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 journalArticlepeer-review

56 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 languageEnglish (US)
Pages (from-to)904-909
Number of pages6
JournalJournal of Forensic Sciences
Volume58
Issue number4
DOIs
StatePublished - Jul 2013
Externally publishedYes

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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