• JAMA · Aug 1994

    Cardiopulmonary resuscitation and rib fractures in infants. A postmortem radiologic-pathologic study.

    • M R Spevak, P K Kleinman, P L Belanger, C Primack, and J M Richmond.
    • Department of Radiology, University of Massachusetts Medical Center, Worchester 01655.
    • JAMA. 1994 Aug 24;272(8):617-8.

    ObjectiveTo determine the incidence of rib fractures visible at autopsy or with postmortem radiographs after cardiopulmonary resuscitation (CPR) in infants younger than 1 year.DesignRetrospective review.SettingMedical examiner's office in a county consisting of a medium-sized city, towns, and rural areas.PatientsNinety-one infants (56 males, 35 females; mean age, 2.4 months; age range, 26 hours to 8.5 months) without evidence of child abuse who had undergone CPR before death.MethodsMedical records, skeletal surveys, and autopsy results were reviewed.ResultsNo patient had rib fractures.ConclusionsCardiopulmonary resuscitation is unlikely to cause rib fractures in infants.

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