{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T22:42:12Z","timestamp":1774478532533,"version":"3.50.1"},"reference-count":17,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2017,7,3]],"date-time":"2017-07-03T00:00:00Z","timestamp":1499040000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Rescue breathing performed too vigorously or by untrained individuals may cause gastric distension and perforation. A 26-year-old woman is presented who developed acute abdominal pain and distension after receiving rescue breathing following a heroin overdose. Massive pneumoperitoneum was seen on chest x-ray, and on subsequent laparotomy, a 4cm laceration was found in the lesser curvature of the stomach. Review of the literature suggests that the lesser curvature is particularly susceptible to perforation following over-distension. Emergency personnel should be aware of this rare, but serious, complication. Expansion of community and first responder naloxone use in the proper clinical setting may further diminish utilization of rescue breathing.<\/jats:p><jats:p><jats:mixed-citation id=\"S1049023X17006653_ref1\" publication-type=\"journal\"><jats:name name-style=\"western\"><jats:surname>Butterfield<\/jats:surname><jats:given-names>M<\/jats:given-names><\/jats:name>, <jats:name name-style=\"western\"><jats:surname>Peredy<\/jats:surname><jats:given-names>T<\/jats:given-names><\/jats:name>. <jats:article-title>On-scene rescue breathing resulting in gastric perforation and massive pneumoperitoneum<\/jats:article-title>. <jats:source>Prehosp Disaster Med<\/jats:source>. <jats:year>2017<\/jats:year>;<jats:volume>32<\/jats:volume>(<jats:issue>6<\/jats:issue>):<jats:fpage>682<\/jats:fpage>\u2013<jats:lpage>683<\/jats:lpage>.<\/jats:mixed-citation><\/jats:p>","DOI":"10.1017\/s1049023x17006653","type":"journal-article","created":{"date-parts":[[2017,7,3]],"date-time":"2017-07-03T09:02:44Z","timestamp":1499072564000},"page":"682-683","source":"Crossref","is-referenced-by-count":2,"title":["On-Scene Rescue Breathing Resulting in Gastric Perforation and Massive Pneumoperitoneum"],"prefix":"10.1017","volume":"32","author":[{"given":"Mike","family":"Butterfield","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamas","family":"Peredy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2017,7,3]]},"reference":[{"key":"S1049023X17006653_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2008.09.019"},{"key":"S1049023X17006653_ref1","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X17006653"},{"key":"S1049023X17006653_ref17","volume-title":"Community Management of Opioid Overdose","year":"2014"},{"key":"S1049023X17006653_ref2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.119.6.1965"},{"key":"S1049023X17006653_ref7","first-page":"1647","article-title":"[Stomach rupture caused by mouth-to-mouth respiration]","volume":"123","author":"van Geel","year":"1979","journal-title":"Ned Tijdschr Geneeskd"},{"key":"S1049023X17006653_ref6","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.50.590.769"},{"key":"S1049023X17006653_ref14","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.164.6.7754878"},{"key":"S1049023X17006653_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/S0736-4679(01)00433-4"},{"key":"S1049023X17006653_ref5","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197409000-00012"},{"key":"S1049023X17006653_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.gcb.2009.02.044"},{"key":"S1049023X17006653_ref13","first-page":"1","article-title":"Gastric rupture after bag-mask-ventilation","volume":"16","author":"Bednarz","year":"2015","journal-title":"Respir Med Case Rep"},{"key":"S1049023X17006653_ref16","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.285.6343.692"},{"key":"S1049023X17006653_ref3","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000000143"},{"key":"S1049023X17006653_ref8","first-page":"68","article-title":"Gastric rupture complicating mouth-to-mouth resuscitation","volume":"20","author":"Engelstein","year":"1984","journal-title":"Isr J Med Sci"},{"key":"S1049023X17006653_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2009.11.023"},{"key":"S1049023X17006653_ref4","first-page":"427","article-title":"Rupture of the normal stomach during mouth-to-mouth resuscitation. Report of a case","volume":"127","author":"Valtonen","year":"1964","journal-title":"Acta Chir Scand"},{"key":"S1049023X17006653_ref10","first-page":"487","article-title":"Gastric rupture complicating inadvertent intubation of the esophagus","volume":"39","author":"Schvadron","year":"1996","journal-title":"Can J Surg J Can Chir"}],"container-title":["Prehospital and Disaster Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1049023X17006653","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,16]],"date-time":"2019-04-16T19:38:06Z","timestamp":1555443486000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1049023X17006653\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7,3]]},"references-count":17,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["S1049023X17006653"],"URL":"https:\/\/doi.org\/10.1017\/s1049023x17006653","relation":{},"ISSN":["1049-023X","1945-1938"],"issn-type":[{"value":"1049-023X","type":"print"},{"value":"1945-1938","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7,3]]}}}