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Thoracic Spine Fracture in a Survivor of Out-of-Hospital Cardiac Arrest with Mechanical CPR

Published online by Cambridge University Press:  19 September 2016

Robert Trevor Marshall ,
Hemang Kotecha ,
Takuyo Chiba  and
Joseph Tennyson Open the ORCID record for Joseph Tennyson [Opens in a new window]
Robert Trevor Marshall*
Affiliation:
Department of Emergency Medicine, Stony Brook University, Stony Brook, New York USA
Hemang Kotecha
Affiliation:
University of Massachusetts Medical School, Department of Radiology, Worcester, Massachusetts USA
Takuyo Chiba
Affiliation:
University of Massachusetts Medical School, Department of Emergency Medicine, Worcester, Massachusetts USA
Joseph Tennyson
Affiliation:
University of Massachusetts Medical School, Department of Emergency Medicine, Worcester, Massachusetts USA
*
Correspondence: Robert Trevor Marshall, MD Clinical Assistant Professor of Emergency Medicine Department of Emergency Medicine Stony Brook University 101 Nicolls Rd HSC Level 4 Room 080 Stony Brook, New York 11794 USA E-mail: [email protected]
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Abstract

This is a report of a thoracic vertebral fracture in a 79-year-old male survivor of out-of-hospital cardiac arrest with chest compressions provided by a LUCAS 2 (Physio-Control Inc.; Lund Sweden) device. This is the first such report in the literature of a vertebral fracture being noted in a survivor of cardiac arrest where an automated compression device was used.

Marshall RT, Kotecha H, Chiba T, Tennyson J. Thoracic Spine Fracture in a Survivor of Out-of-Hospital Cardiac Arrest with Mechanical CPR. Prehosp Disaster Med. 2016;31(6):684–686.

Keywords

cardiopulmonary resuscitationmechanical compression devicesout-of-hospital cardiac arrestspinal fractures
Type
Case Report
Information
Prehospital and Disaster Medicine , Volume 31 , Issue 6 , December 2016 , pp. 684 - 686
Copyright
© World Association for Disaster and Emergency Medicine 2016 

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References

1. Black, CJ, Busuttil, A, Robertson, C. Chest wall injuries following cardiopulmonary resuscitation. Resuscitation. 2004;63(3):339-343.CrossRefGoogle ScholarPubMed
2. Goldberg, RM, Rowan, L, Anderson, RE. Thoracic vertebral fracture as a complication of cardiopulmonary resuscitation. J Emerg Med. 1988;6(3):177-178.CrossRefGoogle ScholarPubMed
3. Pinto, DC, Haden-Pinneri, K, Love, JC. Manual and automated cardiopulmonary resuscitation (CPR): a comparison of associated injury patterns. J Forensic Sci. 2013;58(4):904-909.CrossRefGoogle ScholarPubMed
4. Steen, S, Liao, Q, Pierre, L, Paskevicius, A, Sjoberg, T. Evaluation of LUCAS, a new device for automatic mechanical compression and active decompression resuscitation. Resuscitation. 2002;55(3):285-299.CrossRefGoogle Scholar
5. Smekal, D, Johansson, J, Huzevka, T, Rubertsson, S. A pilot study of mechanical chest compressions with the LUCAS device in cardiopulmonary resuscitation. Resuscitation. 2011;82(6):702-706.CrossRefGoogle ScholarPubMed
6. Hoke, RS, Chamberlain, D. Skeletal chest injuries secondary to cardiopulmonary resuscitation. Resuscitation. 2004;63(3):327-338.Google Scholar
7. Giraud, R, Siegenthaler, N, Schussler, O, et al. The LUCAS 2 chest compression device is not always efficient: an echographic confirmation. Ann Emerg Med. 2015;65(1):23-26.Google Scholar
8. Lederer, W, Mair, D, Rabl, W, Baubin, M. Frequency of rib and sternum fractures associated with out-of-hospital cardiopulmonary resuscitation is underestimated by conventional chest X-ray. Resuscitation. 2004;60(2):157-162.CrossRefGoogle ScholarPubMed
9. Smekal, D, Johansson, J, Huzevka, T, Rubertsson, S. No difference in autopsy detected injuries in cardiac arrest patients treated with manual chest compressions compared with mechanical compressions with the LUCAS device—a pilot study. Resuscitation. 2009;80(10):1104-1107.Google Scholar
10. Smekal, D, Lindgren, E, Sandler, H, Johansson, J, Rubertsson, S. CPR-related injuries after manual or mechanical chest compressions with the LUCAS device: a multicenter study of victims after unsuccessful resuscitation. Resuscitation. 2014;85(12):1708-1712.CrossRefGoogle ScholarPubMed
11. Lardi, C, Egger, C, Larribau, R, Niquille, M, Mangin, P, Fracasso, T. Traumatic injuries after mechanical cardiopulmonary resuscitation (LUCAS 2): a forensic autopsy study. Int J Legal Med. 2015;129(5):1035-1042.CrossRefGoogle Scholar
12. Buschmann, C, Tsokos, M. Frequent and rare complications of resuscitation attempts. Intensive Care Med. 2009;35(3):397-404.CrossRefGoogle ScholarPubMed
13. Hashimoto, Y, Moriya, F, Furumiya, J. Forensic aspects of complications resulting from cardiopulmonary resuscitation. Leg Med (Tokyo). 2007;9(2):94-99.CrossRefGoogle ScholarPubMed
14. Azuma, SS, Mashiyama, ET, Goldsmith, CI, Abbasi, AS. Chest compression-induced vertebral fractures. Chest. 1986;89(1):154-155.Google Scholar
15. Jeong, YG, Caccamo, LP. Letter: cardiac resuscitation and vertebral fracture. JAMA. 1975;234(12):1223.Google Scholar