Actually the: "you will break ribs when you do chest compressions" is not accurate. More often the sternum is fractured. That also goes back to being specific about what is meant by sternal fracture. The sternum body isn't usually fractured during CPR, but the area around the cartilage is, and/or the cartilage itself is torn. If you look at it, it would be difficult to break ribs if compressions are done correctly because the cartilage that connects the ribs to the sternum will give and then tear before a rib will break, the shape of the ribs allows give, and the intercostal tissue allows a bit of movement.I think broken ribs are not uncommon with CPR especially with children. Not sure about sternum injuries. Can't remember what site I read about the sternum injury. But good to hear he has made some progress.
FYI: I have given CPR twice in my life (one child, one adult), and both times I felt the crackle/pop of cartilage damage that many refer to as ribs breaking.
FYI 2: I have a displaced xiphoid process from a high speed trip over the bars. It is considered a sternal fracture.
Disclaimer, I don't know 'Prime Medical Training' it was just the first that popped up for CPR trainnig Q&A.
https://www.primemedicaltraining.com/does-cpr-break-ribs/
EDIT: Since this was already a WAY to long reply, I'll keep going: My first CPR instructor (1983) told us that if you break ribs, you need more practice, but you might still save a life. The CPR instructors in the Army had the take that if you aren't breaking ribs you are doing it wrong. Since then, all of my instructors (the same ones many times) stress correct hand placement to prevent doing further damage.
Its also worth pointing out that sternal/rib/chest damage is common in auto accidents prior to CPR even starting (yep, even with air bags).
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