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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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Correspondence to Youichi Yanagawa .

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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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