RESUMO
Cardiopulmonary resuscitation (CPR)-related artifacts in pediatric rescue that have the potential for serious complications in surviving patients have been well described in the medical literature. Medically trivial soft-tissue injuries, especially of the face and neck, carry predominantly forensic significance and have received less attention. We describe such injuries in nine of 25 consecutive cases of infants who received CPR, and correlate those injuries with specific rescue maneuvers. Techniques for effective investigation and interpretation of such injuries are suggested.
Assuntos
Reanimação Cardiopulmonar/efeitos adversos , Traumatismos Faciais/patologia , Traumatismos Faciais/etiologia , Humanos , Lactente , Recém-Nascido , Respiração Artificial/instrumentação , Morte Súbita do Lactente/patologiaRESUMO
Abdominal trauma in children is usually due to motor vehicle accidents or falls, but child abuse is also a common cause. Injuries to the small intestine are particularly worrisome because symptoms may not appear for hours, days, or even weeks. This can cause significant difficulty for the investigator trying to determine when an injury occurred, or who may have caused it.
Assuntos
Traumatismos Abdominais/patologia , Maus-Tratos Infantis/patologia , Homicídio , Peritonite/etiologia , Ferimentos não Penetrantes/patologia , Traumatismos Abdominais/complicações , Traumatismos Abdominais/etiologia , Pré-Escolar , Feminino , Humanos , Ferimentos não Penetrantes/complicações , Ferimentos não Penetrantes/etiologiaRESUMO
The effectiveness of previously untested disaster plans was demonstrated during the aftermath of the crash of Delta Airlines Flight 191 at D/FW International Airport on Friday, August 2, 1985. These plans, in effect for years and subjected to periodic review, were as yet untried before this first disaster at D/FW International since its opening. This paper outlines the disaster plans, the actual problems encountered, the logistics of a disaster of this kind, and insights gained from the experience.