@article{ref1,
title="Injury to a cardiopulmonary resuscitation provider by sternal wire",
journal="Acute medicine and surgery",
year="2024",
author="Ohkawa, Mayo and Tsuchiya, Asuka and Morita, Seiji and Nakagawa, Yoshihide",
volume="11",
number="1",
pages="e969-e969",
abstract="BACKGROUND: Median sternotomy is a common surgical procedure during cardiac and pulmonary surgeries. There are many reports of patient injury associated with wire breakage. However, there are only a few reports of healthcare worker injuries by sternal wire.   CASE PRESENTATION: A patient in his 70s, having a history of thoracic aorta replacement, collapsed suddenly and paramedics started mechanical chest compression. On hospital arrival, the emergency department nurse attempted to initiate manual chest compression but was injured by a sternal wire protrusion on the patient's chest. The emergency physician placed gauze on the sternal wire and continued manual chest compression, but the patient died. <br><br>CONCLUSION: To prevent this injury, cardiopulmonary resuscitation (CPR) providers should consciously check the patient's chest. If they observe wire exposure, they should immediately place a gauze, pad or consider performing mechanical chest compression. Safety measures such as the installing rubber pads in the AED should be considered.<p /> <p>Language: en</p>",
language="en",
issn="2052-8817",
doi="10.1002/ams2.969",
url="http://dx.doi.org/10.1002/ams2.969"
}