Background
Crucial for a patient’s outcome after cardiac arrest is the quality of resuscitation (CPR), particularly chest compression. Especially during CPR under difficult conditions, the use of a mechanical resuscitation device (MRD) could be meaningful. Serious injuries due to the use of MDR are rare and described in the literature as often as for manual chest compression. However, such injuries especially in the postresuscitation setting can be life threatening and may be assigned to the specific functional principle of the MRD.
Objective of the article
This article reports the case of a patient after cardiac arrest and CPR using an MRD, who developed hypovolemic shock after successful coronary intervention. This was due to liver decapsulation most likely associated with the specific functional principle of an MRD. Therefore, after every CPR and use of an MRD, FAST sonography should be performed after arrival in the emergency room combined with a follow-up a few hours after stabilization of the patient.