Chest Compressions and Potential Complications
While chest compressions are a critical component of cardiopulmonary resuscitation (CPR), they are not without risks. Complications can occur, particularly when compressions are performed improperly or on individuals with certain pre-existing conditions.
Common Complications of Chest Compressions
Rib Fractures
Rib fractures are among the most frequently observed complications during CPR. This is especially true for elderly patients who may suffer from osteoporosis or weakened bones. In many cases, rib fractures can also result from incorrect compression technique, such as applying excessive force or improper hand placement.
Internal Injuries
Fractured ribs can lead to more severe complications, including damage to internal organs. These injuries may result in conditions such as hemothorax (blood in the pleural cavity), pneumothorax (air in the pleural space), or direct trauma to the heart. Additionally, broken ribs can puncture vital organs like the liver, spleen, kidneys, or stomach, potentially leading to internal bleeding or even embolism.
Importance of Immediate Action During Cardiac Arrest
Despite the risk of complications, it is crucial not to delay or avoid performing chest compressions during cardiac arrest. The immediate application of CPR significantly increases the chances of survival. In life-threatening situations, the benefits of chest compressions far outweigh the potential risks. Prompt and effective compressions can maintain blood flow to vital organs until advanced medical care is available.