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Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi
2022, Cilt 36, Sayı 1, Sayfa(lar) 056-059
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The Investigation of Cardiopulmonary Resuscitation Related Rib and Sternum Fractures
Ertuğrul GÖK1, Recep FEDAKAR2, Süleyman SİVRİ3
1Dicle Üniversitesi, Tıp Fakültesi, Adli Tıp Anabilim Dalı, Diyarbakır, TÜRKİYE
2Bursa Uludağ Üniversitesi, Tıp Fakültesi, Adli Tıp Anabilim Dalı, Bursa, TÜRKİYE
3Kahramanmaraş Sütçü İmam Üniversitesi, Tıp Fakültesi, Adli Tıp Anabilim Dalı, Kahramanmaraş, TÜRKİYE
Keywords: : Forensic autopsy, cardiopulmonary resuscitation, complication, rib fracture, sternum fracture

Objectives: Forensic physicians may be mistaken about whether some findings especially in post-traumatic autopsy cases are related to primary trauma or cardiopulmonary resuscitation (CPR). Therefore, complications that may be CPR should be well recognized and kept in mind during forensic autopsy. In this study, it is aimed to reveal the complications that can be related to CPR in non-traumatic death cases.

Material and Methods: In the present study, the data were obtained by scanning the files of 9174 forensic death cases who had forensic autopsy or only corpse examination in a 10-year-long period between 2005 and 2014 by the Council of Forensic Medicine, Diyarbakir Group Chairmanship. Of these forensic death cases, forensic autopsy was performed on 6309 and among those who had forensic autopsy, 403 cases who were confirmed to die due to non-traumatic causes and to have undergone CPR were examined.

Results: In the study, when the cases where CPR was applied, were examined, ecchymosis and subcutaneous haemorrhage was found in 92 (22.82%) cases, 1-3 rib fractures were found in 16 (3.97%) cases, fractures in 4 or more than 4 ribs were found in 49 (12.15%) cases, sternal fracture was found in 78 (19.35%) and internal organ damage was found in 13 (3.22%) cases.

Conclusion: Although the complication rates according to the results of the study were found to be low compared to the literature, this low rate may be interpreted as that the complications occurring in some patients could have been overlooked.


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