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Related Experiment Videos

Attempted suicide with a crossbow.

X Dubernard1, C Dutheil2, V Legros3

  • 1Université de Reims Champagne-Ardenne, UFR Médecine, 51, rue Cognac-Jay, 51100 Reims, Champagne-Ardenne, France; Unité de chirurgie ORL et cervico-faciale, 51, rue Cognac-Jay, 51100 Reims, Champagne-Ardenne, France.

European Annals of Otorhinolaryngology, Head and Neck Diseases
|January 27, 2020
PubMed
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Airway management in head and neck crossbow injuries is challenging. Successful management involved conscious bolt removal followed by intubation, a novel approach for this rare suicide attempt.

Area of Science:

  • Emergency Medicine
  • Surgical Airway Management
  • Trauma Surgery

Background:

  • Airway management and hemorrhage control are critical in head and neck suicide attempts.
  • Crossbow-related suicide attempts present unique and previously unreported airway challenges.
  • Patient presentation necessitates tailored airway strategies.

Observation:

  • A conscious patient attempted suicide with a crossbow to the head.
  • A contrast-enhanced CT scan revealed no vascular, ophthalmological, or neurological lesions.
  • The submental entry wound spared critical vascular and neural structures, but caused mechanical trismus, limiting neck access.

Findings:

  • Standard intubation techniques (orotracheal, nasotracheal) and tracheotomy were difficult due to bolt position and trismus.
Keywords:
Acute respiratory distressAttempted suicideCrossbow traumaNasotracheal intubationOrotracheal intubationTracheotomy

Related Experiment Videos

  • A novel approach of conscious, on-table bolt removal was performed.
  • Rapid intubation post-removal was achieved without complications.

    • Implications:

    • This case highlights the need for adaptable airway management in rare head and neck trauma.
    • Conscious removal of penetrating objects may be a viable strategy in specific scenarios.
    • Successful airway control is contingent upon glottis visualization, bolt trajectory, and anterior neck access.