Volume 58, Issue 4 pp. 904-909

Paper

Manual and Automated Cardiopulmonary Resuscitation (CPR): A Comparison of Associated Injury Patterns^†,^‡

Deborrah C. Pinto Ph.D.,

Corresponding Author

Deborrah C. Pinto Ph.D.

Harris County Institute of Forensic Sciences, 1885 Old Spanish Trail, Houston, TX, 77054

Additional information and reprint requests:

Deborrah C. Pinto, Ph.D.

Harris County Institute of Forensic Sciences

1885 Old Spanish Trail

Houston, TX 77054

E-mail: [email protected]

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Kathryn Haden-Pinneri M.D.,

Kathryn Haden-Pinneri M.D.

Harris County Institute of Forensic Sciences, 1885 Old Spanish Trail, Houston, TX, 77054

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Jennifer C. Love Ph.D.,

Jennifer C. Love Ph.D.

Harris County Institute of Forensic Sciences, 1885 Old Spanish Trail, Houston, TX, 77054

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Deborrah C. Pinto Ph.D.,

Corresponding Author

Deborrah C. Pinto Ph.D.

Harris County Institute of Forensic Sciences, 1885 Old Spanish Trail, Houston, TX, 77054

Additional information and reprint requests:

Deborrah C. Pinto, Ph.D.

Harris County Institute of Forensic Sciences

1885 Old Spanish Trail

Houston, TX 77054

E-mail: [email protected]

Search for more papers by this author

Kathryn Haden-Pinneri M.D.,

Kathryn Haden-Pinneri M.D.

Harris County Institute of Forensic Sciences, 1885 Old Spanish Trail, Houston, TX, 77054

Search for more papers by this author

Jennifer C. Love Ph.D.,

Jennifer C. Love Ph.D.

Harris County Institute of Forensic Sciences, 1885 Old Spanish Trail, Houston, TX, 77054

Search for more papers by this author

First published: 21 May 2013

https://doi.org/10.1111/1556-4029.12146

Citations: 64

^†

Presented at the 63rd Annual Meeting of the American Academy of Forensic Sciences Meeting, February 21–26, 2011, in Chicago, IL.

^‡

Funding provided by the National Institute of Justice Coverdell Forensic Science Improvement Grant Program.

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Abstract

The purpose of this study was to identify and compare patterns of trauma associated with AutoPulse^® CPR and manual CPR. Finalized autopsy records from 175 decedents brought to the Harris County Institute of Forensic Sciences were reviewed, 87 received manual-only CPR, and 88 received AutoPulse^® CPR (in combination with manual CPR as per standard protocol). The characteristic pattern observed in manual-only CPR use included a high frequency of anterior rib fractures, sternal fractures, and midline chest abrasions along the sternum. The characteristic pattern observed in AutoPulse^® CPR use included a high frequency of posterior rib fractures, skin abrasions located along the anterolateral chest and shoulder, vertebral fractures, and a few cases of visceral injuries including liver lacerations, splenic lacerations, and hemoperitoneum. Knowledge of the AutoPulse^® CPR injury pattern can help forensic pathologists differentiate therapeutic from inflicted injuries and therefore avoid an erroneous assessment of cause and manner of death.

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Manual and Automated Cardiopulmonary Resuscitation (CPR): A Comparison of Associated Injury Patterns^†,^‡