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Article |

Hemorrhage From Gastroesophageal Lacerations Following Closed-Chest Cardiac Massage

George D. Lundberg, MC; Ivan R. Mattei, MC; Charles J. Davis, MC; Donald E. Nelson, MC
JAMA. 1967;202(3):195-198. doi:10.1001/jama.1967.03130160069012.
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Five cases of acute hemorrhage of the upper-gastro-intestinal tract due to gastric and esophageal lacerations complicating closed-chest cardiac massage were observed by an autopsy service of a general teaching hospital over a 16-month period. During the same time, 348 autopsies were performed, including 50 patients who had received closed-chest cardiac massage. Fractured ribs were found in 20 patients (40%) while gastric and esophageal lacerations were the second most frequently encountered significant complication (10%). Prevention, early recognition, and prompt decompression of acute gastric distention during cardiopulmonary resuscitation is emphasized as a method of preventing gastroesophageal lacerations during external cardiac massage.


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