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Related Experiment Videos

Near-hanging.

Bianca M Wahlen1, Andreas R Thierbach

  • 1Department of Anaesthesiology, Johannes Gutenberg University Hospital, Langenbeckstrasse 1, 55 131 Mainz, Germany. bwahlen@web.de

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
|December 26, 2002
PubMed
Summary

Strangulation survivors may face neurological issues. Aggressive resuscitation is vital for all near-hanging patients, regardless of initial condition, to prevent brain injury and improve outcomes.

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Area of Science:

  • Neurology
  • Emergency Medicine
  • Forensic Pathology

Background:

  • Strangulation and hanging are significant causes of injury and death annually.
  • Neurological complications are common following strangulation or hanging.
  • Initial clinical assessments like the Glasgow Coma Scale (GCS) poorly predict long-term outcomes.

Observation:

  • This report details two cases of near-hanging incidents.
  • Both patients experienced non-fatal strangulation events.
  • Neither patient exhibited definitive signs of death upon presentation.

Findings:

  • Despite varying durations of hypoxia and unconsciousness, both patients achieved normal neurological outcomes.
  • Aggressive resuscitation and post-anoxic brain injury treatment were administered.

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  • The study highlights the potential for recovery even after prolonged unconsciousness.

    • Implications:

    • Aggressive resuscitation and treatment are crucial for all strangulation survivors, irrespective of initial presentation.
    • Early and intensive management can mitigate neurological deficits and improve patient prognosis.
    • These cases support the aggressive treatment approach in near-hanging incidents, particularly suicidal ones.