Risk factors for cardiopulmonary resuscitation‐related injuries sustained during out‐of‐hospital cardiac arrests

• DOI: 10.1111/aas.13155
• Publication Date: 2018-05-25T02:23:55Z
• Authors: P. Setälä; H. Hellevuo; H. Huhtala; A. Kämäräinen; J. Tirkkonen; S. Hoppu
• Keywords: Adult; Aged, 80 and over; Male; Emergency Medical Services; Rib Fractures; Incidence; Age Factors; Abdominal Injuries; Middle Aged; Cardiopulmonary Resuscitation; 3. Good health; 03 medical and health sciences; Sex Factors; 0302 clinical medicine; Risk Factors; Humans; Wounds and Injuries; Female; Autopsy; Prospective Studies; Finland; Out-of-Hospital Cardiac Arrest; Aged

Background We aimed to determine the incidence of and associated risk factors for cardiopulmonary resuscitation ( CPR )‐related injuries in non‐survivors out‐of‐hospital cardiac arrests OHCA s) an emergency medical service EMS ) system which all procedures are performed on scene patients not routinely transported hospital with ongoing . Material methods conducted this prospective observational study between 1 June 2013, 31 May 2014. Data were collected from datasheets forensic autopsy records. The exclusion criteria s due trauma thoracic or abdominal area. adhered European Resuscitation Council Guidelines (2010) during attempts. Results Emergency provided 280 attended 207 cases terminated scene. A total 149 underwent a 47% had ‐related injury. most common multiple rib fractures (43%), 22% having more than eight fractured ribs. Abdominal visceral related airway management rare. older age, male gender, initial shockable rhythm public location arrest P < .05 respectively). In multivariable regression analysis, independent predictors injuries. There no differences durations attempt injured non‐injured groups. Conclusion Older independently duration attempts did affect incident