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International Conference on Applied Physics, System Science and Computers

APSAC 2017: Applied Physics, System Science and Computers II pp 85–91Cite as

Risk Factors for the Occurrence of Traumatic Vacuum Phenomenon After Chest Compression for Patients with Cardiac Arrest

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Part of the Lecture Notes in Electrical Engineering book series (LNEE,volume 489)

Abstract

We retrospectively investigated the risk factors for the occurrence of traumatic vacuum phenomenon (TVP) after chest compression for patients with cardiopulmonary arrest (CPA) using computed tomography (CT). A medical chart review was performed for all patients with out-of-hospital endogenous CPA. The subjects were divided into two groups: TVP + group and the TVP – group. 110 patients were enrolled as subjects. TVP was observed in 33. The rates of witness collapse and rib fracture were significantly higher in the TVP + group than in the TVP – group. The duration from the commencement of CPR by emergency medical technicians to the CT examination in the TVP + group was significantly longer than in the TVP – group. Accordingly, among patients with out-of-hospital CPA, witness collapse, rib fracture and a longer duration from the commencement of cardiopulmonary resuscitation (CPR) by EMTs to the CT examination were risk factors for TVP.

Keywords

  • Traumatic vacuum phenomenon
  • Cardiopulmonary arrest
  • Chest compression
  • Rib fracture

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Acknowledgments

This work received funding from Ministry of Education, Culture, Sports, Science and Technology (MEXT)-Supported Program for the Strategic Research Foundation at Private Universities, 2015–2019. The title is [The constitution of total researching system for comprehensive disaster, medical management, corresponding to wide-scale disaster].

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Authors and Affiliations

  1. Department of Acute Critical Care Medicine, Juntendo Shizuoka Hospital, 1129 Nagaoka, Izunokuni, Shizuoka, 410-2295, Japan

    Youichi Yanagawa, Kouhei Ishikawa, Hiroki Nagasawa, Ikuto Takeuchi, Suguru Kato, Kei Jitsuiki, Takashi Iso, Toshihiko Yoshizawa, Hiromichi Ohsaka & Kazuhiko Omori

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  1. Youichi Yanagawa
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  2. Kouhei Ishikawa
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  3. Hiroki Nagasawa
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  4. Ikuto Takeuchi
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  5. Suguru Kato
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  6. Kei Jitsuiki
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  7. Takashi Iso
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  8. Toshihiko Yoshizawa
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  9. Hiromichi Ohsaka
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Correspondence to Youichi Yanagawa .

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Editors and Affiliations

  1. Department of Business Administration, University of West Attica, Athens, Greece

    Prof. Klimis Ntalianis

  2. Faculty of Mathematics, Al.I. Cuza University, Iasi, Romania

    Dr. Anca Croitoru

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We obtained financial support from Pfizer Corporation.

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Yanagawa, Y. et al. (2019). Risk Factors for the Occurrence of Traumatic Vacuum Phenomenon After Chest Compression for Patients with Cardiac Arrest. In: Ntalianis, K., Croitoru, A. (eds) Applied Physics, System Science and Computers II. APSAC 2017. Lecture Notes in Electrical Engineering, vol 489. Springer, Cham. https://doi.org/10.1007/978-3-319-75605-9_12

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  • DOI: https://doi.org/10.1007/978-3-319-75605-9_12

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