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CPR and Organ injury

Jose Luis Danguilan jdanguilan at gmail.com
Thu Oct 15 22:05:55 BST 2009


>
> Should all CPR patients be evaluated like a trauma? Keith
>

Good point.

I have seen multiple rib fractures as well as hemothorax post-CPR. A few
years ago, I saw bleeding from multiple pericardiocentesis sites with
tamponade when a thoracotomy was done after resuscitation for a penetrating
injury to the chest.

Jose Luis J. Danguilan, MD

On Fri, Oct 16, 2009 at 12:17 AM, Wolfer, Rebecca <wolferr at marshall.edu>wrote:

> I have seen that as well, but our pt was on neopogen, which has a reported
> incidence of splenic rupture as well
> we checked a CT becuase he developed hypotension and a large Hgb drop.
> RW
>
> ________________________________________
> From: trauma-list-bounces at trauma.org [trauma-list-bounces at trauma.org] On
> Behalf Of Keith Lamb [lambrrt at gmail.com]
> Sent: Thursday, October 15, 2009 11:20 AM
> To: Trauma & Critical Care mailing list
> Subject: CPR and Organ injury
>
> Does anyone know of any data that has been collected regarding organ injury
> s/p CPR? Example if you have a patient that is resuscitated after cardiac
> arrest, started on anti coagulation therapy because of DVT/PE and then
> patient exsanguinates due to unrecognized splenic laceration (possibly
> caused by CPR).
>
> Does anyone routinely image (or is this vomit) patients that have had chest
> compressions and possible solid organ injury? Should all CPR patients be
> evaluated like a trauma?
>
> Keith
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