Manual and automated cardiopulmonary resuscitation (CPR): A comparison of associated injury patterns

Deborrah C. Pinto; Kathryn Haden-Pinneri; Jennifer C. Love

doi:10.1111/1556-4029.12146

Manual and automated cardiopulmonary resuscitation (CPR): A comparison of associated injury patterns

Deborrah C. Pinto, Kathryn Haden-Pinneri, Jennifer C. Love

Research output: Contribution to journal › Article › peer-review

58 Scopus citations

Abstract

The purpose of this study was to identify and compare patterns of trauma associated with AutoPulse^® CPR and manual CPR. Finalized autopsy records from 175 decedents brought to the Harris County Institute of Forensic Sciences were reviewed, 87 received manual-only CPR, and 88 received AutoPulse^® CPR (in combination with manual CPR as per standard protocol). The characteristic pattern observed in manual-only CPR use included a high frequency of anterior rib fractures, sternal fractures, and midline chest abrasions along the sternum. The characteristic pattern observed in AutoPulse^® CPR use included a high frequency of posterior rib fractures, skin abrasions located along the anterolateral chest and shoulder, vertebral fractures, and a few cases of visceral injuries including liver lacerations, splenic lacerations, and hemoperitoneum. Knowledge of the AutoPulse^® CPR injury pattern can help forensic pathologists differentiate therapeutic from inflicted injuries and therefore avoid an erroneous assessment of cause and manner of death.

Original language	English (US)
Pages (from-to)	904-909
Number of pages	6
Journal	Journal of Forensic Sciences
Volume	58
Issue number	4
DOIs	https://doi.org/10.1111/1556-4029.12146
State	Published - Jul 2013
Externally published	Yes

Keywords

AutoPulse
Cardiopulmonary resuscitation
Device-assisted cardiopulmonary resuscitation
Forensic pathology
Forensic science
Trauma

ASJC Scopus subject areas

Pathology and Forensic Medicine
Genetics

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10.1111/1556-4029.12146

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title = "Manual and automated cardiopulmonary resuscitation (CPR): A comparison of associated injury patterns",

abstract = "The purpose of this study was to identify and compare patterns of trauma associated with AutoPulse{\textregistered} CPR and manual CPR. Finalized autopsy records from 175 decedents brought to the Harris County Institute of Forensic Sciences were reviewed, 87 received manual-only CPR, and 88 received AutoPulse{\textregistered} CPR (in combination with manual CPR as per standard protocol). The characteristic pattern observed in manual-only CPR use included a high frequency of anterior rib fractures, sternal fractures, and midline chest abrasions along the sternum. The characteristic pattern observed in AutoPulse{\textregistered} CPR use included a high frequency of posterior rib fractures, skin abrasions located along the anterolateral chest and shoulder, vertebral fractures, and a few cases of visceral injuries including liver lacerations, splenic lacerations, and hemoperitoneum. Knowledge of the AutoPulse{\textregistered} CPR injury pattern can help forensic pathologists differentiate therapeutic from inflicted injuries and therefore avoid an erroneous assessment of cause and manner of death.",

keywords = "AutoPulse, Cardiopulmonary resuscitation, Device-assisted cardiopulmonary resuscitation, Forensic pathology, Forensic science, Trauma",

author = "Pinto, {Deborrah C.} and Kathryn Haden-Pinneri and Love, {Jennifer C.}",

year = "2013",

month = jul,

doi = "10.1111/1556-4029.12146",

language = "English (US)",

volume = "58",

pages = "904--909",

journal = "Journal of Forensic Sciences",

issn = "0022-1198",

publisher = "Wiley-Blackwell",

number = "4",

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T1 - Manual and automated cardiopulmonary resuscitation (CPR)

T2 - A comparison of associated injury patterns

AU - Pinto, Deborrah C.

AU - Haden-Pinneri, Kathryn

AU - Love, Jennifer C.

PY - 2013/7

Y1 - 2013/7

N2 - The purpose of this study was to identify and compare patterns of trauma associated with AutoPulse® CPR and manual CPR. Finalized autopsy records from 175 decedents brought to the Harris County Institute of Forensic Sciences were reviewed, 87 received manual-only CPR, and 88 received AutoPulse® CPR (in combination with manual CPR as per standard protocol). The characteristic pattern observed in manual-only CPR use included a high frequency of anterior rib fractures, sternal fractures, and midline chest abrasions along the sternum. The characteristic pattern observed in AutoPulse® CPR use included a high frequency of posterior rib fractures, skin abrasions located along the anterolateral chest and shoulder, vertebral fractures, and a few cases of visceral injuries including liver lacerations, splenic lacerations, and hemoperitoneum. Knowledge of the AutoPulse® CPR injury pattern can help forensic pathologists differentiate therapeutic from inflicted injuries and therefore avoid an erroneous assessment of cause and manner of death.

AB - The purpose of this study was to identify and compare patterns of trauma associated with AutoPulse® CPR and manual CPR. Finalized autopsy records from 175 decedents brought to the Harris County Institute of Forensic Sciences were reviewed, 87 received manual-only CPR, and 88 received AutoPulse® CPR (in combination with manual CPR as per standard protocol). The characteristic pattern observed in manual-only CPR use included a high frequency of anterior rib fractures, sternal fractures, and midline chest abrasions along the sternum. The characteristic pattern observed in AutoPulse® CPR use included a high frequency of posterior rib fractures, skin abrasions located along the anterolateral chest and shoulder, vertebral fractures, and a few cases of visceral injuries including liver lacerations, splenic lacerations, and hemoperitoneum. Knowledge of the AutoPulse® CPR injury pattern can help forensic pathologists differentiate therapeutic from inflicted injuries and therefore avoid an erroneous assessment of cause and manner of death.

KW - AutoPulse

KW - Cardiopulmonary resuscitation

KW - Device-assisted cardiopulmonary resuscitation

KW - Forensic pathology

KW - Forensic science

KW - Trauma

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IS - 4

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Manual and automated cardiopulmonary resuscitation (CPR): A comparison of associated injury patterns

Abstract

Keywords

ASJC Scopus subject areas

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