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Near-Hanging

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1. Factors Associated With Poor Outcome in Pediatric Near-Hanging Injuries. (Abstract)

Factors Associated With Poor Outcome in Pediatric Near-Hanging Injuries. Hanging injury is the most common method of suicide among children 5 to 11 years of age and near-hangings commonly occur. Adult studies in near-hanging injury have shown that need for cardiopulmonary resuscitation, initial blood gas, and poor mental status are associated with poor prognosis. The literature for similar factors in children is lacking.This retrospective, single-center study was performed to identify (...) the clinical factors associated with neurologic outcome in children after near-hanging.Inclusion criteria included <18 years of age and a diagnosis of near-hanging or strangulation. All physician documentation was reviewed, and incidences of respiratory complications, seizure, and multiorgan failure were noted. Pediatric cerebral performance category score was based on information at discharge and was defined as favorable (score of 1-4) or unfavorable (score of 5-6). Comparisons were made between outcome

2019 Journal of Emergency Medicine

2. Type-III Hangman's fracture combined with serious cerebrovascular injury after near-hanging: a first case report and review of the literature. (Abstract)

Type-III Hangman's fracture combined with serious cerebrovascular injury after near-hanging: a first case report and review of the literature. Cervical fractures are rare after non-judicial hangings. Type-III Hangman's fracture (HF) is an unstable injury caused typically by motor vehicle accidents or falls. We describe the first reported case of a Type-III HF combined with occlusion of the right vertebral artery and non-occlusive dissection of both internal carotid arteries caused by near (...) -hanging. We performed a posterior approach open reduction of dislocated C2 facets and C1 to C3 fusion. Carotid dissections were managed conservatively with long-term antiplatelet therapy. The patient survived without any neurological deficit and without any significant restriction of cervical motion.

2019 British Journal of Neurosurgery

3. Reducing mortality in near-hanging patients with a novel early management protocol: A prospective cohort study in India. (Abstract)

Reducing mortality in near-hanging patients with a novel early management protocol: A prospective cohort study in India. Hanging is one of the most common causes of suicide world-wide, more prevalent in developing countries. There are no established protocols for early management of near-hanging patients who present to the emergency department (ED). The use of early intubation, strict blood pressure control and targeted temperature management has shown promise in small studies.To detect changes (...) in mortality and neurological deficits in near-hanging patients before and after implementation of a novel early management protocol in a tertiary care hospital in India.Prospective cohort study conducted at a tertiary-care hospital in Tamil Nadu, India from August 2014-July 2016. For first year of study (pre-implementation), near-hanging patients were treated without a structured protocol. For second year of study (post-implementation), near-hanging patients were treated per a protocol including early

2018 American Journal of Emergency Medicine

4. Endovascular Repair of Bilateral Carotid Dissection in a Near Hanging Victim Full Text available with Trip Pro

Endovascular Repair of Bilateral Carotid Dissection in a Near Hanging Victim There is much debate in the literature regarding the management of blunt cervical carotid injuries. This report describes a case of bilateral carotid artery dissection in the very uncommon case of a near hanging victim and the treatment controversies regarding its management.A 50 year old male patient was admitted after attempted suicide through hanging, having been swiftly rescued by a bystander. On admission, six

2018 EJVES Short Reports

5. Near-Hanging

Near-Hanging Near-Hanging Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Near-Hanging Near-Hanging Aka: Near-Hanging , Attempted (...) was negative in Near-Hanging survivors with normal GCS and normal exam (without tenderness) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Near-Hanging." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Suicide and self-inflicted injury by hanging (C0261972) Concepts Injury or Poisoning ( T037 ) ICD9 E953.0 English Injury-hanging , Suicide and self

2018 FP Notebook

6. Near-Hanging

Near-Hanging Near-Hanging Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Near-Hanging Near-Hanging Aka: Near-Hanging , Attempted (...) was negative in Near-Hanging survivors with normal GCS and normal exam (without tenderness) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Near-Hanging." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Suicide and self-inflicted injury by hanging (C0261972) Concepts Injury or Poisoning ( T037 ) ICD9 E953.0 English Injury-hanging , Suicide and self

2017 FP Notebook

7. Course of Near-hanging Victims Succumbed to Death: A Seven Year Study Full Text available with Trip Pro

Course of Near-hanging Victims Succumbed to Death: A Seven Year Study Near hanging refers to victims who survive a hanging injury following attempted hanging, long enough to reach hospital. Delayed deaths in near hanging patients are mostly due to complication of hanging. The purpose of this study was to evaluate the demographics, mortality patterns and cause of delayed deaths in near hanging victims.In this study autopsy files over a seven year period from 2007 to 2013 were reviewed, and data (...) of near hanging deaths (attempted hanging cases who succumbed to death and subjected for medicolegal autopsy) was extracted. Records of 14,000 autopsies was reviewed, and 10 deceased having died delayed deaths after near hanging episode were identified. In each case, the patients' details, including gender, age, type of suspension, type of ligature material used for hanging and subsequent hanging mark produced were reviewed using autopsy reports and photographs taken during autopsy.Demographic

