{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T01:46:02Z","timestamp":1780451162251,"version":"3.54.1"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2019,1,11]],"date-time":"2019-01-11T00:00:00Z","timestamp":1547164800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>To determine the rate of injuries related to cardiopulmonary resuscitation (CPR) in cardiac arrest non-survivors, comparing manual CPR with CPR performed using the Lund University Cardiac Assist System (LUCAS).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>We prospectively evaluated 414 deceased adult patients using focused, standardized post-mortem investigation in years 2005 through 2013. Skeletal and soft tissue injuries were noted, and soft tissue injuries were evaluated with respect to degree of severity. We found sternal fracture in 38%, rib fracture in 77%, and severe soft tissue injury in 1.9% of cases treated with CPR with manual chest compressions (n\u2009=\u200952). Treatment with LUCAS CPR (n\u2009=\u2009362) was associated with significantly higher rates of sternal fracture (80% of cases), rib fracture (96%), and severe soft tissue injury (10%), including several cases of potentially life-threatening injuries.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>LUCAS CPR causes significantly more CPR-related injuries than manual CPR, while providing no proven survival benefit on a population basis. We suggest judicious use of the LUCAS device for cardiac arrest.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjqcco\/qcy062","type":"journal-article","created":{"date-parts":[[2018,12,27]],"date-time":"2018-12-27T12:07:24Z","timestamp":1545912444000},"page":"259-265","source":"Crossref","is-referenced-by-count":30,"title":["Skeletal and soft tissue injuries after manual and mechanical chest compressions"],"prefix":"10.1093","volume":"5","author":[{"given":"Niklas","family":"Friberg","sequence":"first","affiliation":[{"name":"Division of Oncology and Pathology, Department of Clinical Sciences, Lund University, Medical Service, Clinical Genetics and Pathology, S\u00f6lvegatan 25, Lund, Sweden"},{"name":"Department of Pediatrics, Sk\u00e5ne University Hospital, Lasarettsgatan 48, Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Schmidbauer","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Lund University, Jan Waldenstr\u00f6ms gata 35, Malm\u00f6, Sweden"},{"name":"Department of Anaesthesiology and Intensive Care, Sk\u00e5ne University Hospital, Carl Bertil Laurells gata 9, Malm\u00f6, Sweden"},{"name":"Centre for Cardiac Arrest at Lund University, Lund University, Box 117, Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Walther","sequence":"additional","affiliation":[{"name":"Division of Oncology and Pathology, Department of Clinical Sciences, Lund University, Medical Service, Clinical Genetics and Pathology, S\u00f6lvegatan 25, Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabet","family":"Englund","sequence":"additional","affiliation":[{"name":"Division of Oncology and Pathology, Department of Clinical Sciences, Lund University, Medical Service, Clinical Genetics and Pathology, S\u00f6lvegatan 25, Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,1,11]]},"reference":[{"key":"2019070811253823300_qcy062-B1","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1378\/chest.92.2.287","article-title":"Complications of cardiac resuscitation","volume":"92","author":"Krischer","year":"1987","journal-title":"Chest"},{"key":"2019070811253823300_qcy062-B2","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1016\/j.resuscitation.2014.01.028","article-title":"A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic injuries","volume":"85","author":"Miller","year":"2014","journal-title":"Resuscitation"},{"key":"2019070811253823300_qcy062-B3","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1007\/s00134-008-1255-9","article-title":"Frequent and rare complications of resuscitation attempts","volume":"35","author":"Buschmann","year":"2009","journal-title":"Intensive Care Med"},{"key":"2019070811253823300_qcy062-B4","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.resuscitation.2005.05.022","article-title":"Active compression-decompression CPR necessitates follow-up post mortem","volume":"68","author":"Englund","year":"2006","journal-title":"Resuscitation"},{"key":"2019070811253823300_qcy062-B5","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.resuscitation.2015.07.015","article-title":"European Resuscitation Council Guidelines for Resuscitation 2015: Section 2. 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