{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T20:32:54Z","timestamp":1787430774592,"version":"build-2736575974"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,1,16]]},"abstract":"<jats:p>A 64-year-old man with a history of ascending aortic surgery and pulmonary embolus presented with shortness of breath. He rapidly decompensated, prompting intubation, after which he lost pulses. Manual resuscitation was initiated immediately, with subsequent use of a LUCAS-2 mechanical compression device. The patient was given bolus thrombolytic therapy and regained pulses after 7\u2005min of CPR. Compressions were reinitiated with the LUCAS-2 twice more during resuscitation over the subsequent hour for brief episodes of PEA. After confirmation of massive pulmonary embolism on CT, the patient underwent interventional radiology-guided ultrasonic catheter placement with local thrombolytic therapy and experienced immediate improvement in oxygenation. He later developed abdominal compartment syndrome, despite cessation of thrombolytic and anticoagulation therapy. Bedside exploratory abdominal laparotomy revealed a ruptured subcapsular haematoma of the liver. The patient's haemodynamics improved following surgery and he was extubated 11\u2005days postarrest with intact neurological function.<\/jats:p>","DOI":"10.1136\/bcr-2015-213951","type":"journal-article","created":{"date-parts":[[2016,2,2]],"date-time":"2016-02-02T12:42:29Z","timestamp":1454416949000},"page":"bcr2015213951","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Ruptured subcapsular liver haematoma following mechanically-assisted cardiopulmonary resuscitation"],"prefix":"10.1136","volume":"2016","author":[{"given":"John R","family":"Joseph","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0343-9823","authenticated-orcid":false,"given":"Robert Edward","family":"Freundlich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahshid","family":"Abir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,2,2]]},"reference":[{"key":"2025042702383617000_2016.feb02_1.bcr2015213951.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2015.07.039"},{"key":"2025042702383617000_2016.feb02_1.bcr2015213951.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2015.07.002"},{"key":"2025042702383617000_2016.feb02_1.bcr2015213951.3","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-015-0114-2"},{"key":"2025042702383617000_2016.feb02_1.bcr2015213951.4","doi-asserted-by":"publisher","DOI":"10.1007\/s12471-013-0491-y"},{"key":"2025042702383617000_2016.feb02_1.bcr2015213951.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2014.09.017"},{"key":"2025042702383617000_2016.feb02_1.bcr2015213951.6","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.282538"},{"key":"2025042702383617000_2016.feb02_1.bcr2015213951.7","unstructured":"Physio-Control. 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