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https://hdl.handle.net/2440/114359
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Type: | Journal article |
Title: | Flail chest following failed cardiopulmonary resuscitation |
Author: | Thompson, M. Langlois, N. Byard, R. |
Citation: | Journal of Forensic Sciences, 2017; 62(5):1220-1222 |
Publisher: | Wiley |
Issue Date: | 2017 |
ISSN: | 0022-1198 1556-4029 |
Statement of Responsibility: | Melissa Thompson, Neil E.I. Langlois and Roger W. Byard |
Abstract: | Following the death of a woman with blunt force chest trauma, the question was asked how common was the finding at autopsy of a flail chest in decedents after failed cardiopulmonary resuscitation. It was suggested in court that this was an uncommon occurrence. To address this issue, autopsy cases in adults (>18 years) with rib fractures attributable to cardiopulmonary resuscitation were taken from the files of Forensic Science SA over a 7-year period from 2008 to 2014. Flail chest injuries were defined as those arising from fractures at two sites in at least three consecutive ribs. From 236 cases with rib fractures attributed to resuscitation, a total of 43 flail chest injuries were found in 35 cases (14.8%). The majority occurred in the 60-79-year-old age group. These data suggest that flail chest injuries are a more common sequelae of cardiopulmonary resuscitation than has been previously appreciated in autopsy cases, particularly in the elderly. |
Keywords: | Forensic science; flail chest; rib fracture; cardiopulmonary resuscitation; chest compression; blunt trauma |
Rights: | © 2017 American Academy of Forensic Sciences |
DOI: | 10.1111/1556-4029.13411 |
Published version: | http://dx.doi.org/10.1111/1556-4029.13411 |
Appears in Collections: | Aurora harvest 8 Medicine publications |
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