Left Diaphragm Laceration Due to Cardiopulmonary Resuscitation |
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| Authors: | Vincent Dupont MD Clotilde Rougé‐Maillart MD PhD Arnaud Gaudin MD Audrey Jeanneteau MD Nathalie Jousset MD Stéphane Malbranque MD |
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| Affiliation: | 1. Lunam Université, Angers, France;2. Department of Forensic Medicine, University Hospital – Angers, Angers Cedex 09, France;3. Lunam Université, GEROM‐LHEA, IRIS‐IBS Institut de Biologie en santé, CHU Angers, Angers Cedex 09, France;4. Department of Anesthesiology and Reanimation, University Hospital – Angers, Angers Cedex 09, France |
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| Abstract: | External cardiac massage is the essential life‐saving gesture for the management of any cardiac arrest. Since the 1960s, many recommendations have been published to improve the effectiveness of chest compressions alongside the development of automated systems intended to maximize the chances of survival. The use of these manual and/or instrumental techniques can cause secondary injuries, of which rib fractures are the most commonly observed by forensic pathologists. However, a comprehensive review of the literature seldom highlights reports of injuries to the abdomen, even less so to the diaphragm. In this observation, an iatrogenic left diaphragmatic laceration for the first time is described, as a result of manual and instrumental cardiopulmonary resuscitation, in a victim from an intrathoracic wound caused by a bladed weapon. |
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| Keywords: | forensic science forensic relevance forensic aspect cardiopulmonary resuscitation chest compression AutoPulse® autopsy finding iatrogenic complication resuscitation related injuries diaphragm injury |
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