Publication: Forensic aspect of cause of subendocardial hemorrhage in cardiopulmonary resuscitation cases: Chest compression or adrenaline
6
0
Issued Date
2011
Resource Type
File Type
application/pdf
ISSN
1957910
Other identifier(s)
2-s2.0-79951774074
Rights Holder(s)
Scopus
Bibliographic Citation
American Journal of Forensic Medicine and Pathology. Vol 32, No.1 (2011), p.58-60
Suggested Citation
Charaschaisri W., Jongprasartsuk K., Rungruanghiranya S., Kaufman L. Forensic aspect of cause of subendocardial hemorrhage in cardiopulmonary resuscitation cases: Chest compression or adrenaline. American Journal of Forensic Medicine and Pathology. Vol 32, No.1 (2011), p.58-60. doi:10.1097/PAF.0b013e3181edee46 Retrieved from: https://hdl.handle.net/20.500.14740/7371
Abstract
Subendocardial hemorrhage (SEH) is a striking feature seen in many forensic autopsy cases. It was believed earlier to represent an agonal phenomenon without any particular reference to the cause of death. However, the latest study showed that even minor SEH might have an influence on cardiac function and might be involved in the mechanism of death. To rule out the possible cause of SEH from defibrillation, autopsies were performed in 240 adults admitted to Department of Forensic Medicine, Faculty of Medicine, Srinakarinwirot University and Department of Forensic Medicine, Faculty of Medicine, Chulalongkorn University between July 2006 and June 2008. All the subjects were subdivided into 2 groups: one group receiving resuscitation and the other group receiving no resuscitation. In the former group, 76 patients had attempted cardiopulmonary resuscitation with adrenaline and 44 patients without adrenaline. While in the latter group, 120 patients received no resuscitation attempt. Approximately, 43.4% of resuscitation with adrenaline cases (33/76) demonstrated SEH in contrast to 4 cases of resuscitation without adrenaline (9.1%, P < 0.05). This demonstrates an increasing trend of SEH in cases with prolonged resuscitation and higher level of adrenaline utilizations. Copyright © 2011 by Lippincott Williams & Wilkins.
Subject(s)
Adrenalin
Adrenergic receptor stimulating agent
Adult
Article
Bleeding
Dose response
Endocardium
Female
Forensic pathology
Heart arrest
Human
Male
Pathology
Resuscitation
Retrospective study
Sudden death
Time
Adult
Cardiopulmonary Resuscitation
Death, Sudden
Dose-Response Relationship, Drug
Endocardium
Epinephrine
Female
Forensic Pathology
Heart Arrest
Hemorrhage
Humans
Male
Retrospective Studies
Sympathomimetics
Time Factors
Adrenergic receptor stimulating agent
Adult
Article
Bleeding
Dose response
Endocardium
Female
Forensic pathology
Heart arrest
Human
Male
Pathology
Resuscitation
Retrospective study
Sudden death
Time
Adult
Cardiopulmonary Resuscitation
Death, Sudden
Dose-Response Relationship, Drug
Endocardium
Epinephrine
Female
Forensic Pathology
Heart Arrest
Hemorrhage
Humans
Male
Retrospective Studies
Sympathomimetics
Time Factors