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Characteristics of Child Abuse by Anteroposterior Manual Compression Versus Cardiopulmonary Resuscitation: Case Reports

Gunther, Wendy M. M.D.; Symes, Steven A. Ph.D.; Berryman, Hugh E. Ph.D.

The American Journal of Forensic Medicine and Pathology: March 2000 - Volume 21 - Issue 1 - p 5-10

Lethal and sublethal injuries to infants caused by anteroposterior manual compression can be accompanied by lateral rib fractures, hemorrhage into the viscera, and when severe, rupture of large vessels and solid organs. Abusers may claim that these injuries were sustained in an attempt to perform cardiopulmonary resuscitation (CPR). The difference between injuries caused by CPR and injuries caused by inflicted anteroposterior compression is examined in one sublethal and two lethal cases.

From the Shelby County Medical Examiner's Office (W.M.G., S.A.S., H.E.B); and the University of Tennessee Medical Group, Department of Pathology (W.M.G.), Memphis, Tennessee, U.S.A.

Manuscript received May 2, 1999; accepted August 25, 1999.

Address correspondence and reprint requests to Wendy M. Gunther, Regional Forensic Center, 1060 Madison Avenue, Memphis, TN 38104, U.S.A.

© 2000 Lippincott Williams & Wilkins, Inc.