • 16. Miller AC, Rosati SF, Suffredini AF, et al. A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic Injuries. Resuscitation. 2014;85:724–31.
  • 17. Şam B, Saka E, Süner Ç. Resuscitation complications in forensic autopsies. The Bulletin of Legal Medicine. 2003;8:5-8.
There are 16 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases
Journal Section Original Articles
Authors

İsmail Altın 0000-0001-7185-2620

Ahmet Sedat Dündar 0000-0002-4029-2613

Erkal Gümüşboğa This is me 0000-0001-9190-4467

Mucahit Oruç 0000-0002-0132-6243

Osman Celbiş 0000-0003-2360-6905

Emine Şamdancı 0000-0002-0034-5186

Publication Date January 15, 2023
Acceptance Date September 17, 2022
Published in Issue Year 2023

Cite

AMA Altın İ, Dündar AS, Gümüşboğa E, Oruç M, Celbiş O, Şamdancı E. Evaluation of Thoracic Region Complications Associated With Cardiopulmonary Resuscitation Applied To Cases of Fall From Height. Med Records. January 2023;5(1):15-9. doi:10.37990/medr.1159304

         

Chief Editors
Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Turkey

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Turkey

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