title: Left Diaphragm Laceration Due to Cardiopulmonary Resuscitation.
abstract: External cardiac massage is the essential life-saving gesture for the management of any cardiac arrest. Since the 1960s, many recommendations have been published to improve the effectiveness of chest compressions alongside the development of automated systems intended to maximize the chances of survival. The use of these manual and/or instrumental techniques can cause secondary injuries, of which rib fractures are the most commonly observed by forensic pathologists. However, a comprehensive review of the literature seldom highlights reports of injuries to the abdomen, even less so to the diaphragm. In this observation, an iatrogenic left diaphragmatic laceration for the first time is described, as a result of manual and instrumental cardiopulmonary resuscitation, in a victim from an intrathoracic wound caused by a bladed weapon.
authors.affiliation: Lunam Université, Angers, France.|Department of Forensic Medicine, University Hospital - Angers, 49933, Angers Cedex 09, France.
authors.forename: Vincent
authors.initials: V
authors.lastname: Dupont
authors.affiliation: Lunam Université, Angers, France.|Department of Forensic Medicine, University Hospital - Angers, 49933, Angers Cedex 09, France.|Lunam Université, GEROM-LHEA, IRIS-IBS Institut de Biologie en santé, CHU Angers, 49933, Angers Cedex 09, France.
authors.forename: Clotilde
authors.initials: C
authors.lastname: Rougé-Maillart
authors.affiliation: Lunam Université, Angers, France.|Department of Forensic Medicine, University Hospital - Angers, 49933, Angers Cedex 09, France.
authors.forename: Arnaud
authors.initials: A
authors.lastname: Gaudin
authors.affiliation: Department of Anesthesiology and Reanimation, University Hospital - Angers, 49933, Angers Cedex 09, France.
authors.forename: Audrey
authors.initials: A
authors.lastname: Jeanneteau
authors.affiliation: Lunam Université, Angers, France.|Department of Forensic Medicine, University Hospital - Angers, 49933, Angers Cedex 09, France.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Jousset
authors.affiliation: Lunam Université, Angers, France.|Department of Forensic Medicine, University Hospital - Angers, 49933, Angers Cedex 09, France.
authors.forename: Stéphane
authors.initials: S
authors.lastname: Malbranque
keywords: AutoPulse®; autopsy finding; cardiopulmonary resuscitation; chest compression; diaphragm injury; forensic aspect; forensic relevance; forensic science; iatrogenic complication; resuscitation related injuries