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Use of whole body CT to detect patterns of CPR-related injuries after sudden cardiac arrest

European Radiology Sep 07, 2018

Dunham GM, et al. - In this single-centre retrospective review, researchers assessed the number and pattern of cardiopulmonary resuscitation (CPR)-related injuries in return of spontaneous circulation (ROSC) patients with sudden cardiac arrest (SCA)-whole-body computed tomography (WBCT). Participants in the study were 39 patients (13 female; 20 male, mean age 51.8 years) with non-traumatic, out-of-hospital SCA and ROSC and evaluation with dedicated SCA-WBCT over a 10-month period. It was noted that CPR-related injuries were detected in 85% (33/39) and in-hospital mortality was 54%. They found that CPR-related injuries on WBCT after ROSC were common, with serial rib fractures detected most commonly. They detected an unexpectedly high rate of abdominal injuries on SCA-WBCT. The study findings suggested that radiologists need to be attuned to the spectrum of CPR-related injuries in WBCT, including abdominal injuries and subtle rib fractures.
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