2015 Journal of clinical and diagnostic research : JCDR

8. Acute respiratory distress syndrome and outcomes after near hanging. Full Text available with Trip Pro

Acute respiratory distress syndrome and outcomes after near hanging. The purpose of this study is to assess the case rate of acute respiratory distress syndrome (ARDS) after near hanging and the secondary outcomes of traumatic and/or anoxic brain injury and death. Risk factors for the outcomes were assessed.The method is a single-center, statewide retrospective cohort study of consecutive patients admitted between August 2002 and September 2011, with a primary diagnosis of nonjudicial "hanging (...) = .0003) and intubation in field or in trauma resuscitation unit (100% [5/5] vs 16% [8/51]; P = .0003) were associated with ARDS development. Risk factors of death were GCS = 3 (100% [3/3] vs 9% [5/53]; P = .002), pulselessness upon arrival of emergency medical services (100% [3/3] vs 4% [2/53]; P < .001], and abnormal neurologic imaging (50% [1/2] vs zero; P = .04).The ARDS case rate after near hanging is similar to the general trauma population. Low GCS and intubation are associated with increased

2014 American Journal of Emergency Medicine

9. False Passage to the Trachea after Emergency Intubation in a Victim of Near Hanging Full Text available with Trip Pro

False Passage to the Trachea after Emergency Intubation in a Victim of Near Hanging Emergency medicine physicians should have enough knowledge and experience to deal with emergent and traumatic difficult airway. In this paper, we present a case of near hanging with neck soft tissue injury, tracheal and esophageal rupture that is complicated by a displaced intubation and false passage to the trachea.

2013 Case Reports in Emergency Medicine

10. Evaluation and management of pediatric near-hanging injury. (Abstract)

Evaluation and management of pediatric near-hanging injury. Children surviving a strangulation event are unique from adults in that they are at risk for significant airway compromise due to the smaller relative size of their airways. To date, no study has specifically evaluated the laryngeal findings and management of pediatric near-hanging patients.A retrospective chart review was performed on all near-hangings presenting to the a tertiary care children's hospital from January 2001 until June (...) 2010. Demographic information was compiled in addition to laryngeal findings.Sixteen children were identified. Four had a documented laryngeal injury, one of which was a major injury requiring a tracheotomy.Laryngeal examination should be standard of care for any child presenting after a near-hanging event.Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

2013 International Journal of Pediatric Otorhinolaryngology

11. Epidemiology and Prognostic Factors in Cases of Near hanging Presenting to a Referral Hospital in Arak, Iran. (Abstract)

Epidemiology and Prognostic Factors in Cases of Near hanging Presenting to a Referral Hospital in Arak, Iran. Hanging is a common method of suicide in many countries, and it has a higher success rate than other commonly employed modes of attempted suicide, such as self-poisoning.The aim of this study was to determine the epidemiology and characteristics of near-hanging patients admitted to the main referral hospital in Arak, Iran.All patients with the diagnosis of hanging admitted between (...) January 2000 and 2009 were included in the study. Data regarding demographics, radiographic studies, injuries, Glasgow Coma Scale score (GCS) on arrival, and outcomes, were examined.During the 9-year study period, 43 cases of near hanging were identified. All patients were male, with a mean age of 24.2 years (range: 12-38 years). The median GCS at presentation was 6 (range: 3-12), and 83.8% of patients had a GCS of 8 or less. Cervical spine fracture of C2 was observed in two cases (4%). The imaging

2012 Journal of Emergency Medicine

12. Pulmonary edema in near hanging. (Abstract)

Pulmonary edema in near hanging. To study the incidence and outcome of pulmonary edema in patients admitted with near hanging.A retrospective analysis of 19 cases of near hanging admitted in our Emergency Department between January 2007 and December 2010 was performed. Occurrence of pulmonary edema; electrocardiographic changes; ejection fraction on echocardiography, cardiac enzymes, mechanical ventilation; and use of inotropes, mannitol, and steroids were noted.Seven patients developed (...) irrespective of level of consciousness or electrocardiographic changes and was not associated with mortality. Victims of near hanging with pulmonary edema can be effectively treated with supportive therapy.

