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

BACKGROUND The purpose of this study was to determine complications of resuscitation seen during autopsies and evaluate the effectiveness of basic life support training. METHODS Autopsy case reports conducted in The Forensic Branch Manager of Muğla were retrospectively examined. Demographic data of the patients with resuscitation complications such as age, gender, manner of death, and kinds and features of the complications were recorded. RESULTS In total, seventy-fourof the 100 cases with resuscitation complications were males. The autopsies in most of these cases were performed during the summer season. Among the patients, 68% died for non-traumatic reasons. Rib fractures were detected in seventy-one patients and sternum fractures in thirty-two patients. Moreover, damage to the pericardium (2%) and lung parenchymal (4%), heart lesions (4%), and liver lacerations (2%) were detected. Regarding rib fractures, fractures were found between the first and eighth ribs on both sides, with the highest numbers occurring in the fourth rib. CONCLUSION Resuscitation complications are important since they can be presumed to have carried out for traumatic reasons.Resuscitation complications seen in autopsy cases with non-traumatic causes can be perceived as traumatic events. They can be assumed incorrectly as trauma symptoms. These complications can be reduced with a good resuscitation training of the health personnel.

[1]  D. Kosior,et al.  Coronary artery dissection, traumatic liver and spleen injury after cardiopulmonary resuscitation – a case report and review of the literature , 2013, Archives of medical science : AMS.

[2]  Jyrki Tenhunen,et al.  Deeper chest compression - more complications for cardiac arrest patients? , 2013, Resuscitation.

[3]  Min Joung Kim,et al.  Chest injury following cardiopulmonary resuscitation: a prospective computed tomography evaluation. , 2013, Resuscitation.

[4]  Jeong Ho Kim,et al.  Multidetector CT findings of skeletal chest injuries secondary to cardiopulmonary resuscitation. , 2011, Resuscitation.

[5]  L. Carucci,et al.  Liver injury diagnosed on computed tomography after use of an automated cardiopulmonary resuscitation device , 2011, Emergency Radiology.

[6]  Robin Hemphill,et al.  Part 5: adult basic life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. , 2010, Circulation.

[7]  G. Perkins,et al.  European Resuscitation Council Guidelines for Resuscitation 2010 Section 2. Adult basic life support and use of automated external defibrillators , 2010, Resuscitation.

[8]  F. J. Podbielski,et al.  Spontaneous splenic rupture in a patient receiving thrombolytic therapy , 2009 .

[9]  M. Tsokos,et al.  Frequent and rare complications of resuscitation attempts , 2009, Intensive Care Medicine.

[10]  Kemalettin Acar,et al.  [Frequency of skeletal chest injuries associated with cardiopulmonary resuscitation: forensic autopsy]. , 2008, Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES.

[11]  F. Sterz,et al.  Cardiopulmonary resuscitation-associated major liver injury. , 2007, Resuscitation.

[12]  Aha.  2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care , 2005 .

[13]  D. Chamberlain,et al.  Skeletal chest injuries secondary to cardiopulmonary resuscitation. , 2004, Resuscitation.

[14]  Anthony Busuttil,et al.  Chest wall injuries following cardiopulmonary resuscitation. , 2004, Resuscitation.

[15]  M D Ziegenfuss,et al.  Traumatic liver injury complicating cardio-pulmonary resuscitation. The value of a major intensive care facility: a report of two cases. , 2004, Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine.

[16]  Wolfgang Lederer,et al.  Frequency of rib and sternum fractures associated with out-of-hospital cardiopulmonary resuscitation is underestimated by conventional chest X-ray. , 2004, Resuscitation.

[17]  F. Lombardi,et al.  Liver rupture after cardiopulmonary resuscitation (CPR) and thrombolysis , 1999, Intensive Care Medicine.

[18]  J. Hartmann,et al.  Liver laceration in the hemodynamically unstable post-cardiac massage patient: early recognition and management--case report. , 1999, Journal of Trauma.

[19]  P. Mair,et al.  Increased frequency of thorax injuries with ACD-CPR. , 1999, Resuscitation.

[20]  L. Bossaert,et al.  Liver rupture after cardiopulmonary resuscitation in a patient receiving thrombolytic therapy. , 1996, Resuscitation.

[21]  C. Schlichting,et al.  [Intra-abdominal bleeding after myocardial infarction with cardiopulmonary resuscitation and thrombolytic therapy]. , 1995, Der Anaesthesist.

[22]  J. Krischer,et al.  Complications of cardiac resuscitation. , 1987, Chest.

[23]  F. Paaske,et al.  Complications of closed-chest cardiac massage in a forensic autopsy material. , 1968, Danish medical bulletin.

[24]  M. Hazinski,et al.  Part 5: Adult basic life support: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. , 2010, Circulation.