1. Tired of seeing ads? Click here to register today and the ads go away. It's completely FREE, too!
    Dismiss Notice
  2. Can't find what you're looking for? Use the search bar in the upper right corner.
    Dismiss Notice

CPR Breaking Bones

Discussion in 'EMS Talk' started by JohnJ, May 25, 2011.

  1. JohnJ

    JohnJ Forum Crew Member

    40
    2
    8
    Education:
    EMT
    How often are bones broken when giving CPR? My friend who is in rescue said that broken bones are common among CPR patients.
     
  2. BEorP

    BEorP Forum Captain

    370
    1
    0
    It is common to hear (or even feel) cracking ribs while performing CPR. It really shouldn't be a concern while you are performing CPR though.
     
  3. marcus2011

    marcus2011 Forum Crew Member

    69
    0
    0
    Education:
    AEMT
    Like the man said before me...it is common to hear and feel bones cracking but having some broken ribs is a much better outcome than if you stopped cpr due to broken ribs or sternum
     
  4. Linuss

    Linuss Forum Chief

    8,264
    32
    48
    I can honestly say in all the arrests I've worked, I haven't heard or felt a single crack.
     
    Last edited by a moderator: May 25, 2011
  5. Cawolf86

    Cawolf86 Forum Captain

    361
    0
    0
    To me it feels more like a popping or snapping of cartilage.
     
  6. Symbolic

    Symbolic Forum Crew Member

    80
    0
    0
    I always equated that initial popping/cracking sensation to be the cartilage as well. After a few compressions the chest loosens up and provides less resistance. Definitely an odd sensation at first.
     
  7. AustinNative

    AustinNative Forum Crew Member

    92
    0
    0
    The first time I felt crepitus, it freaked me out a bit. However, the adrenaline was kicking in pretty heavily, so I just kept on pumping.
     
  8. mgr22

    mgr22 Forum Asst. Chief

    681
    178
    43
    Education:
    Paramedic
    It's not uncommon for ribs to break during CPR. I've been wondering whether compressions might be more effective once the sternum collapses, particularly on barrel-chested patients.
     
  9. usafmedic45

    usafmedic45 Forum Deputy Chief

    3,796
    5
    0
    In the series of autopsy cases that survived to hospital admission among my research database, those who underwent CPR almost universally have sternal and/or rib fractures. Of course, these are folks who died of blunt trauma for the most part (some drownings and other assorted causes) but it's nearly universal and a significant increase above the baseline for those who survived long enough to warrant resuscitation efforts.
     
  10. mgr22

    mgr22 Forum Asst. Chief

    681
    178
    43
    Education:
    Paramedic
    Could you correlate those with sternal fractures to chest compressions, ROSC, and survival to discharge?
     
  11. usafmedic45

    usafmedic45 Forum Deputy Chief

    3,796
    5
    0
    In my research, the survival rate was zero since we're looking at autopsy data. If they weren't dead before they got to the pathologists, chances are pretty good they were afterwards. LOL
     

Share This Page