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KMID : 0385920140250040349
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Journal of the Korean Society of Emergency Medicine
2014 Volume.25 No. 4 p.349 ~ p.355
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Could One-Hand Compression for a Small Child Cause Intra-abdominal Injuries?
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Kim Dong-A
You Yeon-Ho
Cho Yong-Chul
Ryu Seung
Lee Jin-Woong
Kim Seung-Whan
Yoo In-Sool
Jeong Won-Joon
Min Jung-Sang
Lee Ji-Sook
Min Ji-Hong
Park Seong-Soo
Yoon Byoung-Gil
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Abstract
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Purpose: We examined the question of whether one-hand chest compression for a small child could compress intraabdominal organs.
Methods: We retrospectively examined medical charts and multidirectional computed tomography (MDCT) images obtained from children aged 1 to 18 years who presented to the hospital from March 2002 to March 2012. We measured the length of the sternum (Stotal) and the length of the lower half of the sternum (Stotal/2~X). We also measured the distance from the diaphragm to the midpoint of the sternum (Stotal/2~D) and half the width of an adult hand (Wtotal/2). Finally, we counted the number of instances at each age in which Stotal/2~X and Stotal/2~D were less than Wtotal/2.
Results: This study included records and MDCT images for 301 children with a mean age of 12.05±5.59 years. We also enrolled 47 adult rescuers (25 men, 53.2%) with a mean age of 23.20±2.13 years. The mean Wtotal/2 was 4.62 ±0.46 cm. All 1-year-old children had Stotal/2~X and Stotal/2~D less than Wtotal/2. Among children aged 2 years, six (60.0%) had Stotal/2~X and Stotal/2~D less than Wtotal/2. Among children aged 3 years, four (26.7%) had Stotal/2~X and Stotal/2~D less than Wtotal/2, and among those aged 4 years, two (13.3%) had Stotal/2~X and Stotal/2~D less than Wtotal/2. However, Stotal/2~X and Stotal/2~D were greater than Wtotal/2 in children aged 5 years or more.
Conclusion: Our measurements indicate that one-hand chest compression for a small child could cause intraabdominal organ injury.
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KEYWORD
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Child, Cardiopulmonary resuscitation, Compression
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