Out-of-hospital cardiac arrest (OOHCA) is a significant cause of mortality, with regionally pooled survival until discharge ranging from 3.0–9.7%. Early and effective cardiopulmonary resuscitation (CPR) remains crucial to improving overall survival, and mechanical CPR has been proposed as a method with which to improve its quality and consistency. Outcomes of mechanical CPR are mixed, and several case reports have highlighted potentially harmful complications, including solid and hollow organ injury and subsequent mortality.