• Am J Emerg Med · Oct 2009

    Case Reports

    Extensive injury after use of a mechanical cardiopulmonary resuscitation device.

    • J Wind, S C A M Bekkers, L J H van Hooren, and L W E van Heurn.
    • Department of Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands. t.wind@mumc.nl
    • Am J Emerg Med. 2009 Oct 1;27(8):1017.e1-2.

    AbstractWe report a case of a 49-year-old woman with a ruptured liver and spleen found at autopsy, which may have been related to the use of a mechanical cardiopulmonary resuscitation (CPR) device (AutoPulse, ZOLL Medical Corporation, Chelmsford, Mass). She was admitted because of an out-of-hospital resuscitation, and under the suspicion of a pulmonary embolism, a thrombolytic agent was administered. Despite prolonged continuation of mechanical CPR, she died of persistent asystole. The evidence for improved outcomes after the use of a mechanical CPR device during resuscitation is still scarce. To prevent the unique complications reported here, regular checking of proper position of the chest band during resuscitation is advised.

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