Comparison of chest compression injuries during CPR between the 2010 and 2005 AHA guidelines in autopsy cases in Chiang Mai, Thailand

Chiang Mai Medical Journal (Formerly Chiang Mai Medical Bulletin) is an official journal of the Faculty of Medicine, Chiang Mai University. It accepts original papers on clinical and experimental research that are pertinent in the biomedical sciences. The Journal is published 4 issues/year (i.e., Ma...

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Main Authors: Yutti Amornlertwatna, Paitoon Narongchai
Format: บทความวารสาร
Language:English
Published: Faculty of Medicine, Chiang Mai University 2019
Online Access:https://www.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/87735/69216
http://cmuir.cmu.ac.th/jspui/handle/6653943832/65209
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Institution: Chiang Mai University
Language: English
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spelling th-cmuir.6653943832-652092019-05-07T10:02:45Z Comparison of chest compression injuries during CPR between the 2010 and 2005 AHA guidelines in autopsy cases in Chiang Mai, Thailand การเปรียบเทียบการบาดเจ็บที่เกิดขึ้นจากการกดนวดทรวงอกในกระบวนการการช่วยฟื้น คืนชีพระหว่างข้อชี้แนะของสมาคมโรคหัวใจแห่งอเมริกา ปี ค.ศ. 2010 และ 2005 ที่ตรวจ พบในศพที่ชันสูตรในเชียงใหม่ ประเทศไทย Yutti Amornlertwatna Paitoon Narongchai Chiang Mai Medical Journal (Formerly Chiang Mai Medical Bulletin) is an official journal of the Faculty of Medicine, Chiang Mai University. It accepts original papers on clinical and experimental research that are pertinent in the biomedical sciences. The Journal is published 4 issues/year (i.e., Mar, Jun, Sep, and Dec). Background The 2010 American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) focus more on the importance of chest compressions than the 2005 AHA Guidelines. Observations show that injuries from CPR under the 2010 guidelines are more serious than those that occur under the 2005 guidelines. This may be a contributing factor in the death of these patients. Objective To study and compare injuries from CPR chest compressions under the 2010 AHA Guidelines with those that occurred under the 2005 Guidelines. Material and methods Retrospective, prospective and descriptive studies were performed on 254 deceased persons who had received chest compressions under the 2005 or 2010 AHA Guidelines. Results This study found a higher incidence of injuries from cases of chest compression (2010 guidelines) than in the controls (2005 guidelines). Injuries that were statistically signifi cant (p<0.05) included: skin contusion/abrasion, intercostal muscle contusion, sternal fracture, rib fracture, pericardial contusion, pericardial rupture, hilar and heart contusion, cardiac contusion, and spleen rupture. Conclusion Injuries found from CPR chest compressions, which followed the 2010 AHA guidelines, were statistically greater in quantity and severity than those found in persons following the 2005 guidelines. Chronic liver diseases, such as cirrhosis and fatty liver disease, can cause increased injury from CPR chest compressions. 2019-05-07T10:02:45Z 2019-05-07T10:02:45Z 2016 บทความวารสาร 0125-5983 https://www.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/87735/69216 http://cmuir.cmu.ac.th/jspui/handle/6653943832/65209 Eng Faculty of Medicine, Chiang Mai University
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
language English
description Chiang Mai Medical Journal (Formerly Chiang Mai Medical Bulletin) is an official journal of the Faculty of Medicine, Chiang Mai University. It accepts original papers on clinical and experimental research that are pertinent in the biomedical sciences. The Journal is published 4 issues/year (i.e., Mar, Jun, Sep, and Dec).
format บทความวารสาร
author Yutti Amornlertwatna
Paitoon Narongchai
spellingShingle Yutti Amornlertwatna
Paitoon Narongchai
Comparison of chest compression injuries during CPR between the 2010 and 2005 AHA guidelines in autopsy cases in Chiang Mai, Thailand
author_facet Yutti Amornlertwatna
Paitoon Narongchai
author_sort Yutti Amornlertwatna
title Comparison of chest compression injuries during CPR between the 2010 and 2005 AHA guidelines in autopsy cases in Chiang Mai, Thailand
title_short Comparison of chest compression injuries during CPR between the 2010 and 2005 AHA guidelines in autopsy cases in Chiang Mai, Thailand
title_full Comparison of chest compression injuries during CPR between the 2010 and 2005 AHA guidelines in autopsy cases in Chiang Mai, Thailand
title_fullStr Comparison of chest compression injuries during CPR between the 2010 and 2005 AHA guidelines in autopsy cases in Chiang Mai, Thailand
title_full_unstemmed Comparison of chest compression injuries during CPR between the 2010 and 2005 AHA guidelines in autopsy cases in Chiang Mai, Thailand
title_sort comparison of chest compression injuries during cpr between the 2010 and 2005 aha guidelines in autopsy cases in chiang mai, thailand
publisher Faculty of Medicine, Chiang Mai University
publishDate 2019
url https://www.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/87735/69216
http://cmuir.cmu.ac.th/jspui/handle/6653943832/65209
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