Artifactual injuries of the larynx produced by resuscitative intubation.
Am J Forensic Med Pathol
; 20(1): 31-6, 1999 Mar.
Article
en En
| MEDLINE
| ID: mdl-10208333
ABSTRACT
Over a period of 9 months we examined a series of 50 deaths due to natural and unnatural causes in which there had been endotracheal intubation and chest compression during resuscitation at the scene or in the emergency department shortly before death. In 37 of 50 cases (74%) there were airway injuries directly resulting from the intubation procedure which we documented using a standardized protocol and photography. Specific airway injuries, ranging from petechiae to contusions, included oral injury (28%), posterior pharyngeal injury (16%), epiglottic injury (22%), piriform recess injury (12%), laryngeal and tracheal mucosa injury (64%), strap muscle hemorrhage (14%), and cutaneous injury of the neck (4%). In addition, we recorded the presence of facial (6%) and conjunctival petechiae (21%) and attributed these changes to resuscitative chest compression. No cases had associated fractures of the hyoid or thyroid cartilage. Based on our findings, we conclude that resuscitative intubation can cause artifactual injury that may mimic inflicted injuries caused by neck compression, including strangulation and neck holds.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Resucitación
/
Heridas y Lesiones
/
Artefactos
/
Intubación Intratraqueal
/
Laringe
Límite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Am J Forensic Med Pathol
Año:
1999
Tipo del documento:
Article
País de afiliación:
Estados Unidos