2012 Journal of Trauma

13. Beneficial response to mild therapeutic hypothermia for comatose survivors of near-hanging. (Abstract)

Beneficial response to mild therapeutic hypothermia for comatose survivors of near-hanging. Therapeutic hypothermia has been shown to clearly benefit comatose survivors of cardiac arrest. It is reasonable to postulate that if therapeutic hypothermia is beneficial for the neurological injury of cardiac arrest, then it may have a role in the treatment of near-hanging suffocation injuries. We report a retrospective series of 2 patients who received mild therapeutic hypothermia for their comatose (...) state after a near-hanging injury. The exclusionary criteria and protocols that we use for comatose survivors of cardiac arrest were used. After at least 24 hours of mild therapeutic hypothermia, both patients had a complete return of neurological function, with Glasgow Coma Scale scores of 15 at the time of discharge from the hospital. These data, taken with other case series, suggest that therapeutic hypothermia may be beneficial for comatose survivors of near-hanging.

2010 American Journal of Emergency Medicine

14. Cardiac arrest

, or peri- arrest , due to physical trauma. Specific isolated traumatic mechanisms such as near-hanging and burns are not addressed. Who is the audience for this guideline? This guideline applies to first-aiders, prehospital (...) clinicians and hospital teams. Recommendations The Australian and New Zealand Committee on Resuscitation (ANZCOR) recommends: • Unless there are injuries obviously incompatible with life, attempted resuscitation of patients with cardiac arrest due to trauma is not futile

2018 Trip Latest and Greatest

15. Trauma

in the second stage of labor each reduce incidence of third- and fourthdegree lacerations compared 2018 7. Management of Cardiac Arrest due to Trauma ANZCOR Guideline 11.10.1 April 2016 Page 1 of 11 ANZCOR Guideline 11.10.1 Management of Cardiac Arrest due to Trauma Summary To whom does this guideline apply? This guideline applies to adult and paediatric patients in cardiac arrest, or peri-arrest, due to physical trauma . Specific isolated traumatic mechanisms such as near-hanging and burns

2018 Trip Latest and Greatest

17. Management of Cardiac Arrest due to Trauma

Management of Cardiac Arrest due to Trauma ANZCOR Guideline 11.10.1 April 2016 Page 1 of 11 ANZCOR Guideline 11.10.1 Management of Cardiac Arrest due to Trauma Summary To whom does this guideline apply? This guideline applies to adult and paediatric patients in cardiac arrest, or peri-arrest, due to physical trauma. Specific isolated traumatic mechanisms such as near-hanging and burns are not addressed. Who is the audience for this guideline? This guideline applies to first-aiders, prehospital

2016 Australian Resuscitation Council

18. CRACKCast E044 – Neck Trauma

from minor wounds to severe hemorrhage, neurologic injury, to airway compromise Apparently stable patients can harbour life threatening injuries Three mechanisms of neck trauma: Blunt Penetrating Strangulation / near hanging Four anatomic injury areas: Laryngotracheal – airway Pharynx oesophageal – digestive tract Vascular system Neurologic system Principles of Disease Penetrating trauma : Aetiologies: GSW’s: High velocity: rifles > 2000 ft/s Have very predictable direct pathways through tissue (...) Uncontained perforations NEED surgery ASAP Contained perforations can be watched and reimaged Esophageal stents – are gaining popularity Pharyngeal injuries are watched 7) List 3 hard signs of laryngotracheal trauma and describe airway management dilemmas Laryngotracheal trauma: RARE! And most involve the cervical trachea Mechanisms: MVCs – extended neck being crushed on steeringwheel Clothesline injuries / poor fitting harnesses Assaults / near hangings / athletic events May be penetrating or blunt

2016 CandiEM

19. Evaluation of Nonfatal Strangulation in Alert Adults. (Abstract)

Evaluation of Nonfatal Strangulation in Alert Adults. There is a paucity of evidence to guide the diagnostic evaluation of emergency department (ED) patients presenting after nonfatal strangulation (manual strangulation or near hanging). We seek to define the rate of serious injuries in alert strangled patients and determine which symptoms and examination findings, if any, predict such injuries.Using prospectively populated databases and electronic medical record review, we performed

2019 Annals of Emergency Medicine

20. Management of Vertebral Artery Injuries Following Non-Penetrating Cervical Trauma Full Text available with Trip Pro

with diffuse axonal injury, near hanging, seat belt or other soft tissue injuries to the neck, basilar skull fractures extending into the carotid canal, and cervical vertebral body fractures or distraction injuries. Between 350 and 400 angiograms were performed, identifying 38 patients with VAI. However, neither the exact number of angiograms performed nor the number of patients meeting the various criteria without VAI were reported. As a result, sensitivity, specificity, positive predictive value (PPV

2013 Congress of Neurological Surgeons

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