Correlation of pulmonary fat embolism with trauma and resuscitation in children.

Rosa Maria Martinez, Wolf Schweitzer, Michael Josef Thali, Akos Dobay, Stephan Andreas Bolliger

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Article in International journal of legal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Rosa Maria MartinezRepubblica e Cantone Ticino, Institute of Forensic Medicine, Bellinzona, Switzerland.

Wolf SchweitzerZurich Institute of Forensic Medicine, Department of Forensic Medicine and Imaging, University of Zurich, Winterthurerstrasse 190/52, CH-8057, Zurich, Switzerland.

Michael Josef ThaliZurich Institute of Forensic Medicine, Department of Forensic Medicine and Imaging, University of Zurich, Winterthurerstrasse 190/52, CH-8057, Zurich, Switzerland.

Akos DobayZurich Institute of Forensic Medicine, Department of Forensic Medicine and Imaging, University of Zurich, Winterthurerstrasse 190/52, CH-8057, Zurich, Switzerland.

Stephan Andreas BolligerZurich Institute of Forensic Medicine, Department of Forensic Medicine and Imaging, University of Zurich, Winterthurerstrasse 190/52, CH-8057, Zurich, Switzerland. stephan.bolliger@irm.uzh.ch.ORCID http://orcid.org/0000-0002-7842-4052

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to investigate the correlation between pulmonary fat embolism (PFE), blunt force trauma and the effects of resuscitation in pediatric fatalities.

methodsData for this study covered deaths of 57 children aged 0 to 10 years, which underwent full autopsy at the Zurich Institute of Forensic Medicine from 2019 to 2023. Variables collected included anamnestic information on the presence of trauma (accidental, non-accidental), fracture and fatty tissue crushing extent, cardiopulmonary resuscitation (CPR) - with and without intraosseous catheter - and the grade of pulmonary fat embolism (PFE) according to Falzi et al.

resultsThe study analyzed 57 pediatric autopsy cases and found that PFE occurred more frequently in cases with both trauma and resuscitation, particularly when intraosseous catheters were used. Fat tissue crushing extent and fracture extent correlated with PFE development, while CPR alone did not. Notably, PFE could arise without fractures, likely due to fatty tissue crushing, and the highest PFE grades were observed in trauma cases with extensive fat crushing.

conclusionsPFE can arise without fractures, likely from fatty tissue crushing alone. CPR with intraosseous catheters, correlated with moderate PFE (Falzi grade 2), but CPR alone did not strongly predict PFE in children.

Indexed as

Cardiopulmonary ResuscitationEmbolism, FatPulmonary EmbolismWounds, NonpenetratingAdipose TissueChildChild, PreschoolFemaleFractures, BoneHumansInfantInfant, NewbornMaleRetrospective StudiesBlunt traumaCPRForensicPediatricPulmonary fat embolismResuscitation

Identifiers

PMID40407875

DOI10.1007/s00414-025-03516-z

PMCPMC12354560

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.