日本救急医学会雑誌
Online ISSN : 1883-3772
Print ISSN : 0915-924X
ISSN-L : 0915-924X
Successful Bystander Cardiopulmonary Resuscitation by Chest Compression without Ventilation; A Case of the Patient with Traumatic Asphyxia
Toshinobu YokoyamaTeruo SakamotoTakehide FumimoriSoichiro IdeNobuyuki HirohashiNobuo KakuHisamichi Aizawa
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ジャーナル フリー

2002 年 13 巻 7 号 p. 397-400

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A 50-year-old construction worker had been pressed down beneath a forklift truck and sustained cardiopulmonary arrest. Physical findings were typical for traumatic asphyxia. The patient was resuscitated by a bystander using only external cardiac compression; rescue breathing was not performed. He had both coma and cardiopulmonary arrest persisted for 7 min until emergency medical technicians (EMT) arrived. However, he was resuscitated in cooperation with bystander, EMT, a nearest hospital and our hospital on resuscitation. Nearly full recovery ultimately resulted. Even incomplete resuscitation performed immediately by a bystander may offer a better chance of survival and permit a better functional outcome in traumatic asphyxia than proficient but delayed cardiopulmonary resuscitation.
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© Japanese Association for Acute Medicine
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