Pinto Deborrah C, Haden-Pinneri Kathryn, Love Jennifer C
Harris County Institute of Forensic Sciences, 1885 Old Spanish Trail, Houston, TX 77054, USA.
J Forensic Sci. 2013 Jul;58(4):904-9. doi: 10.1111/1556-4029.12146. Epub 2013 May 21.
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.
本研究的目的是识别并比较与AutoPulse（®）心肺复苏术及徒手心肺复苏术相关的创伤模式。对送至哈里斯县法医科学研究所的175例死者的最终尸检记录进行了审查，其中87例仅接受了徒手心肺复苏术，88例接受了AutoPulse（®）心肺复苏术（按照标准方案与徒手心肺复苏术联合使用）。在仅使用徒手心肺复苏术时观察到的特征性模式包括前肋骨骨折、胸骨骨折以及沿胸骨的中线胸部擦伤的高发生率。在使用AutoPulse（®）心肺复苏术时观察到的特征性模式包括后肋骨骨折、沿前外侧胸部和肩部的皮肤擦伤、脊椎骨折，以及少数包括肝裂伤、脾裂伤和血腹在内的内脏损伤病例。了解AutoPulse（®）心肺复苏术的损伤模式有助于法医病理学家区分治疗性损伤和外力所致损伤，从而避免对死因和死亡方式进行错误评估。
