Abstract
Effective chest compressions have been proven to be a key element in a successful cardiopulmonary resuscitation (CPR). However, unintended injuries have been described in the medical literature for decades, including major intrathoracic injuries. We present a case of an 80-year-old man after a successful CPR who was later diagnosed with deep epicardial laceration as a result of effective chest compressions.
Highlights
Effective chest compressions have been proven to be a key element in a successful cardiopulmonary resuscitation (CPR)
The patient was immediately transferred to the emergency room where he was intubated and defibrillated twice due to ventricular fibrillation (Figure 1), with return of spontaneous circulation (ROSC) in between the two shocks (Figure 2)
After a second ROSC, cardiac rhythm converted to atrial fibrillation with ST segment elevation in the leads corresponding to the anterior wall
Summary
Noa Fried Regev, M.D.1*, Tzachi Slutsky, M.D.1, Oren Lev-Ran, M.D.2, Yaron Ishai, M.D.2, and Dan Schwarzfuchs M.D.1 1Department of Emergency Medicine, Soroka University Medical Center, Beer-Sheva, Israel; and 2Department of Cardiothoracic Surgery, Soroka University Medical Center, Beer-Sheva, Israel
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